NURS 629 Exam 2 Questions with 100% Correct Answers | Verified | Updated 2024

NURS 629 Exam 2 Questions with 100% Correct Answers | Verified | Updated 2024 Weight changes in 1st year of life - answerWeight increases 6-8lbs, up to 20lbs in the 1st year of life When does the posterior fontanelle close? Anterior? - answerposterior- 2 months, anterior- 9-18 mo when do the abdominal muscles close? - answer3 years When are the testicles descended? - answerusually 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? - answerleg fold symmetry hib abduction- no clicks Ortolani maneuver - answercheck 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 - answerplace 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 - answeratopic 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 why is acid reflux common in infants? - answertheir sphincters are not mature, break up feedings ~15mL, burp, then return. When does colic usually resolve? - answerby 6 months Toddler weight gain per year - answer4-6lbs per year, grow 3 inches pe ryear In toddler always assess for? - answeranterior fontanel (should be closed by 18 m-2 yrs. screen for strabismus tooth eruption- if no teeth by 18 mo= xray assess for hip dysplasia, gait, bowlegged -DTRs -Babinski + (dorsiflex) normal in infant less than 24 mo what age do you screen for hearing and vision? - answerat 3 years School age children grow more steadily? - answer2 in/year 4-6lbs/ year In adolescence when does puberty begin in girls? - answer9-13 years when does puberty begin in boys? - answer11-14 years At what ages do puberty changes develop in girls? - answerbreast 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? - answergenital enlargement 9-13 yrs axiallary hair 12-14 yrs facial hair 11-14 yrs pubic hair 12-15 yrs Tanner Stages Girls - answer1. 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 - answer1 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? - answerJaundice at birth (hemolysis). High-pitched cry. Irritable. "Floppy" (hypotonic). Poor reflexes red flags of 3 month - answerinability to hold head. avoids eye contact, floppy. red flags at 6 months - answerlack of babbling. does not laugh. inability to turn head past 180 degrees Red flags at 9 months - answerCannot 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 - answerUnable 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 - answerUnable to support own weight. Lack of babbling. No response to smiles, poor eye contact, loss of previously learned skills (autism). 3 yr red flags - answerSpeech hard to understand or unclear speech. Unable to understand simple commands. Fall down often. Does not speak in sentences. No eye contact. Losses skills he or she once had.