N4331 - EXAM 1 (PEDS - UTA NICKOLS UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. Regarding newborn growth and development, discuss the meaning of cephalocaudal and proximodistal
patterns
Answer:
cephalocaudal: learn skills from head to toesproximodistal: learn from trunk to fingers
Question:
2. ____ kg = _____ lbs ____ oz = _____ mL____ cm = _____ in____ tsp = ____ mL
Answer:
1 kg = 2.2 lbs 1 oz = 30 mL
2.54 cm = 1 inch 1 tsp = 5 mL
Question:
3. What is the normal schedule of newborn assessments?
Answer:
1m 2m 4m 6m 9m 12m
Question:
4. Define hand movement development stages in a newborn
Answer:
2m: open/close hands 6m: raking grasp 9m: pincer grasp 12m: feed self w/ spoon
Question:
5. Discuss development of fontanelles
Answer:
posterior: close @ 2-3m anterior: close @ 12-18m (referred to as " soft spot")
Question:
6. Define strabismusIs this normal in a newborn?
Answer:
eyes straying in gaze 5 undeveloped eye muscles common until 6m of age
Question:
7. How should you inspect the ear of a newborn?Toddler?
Answer:
infant: pull pinna down and back toddler: same! down and back used different method once 3+ years
Question:
8. What is the expected pulse range of a newborn?Where should pulse be assessed?How long should pulse
be assessed?
Answer:
80-160 bpm apical pulse @ 3-4 rib to left (medial) to midclavicular line monitor for full 60 sec
, Question:
9. When does hand preference appear in a child?
Answer:
2-3 yrs
Question:
10. Are murmurs common in newborns
Answer:
yes, S3 very common murmurs often asymptomatic but should always be inspected by MD
Question:
11. When does myelination of the spinal cord occur?
Answer:
birth to 24m that's why reflexes are developing and changing
Question:
12. Discuss the timing of primitive vs protective reflexes
Answer:
primitive: during 1st year of life, exception=Babinski (until 24m) protective: develop after primitive
disappear
Question:
13. What would you expect for stools of breastfed newborns?Formula fed?
Answer:
BF: thinner, seedy & yellow FF: pastier, darker in color
Question:
14. _____ is not a sign of constipation
Answer:
Grunting*means retraction or respiratory distress*
QUESTIONS AND CORRECT ANSWERS
Question:
1. Regarding newborn growth and development, discuss the meaning of cephalocaudal and proximodistal
patterns
Answer:
cephalocaudal: learn skills from head to toesproximodistal: learn from trunk to fingers
Question:
2. ____ kg = _____ lbs ____ oz = _____ mL____ cm = _____ in____ tsp = ____ mL
Answer:
1 kg = 2.2 lbs 1 oz = 30 mL
2.54 cm = 1 inch 1 tsp = 5 mL
Question:
3. What is the normal schedule of newborn assessments?
Answer:
1m 2m 4m 6m 9m 12m
Question:
4. Define hand movement development stages in a newborn
Answer:
2m: open/close hands 6m: raking grasp 9m: pincer grasp 12m: feed self w/ spoon
Question:
5. Discuss development of fontanelles
Answer:
posterior: close @ 2-3m anterior: close @ 12-18m (referred to as " soft spot")
Question:
6. Define strabismusIs this normal in a newborn?
Answer:
eyes straying in gaze 5 undeveloped eye muscles common until 6m of age
Question:
7. How should you inspect the ear of a newborn?Toddler?
Answer:
infant: pull pinna down and back toddler: same! down and back used different method once 3+ years
Question:
8. What is the expected pulse range of a newborn?Where should pulse be assessed?How long should pulse
be assessed?
Answer:
80-160 bpm apical pulse @ 3-4 rib to left (medial) to midclavicular line monitor for full 60 sec
, Question:
9. When does hand preference appear in a child?
Answer:
2-3 yrs
Question:
10. Are murmurs common in newborns
Answer:
yes, S3 very common murmurs often asymptomatic but should always be inspected by MD
Question:
11. When does myelination of the spinal cord occur?
Answer:
birth to 24m that's why reflexes are developing and changing
Question:
12. Discuss the timing of primitive vs protective reflexes
Answer:
primitive: during 1st year of life, exception=Babinski (until 24m) protective: develop after primitive
disappear
Question:
13. What would you expect for stools of breastfed newborns?Formula fed?
Answer:
BF: thinner, seedy & yellow FF: pastier, darker in color
Question:
14. _____ is not a sign of constipation
Answer:
Grunting*means retraction or respiratory distress*
