Quiz 3: Growth and development

Please choose the one, most correct answer to each question or statement.

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.
How is body size usually determined in children?
- By weighing them.
- By measuring their length.
- By measuring their height.
- By measuring their head circumference.
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.
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.
Measuring an infant’s height:
- 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 lying.
Head circumference is a useful measure of growth:
- Only in the first 6 months.
- In children under 36 months.
- In children over 36 months.
- In obese children.
What does the -2 line mean?
- Three percent of normal children will weigh less than the -2 line.
- The weight of every second child usually falls on the -2 line.
- Children with a weight less than the -2 line are always wasted.
- Obese children weigh more than the -2 line.
A child’s weight is normal when:
- It is above the +2 line.
- It is above the 0 line.
- It is between the -2 and +2 lines.
- It is below the -2 line.
A child is taller than normal when the height is
- On the +2 line.
- Above the +2 line.
- Above the +1 line.
- Above the 0 line.
A child’s head is small when the head circumference falls:
- Below the +1 line.
- Below the 0 line.
- Below the -1 line.
- Below the -2 line.
What is body mass index?
- A large arm circumference.
- Weight above the +2 line.
- A weight/height² ratio.
- An increased abdominal circumference.
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 measure of population increase as childhood mortality rate falls.
Most children double their birth weight by:
- 6 months.
- 9 months.
- 12 months.
- 18 months.
A large-for-age child has:
- A weight but not height above the +2 line.
- Both weight and height above the +2 line.
- Height but not head circumference above the +1 line.
- Weight, height and head circumference above the 0 line.
When is an under-5 year old child wasted?
- When the weight is below the -2 line.
- When the weight for height is below the –1 line.
- When the mid-upper arm circumference is below 11.5 cm.
- When the body mass index is below the -1 line.
A child is stunted when:
- The weight falls below the -2 line.
- The weight falls below the -1 line.
- The height falls below the -2 line.
- Height falls below the -1 line.
What is the common growth pattern in poor communities?
- Wasting.
- Obesity.
- Short stature alone (i.e. short) with a normal weight.
- Weight and height both below the -2 line.
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.
An overweight child becomes obese when:
- The weight crosses above the +2 line.
- Both weight and length are above the +1 line.
- Body mass index is above the +1 line.
- Body mass index is above the +2 line.
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.