Deck 6: Growth and Measurement

Question 1

Mrs. Layton is a 33-year-old patient who is obese. Most adult obesity begins:

A) in adolescence.
B) in childhood.
C) after the skeletal growth is completed.
D) once sexual maturation is complete.

Answer 1

in adolescence.

Question 2

During a preventive health care visit, Ms. G, an older patient, states that she is getting shorter. She says that her son mentioned that her change in stature became noticeable to him during his last visit with her. Her posture appears straight and aligned. When addressing Ms. G.'s present concerns, it is most important to inquire about:

A) the number of pregnancies.
B) her parents' heights.
C) a history of scoliosis.
D) her usual height and weight.

Answer 2

her usual height and weight.

Question 3

Which cultural group tends to have a wide variation in birth weights?

A) Native Americans
B) Filipinos
C) Norwegians
D) Puerto Ricans

Answer 3

Native Americans

Question 4

How much of the weight gained during a normal pregnancy is accounted for by the fetus?

A) Less than 5 pounds
B) 6 to 8 pounds
C) 9 to 12 pounds
D) 13 to 30 pounds

Question 5

During adolescence, the head size normally increases as a result of:

A) sinus development.
B) brain mass increase.
C) evolution of lymphatic tissue.
D) hypertrophy of myelin.

Question 6

Healthy term babies generally double their birth weight by what age?

A) 3 months
B) 5 months
C) 9 months
D) 12 months

Question 7

The legs are the fastest growing body part during:

A) early infancy.
B) late infancy.
C) childhood.
D) early adulthood.

Question 8

Skeletal mass and organ systems double in size during:

A) infancy.
B) early childhood.
C) adolescence.
D) early adulthood.

Question 9

Optimal infant birth weight is difficult for pregnant adolescents to obtain because:

A) they have not completed their own growth spurt.
B) there are insufficient uterine supporting structures.
C) the amniotic fluid is variable in pregnant adolescents.
D) blood volume has not reached adult proportions.

Question 10

Over the past 2 decades, there has been a trend toward:

A) increased osteoporosis.
B) preservation of height.
C) obesity in older adults.
D) preservation of muscle mass.

Question 11

Fifty percent of an individual's ideal weight is gained during:

A) pregnancy.
B) preschool years.
C) adolescence.
D) early adulthood.

Question 12

Mrs. Jones has brought her 24-month-old child for a well visit. Which organ(s) completes physical development more quickly than any other body part?

A) Brain
B) Kidneys
C) Heart
D) Lungs

Question 13

Developmental changes of puberty are caused mainly by the interaction of the pituitary gland, gonads, and:

A) hypothalamus.
B) islet cells.
C) thalamus.
D) thymus.

Question 14

Gender-specific skeletal differences first occur during:

A) the second stage of fetal development.
B) late infancy.
C) early childhood.
D) adolescence.

Question 15

After 50 years of age, stature:

A) becomes fixed.
B) begins a barely perceptible secondary increase.
C) increases at a rate of 0.5 cm/ year.
D) declines.

Question 16

The rate of weight gain during pregnancy is expected to be:

A) greatest in the first trimester.
B) greatest in the second trimester.
C) greatest in the third trimester.
D) about the same in each trimester.

Question 17

Milestone achievements are data most likely to appear in the history of:

A) adolescents.
B) infants.
C) school-age children.
D) young adults.

Question 18

To estimate an individual's frame size, the examiner should measure:

A) skull circumference.
B) the length from the olecranon process to the acromion process.
C) elbow breadth.
D) hip circumference.

Question 19

The gonads begin to secrete estrogen and testosterone during:

A) infancy.
B) puberty.
C) pregnancy.
D) early adulthood.

Question 20

By 10 to 12 years of age, lymphatic tissues are about:

A) 25% of adult size.
B) 50% of adult size.
C) the same as adult size.
D) twice the size of those in the adult.

