IGNOU PB Bsc Entrance-2023
Child Health Nursing (Pediatrics)
Easy

Increase in size of body parts due to multiplication of cells refers to:

Appeared in: IGNOU PB Bsc Entrance-2023

Explanation

  • Growth is defined as the net increase in the size or mass of tissues, which is a key feature distinguishing a child from an adult.
  • This physical increase is primarily attributed to two cellular mechanisms: the multiplication of cells (hyperplasia) and the increase in intracellular substance and cell size (hypertrophy).
  • Growth is a quantitative process, meaning it can be objectively measured in units such as kilograms for weight or centimeters for height.
  • The terms 'growth' and 'development' are often used together but are not interchangeable; growth refers to the change in quantity, while development refers to the change in quality or function.

Why Other Options Were Wrong

  • Option B: Development refers to the maturation of functions and the acquisition of skills. It is a qualitative change, not a physical increase in size.
  • Option C: Maturation is the process of reaching full functional competence, driven by the aging and development of tissues as per a genetic blueprint. It's about functional readiness, not just an increase in size.
  • Option D: This option is incorrect because the definition provided in the question—an increase in size due to cell multiplication—specifically and exclusively describes growth. Development and maturation are distinct concepts.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definitions of Growth, Development, and Maturation as background academic context rather than a clinical decision trigger.
  • In pediatric nursing, accurately tracking a child's growth using standardized growth charts is a fundamental practice. Deviations from the expected curve can be the first sign of underlying issues like malnutrition, chronic illness, or endocrine disorders.
  • Understanding the difference between growth and development is critical for comprehensive pediatric assessments. A child may be growing well physically (e.g., normal height and weight) but show developmental delays (e.g., not meeting speech or motor milestones), which requires a different set of interventions.
  • What if? If a 2-year-old child is plotted on a growth chart and their weight-for-age is below the 3rd percentile, the nurse's primary concern is a 'growth' problem (failure to thrive). The focus would be on nutritional assessment and intervention. If the same child had normal growth but was not yet walking, the concern would be a 'developmental' delay, prompting referrals for neurological and physical therapy evaluation.
How to Approach the Question
  • First, identify the core concepts in the question stem: 'increase in size' and 'multiplication of cells'. These keywords point directly to a physical, quantitative process.
  • Next, evaluate each option based on these keywords.
  • Analyze 'Growth'. This term is the scientific definition for an increase in physical size through cellular processes like hyperplasia (multiplication) and hypertrophy (enlargement). This is a direct match.
  • Analyze 'Development'. This term relates to an increase in function, skill, and complexity, which is a qualitative change, not a physical one. This is a mismatch.
  • Analyze 'Maturation'. This term refers to the process of becoming fully functional, guided by genetics. While related to development, it is not primarily about increasing in size. This is also a mismatch.
  • Based on the precise definition provided in the question, conclude that 'Growth' is the only correct term.
Concept Tested & Keywords
  • Concept Tested: Definitions of Growth, Development, and Maturation
  • Stem keywords: Increase in size, body parts, multiplication of cells
  • Lead-in keywords: refers to

Question ID

QoklbS_caShzVi6DL0L0pa

Reference Book

E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 4-6

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