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NURS 5432 MIDTERM STUDY GUIDE
VERIFIED SOLUTIONS | GUARANTEED
PASS
Abnormal growth and development: skin - Correct Answer-
Jaundice within the first 24 hours (pathologic, possible
hemolysis or infection).
Petechiae, purpura (suggests clotting disorders or sepsis).
Birthmarks: Café-au-lait spots (>6 or >0.5 cm in size may
indicate neurofibromatosis). Port-wine stain (may indicate
Sturge-Weber syndrome).
Abnormal growth and development: Head - Correct Answer-
Bulging fontanel (increased intracranial pressure,
hydrocephalus).
Sunken fontanel (dehydration).
Craniosynostosis (premature suture closure, abnormal head
shape).
Large anterior fontanel (hypothyroidism, Down syndrome).
Abnormal growth and development: Eyes - Correct Answer-
Absent red reflex (retinoblastoma, congential cataracts).
Hypertelorism (widely spaced eyes may indicate genetic
syndromes like Down or Noonan syndrome).
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Purulent eye drainage is not normal usually indicative of
infection gonorrhea,chlamydia, or herpes
Persistent strabismus after 6 months.
Abnormal growth and development: Ears - Correct Answer-
Low-set ears (associated with renal or genetic abnormality
like Turner's or trisomy 21).
Ear pits or tags (linked to renal anomalies).
Abnormal growth and development: Mouth - Correct Answer-
Cleft palate/lip (requires surgical evaluation).
Absent suck reflex (neurological impairment or prematurity).
Macroglossia (associated with hypothyroidism, Beckwith-
Wiedemann syndrome).
Abnormal growth and development: Neck - Correct Answer-
Webbing excessive amounts of skin Turner's or Noonan's
syndrome
Abnormal growth and development: Neurological - Correct
Answer-Tone abnormalities:
Hypotonia ("floppy baby syndrome" may indicate CNS
abnormalities or genetic conditions).
Hypertonia (cerebral palsy, neonatal abstinence syndrome).
Reflexes:
Absent Moro reflex (brachial plexus injury, neurologic
abnormality).
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Persistent primitive reflexes beyond expected age (suggests
developmental delay).
Seizures: Subtle movements like lip smacking, pedaling, or
eye deviation may indicate seizures.
Abnormal growth and development: Cardiovascular - Correct
Answer-Murmurs: Cyanosis with murmur (congenital heart
defects like Tetralogy of Fallot).
Weak/absent femoral pulses (coarctation of the aorta).
Abnormal growth and development: Gastrointestinal - Correct
Answer-Absent or delayed meconium (>48 hours): Failure to
pass meconium in 24-48 hours is abnormal **Think
Hirschsprung disease or cystic fibrosis.**
Omphalocele or gastroschisis: Abdominal wall defects
requiring surgical intervention.
Projectile vomiting: Pyloric stenosis (non-bilious), intestinal
obstruction (bilious).
Abnormal growth and development: Geintourinary - Correct
Answer-Ambiguous genitalia: Requires genetic and
endocrinology evaluation.
Cryptorchidism: Undescended testicles beyond 6 months.
Hydrocele: Persistent beyond 1 year or associated with
inguinal hernia.
NURS 5432 MIDTERM STUDY GUIDE
VERIFIED SOLUTIONS | GUARANTEED
PASS
Abnormal growth and development: skin - Correct Answer-
Jaundice within the first 24 hours (pathologic, possible
hemolysis or infection).
Petechiae, purpura (suggests clotting disorders or sepsis).
Birthmarks: Café-au-lait spots (>6 or >0.5 cm in size may
indicate neurofibromatosis). Port-wine stain (may indicate
Sturge-Weber syndrome).
Abnormal growth and development: Head - Correct Answer-
Bulging fontanel (increased intracranial pressure,
hydrocephalus).
Sunken fontanel (dehydration).
Craniosynostosis (premature suture closure, abnormal head
shape).
Large anterior fontanel (hypothyroidism, Down syndrome).
Abnormal growth and development: Eyes - Correct Answer-
Absent red reflex (retinoblastoma, congential cataracts).
Hypertelorism (widely spaced eyes may indicate genetic
syndromes like Down or Noonan syndrome).
, Page |2
Purulent eye drainage is not normal usually indicative of
infection gonorrhea,chlamydia, or herpes
Persistent strabismus after 6 months.
Abnormal growth and development: Ears - Correct Answer-
Low-set ears (associated with renal or genetic abnormality
like Turner's or trisomy 21).
Ear pits or tags (linked to renal anomalies).
Abnormal growth and development: Mouth - Correct Answer-
Cleft palate/lip (requires surgical evaluation).
Absent suck reflex (neurological impairment or prematurity).
Macroglossia (associated with hypothyroidism, Beckwith-
Wiedemann syndrome).
Abnormal growth and development: Neck - Correct Answer-
Webbing excessive amounts of skin Turner's or Noonan's
syndrome
Abnormal growth and development: Neurological - Correct
Answer-Tone abnormalities:
Hypotonia ("floppy baby syndrome" may indicate CNS
abnormalities or genetic conditions).
Hypertonia (cerebral palsy, neonatal abstinence syndrome).
Reflexes:
Absent Moro reflex (brachial plexus injury, neurologic
abnormality).
, Page |3
Persistent primitive reflexes beyond expected age (suggests
developmental delay).
Seizures: Subtle movements like lip smacking, pedaling, or
eye deviation may indicate seizures.
Abnormal growth and development: Cardiovascular - Correct
Answer-Murmurs: Cyanosis with murmur (congenital heart
defects like Tetralogy of Fallot).
Weak/absent femoral pulses (coarctation of the aorta).
Abnormal growth and development: Gastrointestinal - Correct
Answer-Absent or delayed meconium (>48 hours): Failure to
pass meconium in 24-48 hours is abnormal **Think
Hirschsprung disease or cystic fibrosis.**
Omphalocele or gastroschisis: Abdominal wall defects
requiring surgical intervention.
Projectile vomiting: Pyloric stenosis (non-bilious), intestinal
obstruction (bilious).
Abnormal growth and development: Geintourinary - Correct
Answer-Ambiguous genitalia: Requires genetic and
endocrinology evaluation.
Cryptorchidism: Undescended testicles beyond 6 months.
Hydrocele: Persistent beyond 1 year or associated with
inguinal hernia.
