Which of the following is most correct regarding the gastrointestinal system of the child?
The enzymes secreted by the child’s liver and pancreas are much greater in amount than in the adult.
The speed with which food passes through the gastrointestinal tract in the child is much slower than in the adult.
The child’s gastrointestinal system is fully matured when the child is born.
The child cannot break down and use complex carbohydrates in the same way the adult can.
The Correct Answer is D
Choice A reason: Children’s liver and pancreatic enzyme levels are not greater than adults’ but are sufficient for age-specific needs. Complex carbohydrate digestion is limited in children due to immature enzymes, making this inaccurate and incorrect compared to the carbohydrate metabolism difference in pediatric gastroenterology.
Choice B reason: Food passes through a child’s gastrointestinal tract faster, not slower, due to shorter intestines and higher motility. Limited complex carbohydrate digestion is the key difference, making this incorrect, as it misrepresents the speed of pediatric gastrointestinal transit compared to adults.
Choice C reason: The child’s gastrointestinal system is not fully mature at birth; it develops over years, particularly in enzyme function. Inability to digest complex carbohydrates reflects this immaturity, making this incorrect compared to the accurate statement about carbohydrate metabolism limitations in children.
Choice D reason: Children have limited ability to break down complex carbohydrates due to immature digestive enzymes, like amylase, compared to adults. This aligns with pediatric gastroenterology evidence, making it the most correct statement about the child’s gastrointestinal system development and function in digestion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Living with grandparents while the mother works two jobs provides potential supervision, reducing developmental risks compared to homelessness. Sleeping in a car disrupts stability and safety, making this less challenging and incorrect for the situation most likely to impact children’s growth and development.
Choice B reason: An empty house after school poses risks but offers a stable home environment, unlike sleeping in a car, which lacks safety and consistency. Latchkey situations are less severe, making this incorrect compared to the extreme instability of homelessness affecting children’s developmental outcomes.
Choice C reason: Sleeping in a car at night indicates homelessness, severely disrupting children’s physical, emotional, and cognitive development due to lack of stable housing, nutrition, and safety. This situation poses the greatest challenge, aligning with pediatric social determinants of health, making it the correct choice.
Choice D reason: Sharing an apartment with another family provides housing stability, unlike sleeping in a car, which severely impacts development. Crowded living is less detrimental than homelessness, making this incorrect for the situation most likely to challenge children’s growth and development in the care plan.
Correct Answer is A
Explanation
Choice A reason: Lung and spleen damage is complex and internal, making it hard for a 4-year-old to comprehend compared to visible injuries like rashes or burns. This requires more explanation, aligning with pediatric developmental understanding, making it the correct diagnosis needing the most help for comprehension.
Choice B reason: A measles rash is visible and relatable, easier for a 4-year-old to understand than internal organ damage. Lung and spleen injuries are more abstract, making this less challenging and incorrect compared to the diagnosis requiring the most explanation for the child’s understanding.
Choice C reason: Broken bones from a fall are tangible and can be explained with casts or pain, more understandable for a 4-year-old. Internal organ damage is less concrete, making this simpler and incorrect compared to the complex diagnosis needing more help for the child’s comprehension.
Choice D reason: Burns from fireworks are visible and painful, allowing a 4-year-old to grasp the injury more easily than internal organ damage. Lung and spleen issues are more abstract, making this more concrete and incorrect compared to the diagnosis requiring the most explanation for understanding.
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