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Chapter 03: Assessing Children's Health
True / False
1. The best time to detect children's vision disorders is when they enter school and begin to engage in tasks that require
close work.
a. True
b. False
2. Overweight children should be placed on a strictly controlled low-calorie diet.
a. True
b. False
3. The quality of children’s dietary intake has no effect on behavior.
a. True
b. False
4. A comprehensive speech evaluation should include a hearing test.
a. True
b. False
5. A twoyearold’s vocabulary should consist of about 50 to 300 words.
a. True
b. False
6. Routine vision screening of children less than four years of age is costly and does not yield accurate results.
a. True
b. False
7. A child who may have a hearing loss should be referred to an ophthalmologist for screening.
a. True
b. False
8. A child who fails an initial vision screening should be retested before a referral is made.
a. True
b. False
Chapter 03: Assessing Children's Health
9. Ignoring directions and misbehavior may be indications of a hearing problem.
a. True
b. False
10. Knowing something about a child's cultural background and family practices is essential when making a referral.
a. True
b. False
Chapter 03: Assessing Children's Health
Multiple Choice
11. Which of the following behaviors would not suggest a potential vision disorder?
a. squinting
b. stumbling
c. poor hand-eye coordination
d. using gestures in place of words
12. Amblyopia is caused by:
a. a muscle imbalance
b. an infection
c. trauma or injury
d. fluid build-up
Chapter 03: Assessing Children's Health
13. Early detection of amblyopia is of prime importance because:
a. a child younger than six adjusts more readily to glasses
b. treatment is often less successful when diagnosed after age seven or eight
c. it is useful for knowing where to seat a child in the classroom
d. it may explain why a child is unable to learn his/her colors
14. Measurements of height/weight provide a fairly reliable index of a child’s:
a. intelligence
b. health status
c. inherited biologic potential
d. age
Chapter 03: Assessing Children's Health
15. Middle ear infections can cause a conductive hearing loss. A child who experiences this type of impairment is likely
to have difficulty hearing:
a. loud sounds
b. high tones
c. soft sounds
d. low tones
16. Hearing loss is more common in children who:
a. live in low-income families
b. have allergies and frequent ear infections
c. are small for their age
d. reside in cold climates
Chapter 03: Assessing Children's Health
17. Mei often speaks in a loud voice, experiences periods of unexplained frustration, and appears to disregard her
teacher's instructions. These behaviors may indicate a possible:
a. neurological disorder
b. hearing impairment
c. allergic response
d. behavior problem
18. For the past few weeks you have noticed that Lenny, age four, has been holding books closer to his face when he
reads. Your initial responsibility as his teacher is to:
a. discuss your observation with Lenny's mother
b. train Lenny not to hold books so close to his face
c. inform Lenny's mother that he is probably nearsighted and needs glasses
d. make an appointment to have Lenny's eyes tested professionally
Chapter 03: Assessing Children's Health
19. “Me want it” would be considered appropriate language development for a:
a. 15-month-old
b. two-year-old
c. 36-month-old
d. three-and-one-half-year-old
20. An administrator calls you to request the health records of a former student. You should:
a. provide the requested information over the phone
b. mail the results to the administrator
c. obtain written permission from the child’s family before releasing any information
d. refuse to release any information in order to protect the child’s identity
Chapter 03: Assessing Children's Health
21. In newborns, the absence of which of the following is cause for concern?
a. reaching for objects b. blink reflex
c. watching objects move across the room d. color vision
22. A dietary assessment can provide useful information about:
a. a child’s eating pattern
b. the physical effects (symptoms) of a nutrition deficiency
c. standardized measurements of a child’s growth
d. biochemical disturbances of various body fluids
Chapter 03: Assessing Children's Health
23. The body mass index (BMI) measures:
a. hip-to-waist proportion
b. calories burned to maintain involuntary body functions
c. a child's height potential
d. height-to-weight ratio
24. Effective strategies for managing obesity in young children include all the following EXCEPT:
a. providing nutrient-dense meals and snacks
b. increasing their engagement in physical activity
c. placing the child on a calorie-restricted diet
d. reducing the amount of time spent watching television or playing video games
25. Referrals should be based on:
a. screening test results
b. teacher observations
c. parent concerns
d. all answers are correct
26. Children who fail to get enough to eat are likely to be .
27. Information in children's is beneficial for identifying health problems,
evaluating intervention success, and monitoring a child's progress.
28. Some children acquire unusual speech patterns and mispronunciations through of speech
heard in their homes.
29. Some reflect developmentally appropriate speech that is often corrected as a child
matures.
Chapter 03: Assessing Children's Health
30. A(n) is a clinician who has special training to diagnose hearing impairments.
31. Damage to, or improper functioning of, the brain or auditory nerves can result in a
hearing loss.
32. The absence of a startle reflex in a four-month-old infant should make one suspect
____________________ ____________________.
Chapter 03: Assessing Children's Health
33. A normal-hearing infant should begin to babble and imitate speech by
_______________ ____________________.
34. Children who have an undiagnosed hearing problem are sometimes mislabeled as
____________________.
35. Gums that bleed easily may be a sign of vitamin deficiency.
Chapter 03: Assessing Children's Health
Subjective Short Answer
36. Why is early diagnosis of hearing problems so important in young children?
37. Discuss why teachers are often the first to notice the signs of vision impairment in young children.
38. Describe several strategies that teachers can use to improve communication with children who experience hearing
impairments.
39. What treatments are commonly used to correct amblyopia?
40. Describe several informal methods that can be used to test an infant's hearing.
41. Select one of the sensory conditions described in this chapter and provide the following information:
a) Which children are at highest-risk for developing this condition?
b) What early physical signs and behavioral indicators would you be likely to observe?
c) How is this condition diagnosed?
d) What treatments are available?