Question 21

Which Tanner stage corresponds to a secondary areola mound development above the breast?

A) Stage 2
B) Stage 3
C) Stage 4
D) Stage 5

Question 22

A pregnant woman of normal prepregnancy weight should be expected to gain how much weight per week during the second and third trimesters of pregnancy?

A) 1 pound
B) 1 1/2 pounds
C) 2 pounds
D) 2 1/2 pounds

Question 23

A prominent forehead, large nose, large jaw, and elongation of the facial bones and extremities are signs of:

A) infantile hydrocephalus.
B) acromegaly.
C) Cushing syndrome.
D) achondroplasia.

Question 24

A marker for nutritional status is the:

A) head circumference.
B) waist-to-hip ratio.
C) standing height.
D) triceps skinfold thickness.

Question 25

Infants normally increase their birth length by ____% during the first year of life.

Question 26

In clinical practice, the Ballard Assessment Tool is used to assess a newborn's:

A) length.
B) weight.
C) lung maturity.
D) gestational age.

Question 27

Infants born to the same parents are normally within which range of weight of each other?

A) 6 ounces
B) 12 ounces
C) 1 pound
D) 2 pounds

Question 28

An 11-year-old boy is brought in for an annual physical examination by his mother. You suspect _______________ when you measure his arm span at 65 inches and his height at 60 inches.

Question 29

The term large for gestational age (LGA) indicates that an infant is larger than ____% of infants born at the same number of weeks' gestation.

Question 30

What is the youngest age at which pubic hair growth in the male may be considered normal?

A) 7 years
B) 8 years
C) 9 years
D) 10 years

Question 31

The upper-to-lower segment ratio should be calculated:

A) bimonthly for the first year of life.
B) annually for the first 5 years.
C) only when a child is suspected of having a growth problem or unusual body proportions.
D) in children of first-generation immigrants.

Question 32

Which Tanner stage is marked by the most significant growth in penis length?

A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4

Question 33

Round face, preauricular fat, hyperpigmentation, and "buffalo hump" in the posterior cervical area are associated with:

A) infantile hydrocephalus.
B) acromegaly.
C) Cushing syndrome.
D) achondroplasia.

Question 34

A Mexican American mother brings her 12-year-old daughter to the clinic because this child is not maturing as quickly as her classmates. You examine the daughter and determine that her growth and physical findings are within normal limits. You should explain to the family that:

A) Mexican Americans may develop more slowly than other ethnic groups.
B) more tests should be conducted because the family appears so worried.
C) the daughter should drink more juices and eat more fruit.
D) there is a serious problem with the daughter's development.

Question 35

A woman with a normal prepregnancy body mass index (BMI) should gain approximately _____ pounds during pregnancy.

Question 36

To measure head circumference, the tape is wrapped snugly around the child's head at the occipital protuberance and the:

A) supraorbital prominence.
B) brow line.
C) nasal bridge.
D) chin.

Question 37

Which of following statements regarding female pubertal changes is true?

A) Most adolescent girls will develop breasts before they develop pubic hair.
B) Peak height velocity should occur after menarche.
C) Breast asymmetry is an abnormal finding.
D) Menarche should occur by Tanner breast stage 2.

Question 38

Which of the following situations poses the most concern?

A) The child whose weight and height ratios have remained at the 50th percentile
B) The child whose weight and height ratios have stayed between the 90th and 95th percentiles
C) The child whose weight and height ratios have never been above the 50th percentile
D) The child whose weight and height ratios have dropped 15 percentiles since the last visit

Question 39

Between 5 and 24 months of life, the infant's chest circumference is normally:

A) about equal to the head circumference.
B) greater than head circumference by 2 inches.
C) smaller than head circumference by about 4 inches.
D) at least 2 inches smaller than head circumference.

Question 40

At what age does peak height growth velocity occur in boys?

A) 10 years
B) 12 years
C) 13 1/2years
D) 15 1/2years