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NURS 629 EXAM 2 QUESTIONS AND ANSWERS
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NURS 629 EXAM 2 QUESTIONS AND ANSWERS
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NURS 629 EXAM2 QUESTIONS
AND ANSWERS
Weight changes in 1st year of life - Answers -Weight increases 6-8lbs, up to 20lbs in the
1st year of life
When does the posterior fontanelle close? Anterior? - Answers -posterior- 2 months,
anterior- 9-18 mo
when do the abdominal muscles close? - Answers -3 years
When are the testicles descended? - Answers -usually descended at birth, but
spontaneous descent may occur in the first year after birth. (usually 6 months)
what do you assess for with infants musculoskeletal system? - Answers -leg fold
symmetry
hib abduction- no clicks
Ortolani maneuver - Answers -check hips for congenital dislocation, done until 1 yr old,
should be smooth with no sounds
, abnormal= feels like a clunk as head of femur pops back into place- positive ortolani
sign
Barlow maneuver - Answers -place your index and middle finger over the greater
tronchanter. Gently push both knees together at midline downwards.
Positive:"Clunk" sounds or palpating trochangter being displaced by the index/middle
finger
Infantile eczema - Answers -atopic dermatitis is an inflammation of genetically
hypersensitive skin
, - local vasodilation in affected areas
spongiosis or breakdown of dermal cells and formation of intradermal vesicles
- rarely seen in breastfed infants until they begin to eat additional food
- it is a symptom rather than a disorder
- infant is oversensitive to certain substances
Worse in winter
why is acid reflux common in infants? - Answers -their sphincters are not mature, break
up feedings ~15mL, burp, then return.
When does colic usually resolve? - Answers -by 6 months
Toddler weight gain per year - Answers -4-6lbs per year,
grow 3 inches pe ryear
In toddler always assess for? - Answers -anterior fontanel (should be closed by 18 m-2
yrs.
screen for strabismus
tooth eruption- if no teeth by 18 mo= xray
assess for hip dysplasia, gait, bowlegged
-DTRs
-Babinski + (dorsiflex) normal in infant less than 24 mo
what age do you screen for hearing and vision? - Answers -at 3 years
School age children grow more steadily? - Answers -2 in/year
4-6lbs/ year
In adolescence when does puberty begin in girls? - Answers -9-13 years
when does puberty begin in boys? - Answers -11-14 years
At what ages do puberty changes develop in girls? - Answers -breast enlargement 8-13
yr
axillary hair 11-13 yrs
pubic hair 10-12 years
menarche 10-16 years
at what ages do puberty changes develop in boys? - Answers -genital enlargement 9-13
yrs
axiallary hair 12-14 yrs
facial hair 11-14 yrs
pubic hair 12-15 yrs
Tanner Stages Girls - Answers -1. Preadolescent breasts, breast papilla elevated above
breast wall. no pubic hair.
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