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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 EXAM 2 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

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.
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 - Answers-1 prepubertal- no pubic hair, scrotum and pedis are
childhood size
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? - Answers-Jaundice at birth (hemolysis). High-pitched cry.
Irritable. "Floppy" (hypotonic). Poor reflexes

red flags of 3 month - Answers-inability to hold head. avoids eye contact, floppy.

red flags at 6 months - Answers-lack of babbling. does not laugh. inability to turn head
past 180 degrees

Red flags at 9 months - Answers-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

2 year red flags - Answers-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 - Answers-Unable to support own weight. Lack of babbling. No response
to smiles, poor eye contact, loss of previously learned skills (autism).

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