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NURS 629 Exam 2 with Complete Solutions
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NURS 629 Exam 2 with Complete Solutions
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NURS 629 Exam 2 with Complete SolutionsAt what ages do puberty changes develop in girls? Correct Ans-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? Correct Ans-genital enlargement 9-13
yrs
axiallary hair 12-14 yrs
facial hair 11-14 yrs
pubic hair 12-15 yrs
Tanner Stages Girls Correct Ans-1. Preadolescent breasts, breast papilla elevated above
breast wall. no pubic hair.
2. *puberty starts* Breast buds with areolar enlargement, papilla forms small mound. scant
pubic hair, light pigment.
3. Breast and areola grow together in one mound. no separation. pubic hair more abundant.
4. Areola and nipple project as secondary mound. pubic hair abundant but smaller area than
adult. menstruation starts.
5. Adult breast: Areola recedes, nipple retracts
Tanner stages boys Correct Ans-1 prepubertal- no pubic hair, scrotum and pedis are
childhood size
, NURS 629 Exam 2 with Complete Solutions
2 enlargement of scrotum- puberty starts. age11-13. increased testicular size, pubic hair scant
and lightly pigmented. scrotum reddened and textured
3 (age 13-14) enlargement of penis (length). testicular growth. increase in pubic hair and
pigment
4 (14-15) enlargement of penis (breadth). acne. voice changes.
5 (15-16) adult genitalia, mature pubic hair distribution.
Red flags of neonate? Correct Ans-Jaundice at birth (hemolysis). High-pitched cry. Irritable.
"Floppy" (hypotonic). Poor reflexes
red flags of 3 month Correct Ans-inability to hold head. avoids eye contact, floppy.
red flags at 6 months Correct Ans-lack of babbling. does not laugh. inability to turn head
past 180 degrees
Red flags at 9 months Correct Ans-Cannot sit without support, not indicating wants (Niner
needs recliner, but doesn't want it)
if infantile reflexes remain strong.
does not bable
does not bear weight on legs
, NURS 629 Exam 2 with Complete Solutions
2 year red flags Correct Ans-Unable to speak meaningful two-word "sentences." Does not
understand simple commands. Loss of speech, social skills, previously learned behaviors
and/or does not say words by 16 months (autism).
1 year red flag Correct Ans-Unable to support own weight. Lack of babbling. No response
to smiles, poor eye contact, loss of previously learned skills (autism).
Weight changes in 1st year of life Correct Ans-Weight increases 6-8lbs, up to 20lbs in the
1st year of life
When does the posterior fontanelle close? Anterior? Correct Ans-posterior- 2 months,
anterior- 9-18 mo
when do the abdominal muscles close? Correct Ans-3 years
When are the testicles descended? Correct Ans-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? Correct Ans-leg fold
symmetry
hib abduction- no clicks
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