chapter 40

The way a child relates to others as he or she grows is ____.

social development

Peter is a 4-year-old who is in the office for a well-child exam. While you are taking his history, Peter's mother says he has been urinating much more often lately. The notes also state that Peter's older sister is diabetic. Which of the following questions would be important to ask next?

"Does Peter seem to be excessively thirsty?"

By what age can most toddlers walk independently?

15 months

At which of the following ages should toddlers have well-child examinations?

15, 18, 24, and 30 months

At what age does a child become able to share and play with others?

2 to 3 years

At what age do children tend to develop a sense of what is right and wrong and a sense of honesty and fairness?

6 to 10 years

The pediatric dietary guidelines suggest a child be introduced to strained vegetables and fruits at what age range?

6-8 months

How many well-baby examinations are needed in an infant's first year?

7

About how much does a full-term infant usually weigh at birth?

7 to 9 pounds

At what age are infants able to sit and creep on their hands and knees?

9 months

Which of the following conditions is commonly misunderstood, misdiagnosed, and over-diagnosed in children?

Attention deficit hyperactivity disorder

Which of the following is not an effective treatment for head lice?

Avoidance of sun exposure

Which of the following statements about suicide is true?

Changes in habit, including carelessness or sloppiness, are suicide warning signs.

Which of the following is not a warning sign of potential violence?

Decrease in risk-taking behavior

Which of the following statements about well-child examination is true?

From the age of 3, children should have well-child examinations every year.

Ginny is an 8-year-old whose mother brought her to the office because "there must be something wrong with her; she is always complaining that she hurts somewhere." You notice bruises on Ginny's legs, and what appears to be a burn mark on the back of her left hand. Ginny sits quietly on the exam table while you take the history and her vital signs. You suspect that Ginny may be abused. What should you do?

Inform your supervising licensed practitioner

Which of the following is not a guideline for the proper storage and handling of vaccines?

Rotate your supply of vaccines so those with the longest expiration date are used first

Charla is a three-year-old whose mother has brought her to the pediatrician's office because she has had a low-grade fever for three days. The pediatrician has asked the medical assistant to take all of her vital signs, including blood pressure. Charla is scared; she is whimpering and clinging tightly to her mother. Which of the following actions should the medical assistant take?

Take Charla's blood pressure before getting her other vital signs

What is the purpose of administering an immunization?

To reduce a person's susceptibility to infections

Which of the following actions will help relieve a child's fear when coming to the medical office?

Which of the following actions will help relieve a child's fear when coming to the medical office?

Which of the following is considered a warning sign for suicide?

anger directed at oneself

Which of the following should be included in the emotional preparation of toddlers for a physical examination?

approach the children slowly

At what age do most sudden infant death syndrome (SIDS) cases occur?

between 2 and 4 months of age

Which of the following physical changes occur to both males and females during puberty?

body hair grows

Which of the following is a birth-related disorder that is the most frequent crippling disease in children?

cerebral palsy

Which of the following is a genetic disorder that results from one extra chromosome in each cell during the development of the fetus?

down syndrome

The best site for obtaining a blood specimen from an infant is the ____.

heel

Which of the following is a highly contagious dermatologic disease that causes inflammation and pustules that become crusted before healing?

impetigo

In which stage of growth and development is a child's head usually one-fourth the entire body length?

neonate

The actual bodily changes that occur as a child grows are which type of development?

physical development

Which newborn screening test is required by all states and is performed 24-48 hours after birth and after the infant has ingested proteins?

pku

Changes in the feelings a child experiences during a particular period of growth and development are ____.

psycho-emotional development

Which of the following is a highly contagious disease that is often seen in the winter and spring as outbreaks of pneumonia, bronchiolitis, and tracheobronchitis?

rsv

When is the first dose of the vaccine for hepatitis B given?

the day after birth

Most childhood cases of HIV infection are

transmitted from a mother to her infant