NU 645 Exam 1 Questions with All Correct Answers
When does the umbilical cord fall off? - Answer- 10-14 days
Treatment of granuloma at umbilicus after umbilical cord falls off - Answer- Silver nitrate
Circumcision care - Answer- Petroleum jelly 1st 2-3 days to tip of penis with each diaper c...
Anterior fontanelle size and closure date - Answer- 2-3cm in diameter; closes 9-18mo
Posterior fontanelle size and closure date - Answer- 1cm in diameter; closes at birth to
2mo
Short neck could indicate - Answer- Syndrome or disorder
Torticollis could indicate - Answer- Shortening of sternocleidomastoid muscle
Redundant or neck webbing could indicate - Answer- Trisomy 21, Turner syndrome, or
Noonan syndrome
Hypertelerism definition and associated with - Answer- Eyes set far apart - can be
indicative of many syndromes
Enlargement of cornea could indicate - Answer- Glaucoma
Ear assessment - Answer- Placement and hearing test done prior to leaving hospital
Low set ears could indicate - Answer- Down syndrome
Abnormally shaped ears - Answer- Further evaluate for GU and renal system
Preauricular skin tags/pits - Answer- Genetic red flag
, Delay or weakness in femoral pulses - Answer- Could indicate coarctation of the aorta
Abdominal distention in newborn - Answer- Always abnormal
Rooting - Answer- stroke cheek, baby turns in direction and opens mouth to "root" for a
nipple
How long does rooting reflex last - Answer- Until about 4 months
Suck reflex - Answer- Baby will start to suck when the mouth is touched
Tonic neck reflex - Answer- Turning the head to one side, extending the arm and leg on
that side, and flexing the limbs on the opposite side
How long does tonic reflex last - Answer- 5-7 months
Moro reflex - Answer- Reflex in which a newborn strectches out the arms and legs and
cries in response to a loud noise or an abrupt change in the environment
How long does Moro reflex last - Answer- Until about 2mo
Grasp reflex - Answer- An infantile reflex in which an infant closes her hand into a fist
when her palm is touched
How long does grasp reflex last - Answer- 5-6mo (toes 9-12mo)
Stepping reflex - Answer- A neonatal reflex in which an infant lifts first one leg and then
the other in a coordinated pattern like walking
How long does stepping reflex last - Answer- About 2mo
Erythema toxicum neonatorum - Answer- Benign neonatal rash characterized by
blanching erythematous papules and/or pustules with red base; it resolves
spontaneously within 2 weeks of birth
Cradle cap - Answer- yellowish, patchy, greasy, scaly and crusty skin rash that occurs
on the scalp of recently born babies; usually gets better in a few wks/months w/o tx; can
wash baby's hair and scalp with baby shampoo of head and shoulders shampoo
VAERS - Answer- Vaccine Adverse Event Reporting System - to report any adverse
reactions after administration of any vaccine
2-3 day visit assessments - Answer- Jaundice, feeding methods/patterns, weight,
review status of screenings
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