Nurs258 (SDSU) Exam 3 With
Complete Solution
HEENT
Subjective Data for Head, Face, and Neck - ANSWER Headaches (what type,
when do they occur, how long do they last)
Head Injury (Hx or current)
Neck Stiffness
HEENT
Head Inspection
What are you looking for? - ANSWER Normocephalic
No deformities
Skin - Intact
HEENT
What is Microcephaly and Macrocephaly? - ANSWER Smaller Head Size
Larger Head Size
HEENT
Head Palpation
How do you want to the scalp to feel and TMJ to move? - ANSWER Scalp -
nontender
,TMJ - moves smoothly and no clicking
HEENT
Face Inspection
What are you expecting
Facial Expression -
Facial Structures -
Movement -
Edema -
Masses - - ANSWER Match behaviors
Symmetrical
Symmetrical
None
None
HEENT
Neck Inspection
What are you expecting?
Skin
Head and motion? - ANSWER Symmetry
Holds head erect
FROM (full range of motion)
,HEENT
Neck Palpation
-Lymph Nodes
-Trachea
-Thyroid Gland - ANSWER Non-palpable
If palpable, needs to be smooth, firm, mobile, and tender
Trachea Midline
Non-enlarged and no nodules
HEENT
Developmental Considerations
Pediatrics
How often do you measure head circumference and what do you measure in
- ANSWER Every visit until 2 and yearly until 6
cm
HEENT
Developmental Considerations
Pediatrics
When do you not assess fontanels?
How should they feel?
When should frontal and posterior close? - ANSWER Do not assess when
, crying
Soft and flat
Frontal should close by age 2 and posterior should close by 2 months
HEENT
Developmental Considerations
Pediatrics
When should a baby have head control? - ANSWER 4 months
HEENT
Developmental Considerations
Pediatrics
What is normal for a child's cervical lymph node? - ANSWER Enlargement (up
to 1 cm is a normal finding until 12)
HEENT
Health Promotion of Pediatrics
How to help with positional molding/flat spot prevention? - ANSWER Change
Direction
Hold Baby
Tummy Time
HEENT
Health Promotion of Pediatrics
Complete Solution
HEENT
Subjective Data for Head, Face, and Neck - ANSWER Headaches (what type,
when do they occur, how long do they last)
Head Injury (Hx or current)
Neck Stiffness
HEENT
Head Inspection
What are you looking for? - ANSWER Normocephalic
No deformities
Skin - Intact
HEENT
What is Microcephaly and Macrocephaly? - ANSWER Smaller Head Size
Larger Head Size
HEENT
Head Palpation
How do you want to the scalp to feel and TMJ to move? - ANSWER Scalp -
nontender
,TMJ - moves smoothly and no clicking
HEENT
Face Inspection
What are you expecting
Facial Expression -
Facial Structures -
Movement -
Edema -
Masses - - ANSWER Match behaviors
Symmetrical
Symmetrical
None
None
HEENT
Neck Inspection
What are you expecting?
Skin
Head and motion? - ANSWER Symmetry
Holds head erect
FROM (full range of motion)
,HEENT
Neck Palpation
-Lymph Nodes
-Trachea
-Thyroid Gland - ANSWER Non-palpable
If palpable, needs to be smooth, firm, mobile, and tender
Trachea Midline
Non-enlarged and no nodules
HEENT
Developmental Considerations
Pediatrics
How often do you measure head circumference and what do you measure in
- ANSWER Every visit until 2 and yearly until 6
cm
HEENT
Developmental Considerations
Pediatrics
When do you not assess fontanels?
How should they feel?
When should frontal and posterior close? - ANSWER Do not assess when
, crying
Soft and flat
Frontal should close by age 2 and posterior should close by 2 months
HEENT
Developmental Considerations
Pediatrics
When should a baby have head control? - ANSWER 4 months
HEENT
Developmental Considerations
Pediatrics
What is normal for a child's cervical lymph node? - ANSWER Enlargement (up
to 1 cm is a normal finding until 12)
HEENT
Health Promotion of Pediatrics
How to help with positional molding/flat spot prevention? - ANSWER Change
Direction
Hold Baby
Tummy Time
HEENT
Health Promotion of Pediatrics
