NURS 5432 Midterm Study Guide Final
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Abnormal growth and development: skin - correct ans: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 ans: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 ans:Absent red reflex (retinoblastoma, congential
cataracts).
Hypertelorism (widely spaced eyes may indicate genetic syndromes like Down or Noonan syndrome).
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 ans: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 ans: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 ans:Webbing excessive amounts of skin Turner's or
Noonan's syndrome
Abnormal growth and development: Neurological - correct ans: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).
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 ans: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 ans: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).
Latest recent & frequently tested exam
and well elaborated questions with
questions and correct answers
GRADED A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
Abnormal growth and development: skin - correct ans: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 ans: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 ans:Absent red reflex (retinoblastoma, congential
cataracts).
Hypertelorism (widely spaced eyes may indicate genetic syndromes like Down or Noonan syndrome).
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 ans: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 ans: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 ans:Webbing excessive amounts of skin Turner's or
Noonan's syndrome
Abnormal growth and development: Neurological - correct ans: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).
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 ans: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 ans: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).
