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Test 3: Growth and development

  1. What is growth?
    • A measurement of size.
    • A change in size over time.
    • Of little value in assessing health.
    • A useful way of assessing a child’s mental development.
  2. How is body size usually determined in children?
    • By weighing them.
    • By measuring their length.
    • By measuring their height.
    • By measuring their head circumference.
  3. How often should a child’s weight be measured?
    • Every week for the first 6 months.
    • Every month for the first year.
    • Every 3 months for the second year.
    • Every 12 months between 1 and 5 years.
  4. What is the value of growth monitoring?
    • It is a way of getting mothers to bring their children to a clinic.
    • It may be the first sign of illness or malnutrition.
    • It is only of value if children need to be admitted to hospital.
    • It is only helpful in children under 2 years of age.
  5. Measuring an infant’s length:
    • Should be done at every clinic visit.
    • Is both easy and accurate if a tape measure is used.
    • Is a useful way of detecting growth faltering.
    • Is usually measure with the infant standing.
  6. Head circumference is a useful measure of growth:
    • Only in the first 6 months.
    • In children under 2 years.
    • In children over 2 years.
    • In obese children.
  7. What does the third centile mean?
    • Three percent of normal children will weigh less than the 3rd centile.
    • The weight of every third child usually falls on the 3rd centile.
    • Children with a weight less than the 3rd centile are always wasted.
    • Obese children weigh more than the 3rd centile.
  8. A child’s weight is normal when:
    • It is above the 97th centile.
    • It is above the 50th centile.
    • It is between the 3rd and 97th centiles.
    • It is below the 3rd centile.
  9. A child is taller than normal when the height is
    • On the 100th centile.
    • Above the 97th centile.
    • Above the 75th centile.
    • Above the 50th centile.
  10. A child’s head is small when the head circumference falls:
    • Below the 75th centile.
    • Below the 50th centile.
    • Below the 10th centile.
    • Below the 3rd centile.
  11. What is body mass index?
    • A large arm circumference.
    • Weight above the 75th centile.
    • A weight-for-height ratio.
    • An increased abdominal circumference.
  12. What is a growth curve?
    • The shape of a child’s body.
    • The position of a child’s weight on a centile chart.
    • A line joining two size measurements on a growth chart.
    • A centile chart.
  13. Most children double their birth weight by:
    • 6 months.
    • 9 months.
    • 12 months.
    • 18 months.
  14. A large child has:
    • A weight but not height above the 97th centile.
    • Both weight and height above the 97th centile.
    • Height but not head circumference above the 75th centile.
    • Weight, height and head circumference above the 50th centile.
  15. A child is stunted when:
    • The weight falls below the 3rd centile.
    • The weight falls below the 10th centile.
    • The height falls below the 3rd centile.
    • Height falls below the 10th centile.
  16. What is the common growth pattern in poor communities?
    • Wasting.
    • Obesity.
    • Short stature alone (i.e. short) with a normal weight.
    • Weight and height below the 3rd centile.
  17. The puberty growth spurt:
    • Is earlier in boys than girls.
    • Is earlier in well nourished children.
    • Usually lasts for 5 years.
    • Usually starts at 13 years in girls.
  18. An overweight child becomes obese when:
    • The weight crosses above the 97th centile.
    • Both weight and length are above the 90th centile.
    • Body mass index is above the 85th centile.
    • Body mass index is above the 95th centile.
  19. What is the best management of obesity?
    • A strict diet containing no fat.
    • A change in eating and lifestyle behaviour.
    • Only eating twice a day by missing breakfast.
    • Avoiding carbohydrates and protein foods at the same meal.
  20. Weight should be plotted on a Road-to-Health Card:
    • At every clinic visit.
    • Only if a doctor sees the child.
    • Only yearly from 1 to 5 years.
    • Only if the child is ill.