APN 3 Exam 1 study guide questions
n answers graded A+
When does the anterior fontanel and posterior fontanel close? - correct answer ✔✔ Anterior by
18-19 mo (Burns 109)
- 12-18 mo per exam review with Dr. P
Posterior 6-12 weeks (Burns)
-1-2 mo per exam review with Dr. P
What teeth erupt first and at what age? - correct answer ✔✔ Central lower incisors erupt
around 6 months.
Lateral incisors around 8 months.
Is a newborn screening mandatory in all states? - correct answer ✔✔ - Yes (Burns p. 75)
- The Recommended Uniform Screening Panel screenings that are performed vary from state to
state.
The mature pincer grasp is noted by? - correct answer ✔✔ 10 months (p. 96)
Described the Moro (Startle) Reflex. - correct answer ✔✔ The Moro or startle
- The baby throws back his or her head, extends out his or her arms and legs, cries, then pulls
the arms and legs back in.
- To see the Moro / startle reflex, the child will be placed face up on a soft, padded surface. The
head is gently lifted with enough support to just begin to remove the body weight from the pad.
The head is then released suddenly, allowed to fall backward for a moment, but quickly
supported again
,Describe the Tonic Neck (Fencer Pose) Reflex. - correct answer ✔✔ - When a baby's head is
turned to one side, the arm on that side stretches out and the opposite arm bends up at the
elbow. This is often called the fencing position.
- To look for the tonic neck reflex, put your baby on their back and gently turn their head so
their face is looking left. When this reflex happens, the left arm will reach out straight and the
right arm will flex next to the head.
When do you expect a child can put 2 words together? - correct answer ✔✔ Toddler imitates
two-word combinations at age 18-24 months (Burns; pg 113).
When does a child drink from a cup? - correct answer ✔✔ Starts drinking from a cup at 15
months (drinking from a cup with little spilling at 18 months) (Burns; pg 111).
When would you expect a child to walk down steps using alternating feet? - correct answer ✔✔
Walks downs stairs using alternating feet at 48 months (Burns; pg 111)
How much Vit D from birth to 12 months is recommended for all breast-fed infants and infants
who receive unfortified formula? - correct answer ✔✔ 400 IU of Vitamin D daily is
recommended for all breastfed infants and infants who receive an unfortified formula from birth
until 1 year old. (Burns; pg 223).
When does the head lag disappear from supine to sitting position? - correct answer ✔✔ 4
months (p. 94)
When performing a physical exam on a toddler, what part of the exam do you do last? - correct
answer ✔✔ -Ears and throat.
-Or what causes most distress.
,What is the first food infants are introduced to? At what age? - correct answer ✔✔ - Infant rice
cereal is typically one of the first solid foods offered and should be spoon fed; not mixed in a
bottle or cup. (Burns; pg 101)
- If not already started, solids should begin at 6 months. (Burns, pg 102).
In evaluating a child with failure to thrive, the most important part of the assessment is? -
correct answer ✔✔ Assess weight
What are the two major causes of failure to thrive? - correct answer ✔✔ - 3 basic causes:
#1 inadequate caloric intake
#2 inadequate caloric absorption
#3 excessive caloric expenditure. The most common cause is nutritional deficiency without an
underlying medical condition (p.796).
What are causes for a jittery newborn? - correct answer ✔✔ i. Benign
ii. Sepsis
iii. Intracranial Hemorrhage
iv. HIE (Hypoxic Ischemic Encephalopathy)
v. Hypoglycemia
vi. Hypocalcemia
vii. Hypomagnesemia
viii. Drug withdrawal
ix. Maternal medications during pregnancy (SSRI)
, What is Caput Succedaneum? - correct answer ✔✔ i. Swelling and bruising in the parietal
regions of the scalp
ii. Superficial swelling that crosses suture lines
iii. Edema on skull/head d/t pressure/trauma during birth
iv. Pitting edema, bruises, abrasions
v. No treatment required; resolves in a few weeks to months
vi. Monitor of hyperbilirubinemia, hypotension, and anemia (pg 84).
What is a cephalohematoma? - correct answer ✔✔ Blood under the periosteum
Does not cross the suture line and manifest a few hours after birth
- Collection of blood on the outer surface of the skull resulting from friction between the
mother's pelvis and the baby's skull during the birth process
- DOES NOT CROSS SUTURE LINES
- D/t trauma from a possibly difficult delivery. No treatment needed, resolves in a few weeks to
months - monitor for hyperbilirubinemia, hypotension, anemia (p. 84).
What examination test do you do when checking for hip dysplasia? - correct answer ✔✔ Barlow
Test
n answers graded A+
When does the anterior fontanel and posterior fontanel close? - correct answer ✔✔ Anterior by
18-19 mo (Burns 109)
- 12-18 mo per exam review with Dr. P
Posterior 6-12 weeks (Burns)
-1-2 mo per exam review with Dr. P
What teeth erupt first and at what age? - correct answer ✔✔ Central lower incisors erupt
around 6 months.
Lateral incisors around 8 months.
Is a newborn screening mandatory in all states? - correct answer ✔✔ - Yes (Burns p. 75)
- The Recommended Uniform Screening Panel screenings that are performed vary from state to
state.
The mature pincer grasp is noted by? - correct answer ✔✔ 10 months (p. 96)
Described the Moro (Startle) Reflex. - correct answer ✔✔ The Moro or startle
- The baby throws back his or her head, extends out his or her arms and legs, cries, then pulls
the arms and legs back in.
- To see the Moro / startle reflex, the child will be placed face up on a soft, padded surface. The
head is gently lifted with enough support to just begin to remove the body weight from the pad.
The head is then released suddenly, allowed to fall backward for a moment, but quickly
supported again
,Describe the Tonic Neck (Fencer Pose) Reflex. - correct answer ✔✔ - When a baby's head is
turned to one side, the arm on that side stretches out and the opposite arm bends up at the
elbow. This is often called the fencing position.
- To look for the tonic neck reflex, put your baby on their back and gently turn their head so
their face is looking left. When this reflex happens, the left arm will reach out straight and the
right arm will flex next to the head.
When do you expect a child can put 2 words together? - correct answer ✔✔ Toddler imitates
two-word combinations at age 18-24 months (Burns; pg 113).
When does a child drink from a cup? - correct answer ✔✔ Starts drinking from a cup at 15
months (drinking from a cup with little spilling at 18 months) (Burns; pg 111).
When would you expect a child to walk down steps using alternating feet? - correct answer ✔✔
Walks downs stairs using alternating feet at 48 months (Burns; pg 111)
How much Vit D from birth to 12 months is recommended for all breast-fed infants and infants
who receive unfortified formula? - correct answer ✔✔ 400 IU of Vitamin D daily is
recommended for all breastfed infants and infants who receive an unfortified formula from birth
until 1 year old. (Burns; pg 223).
When does the head lag disappear from supine to sitting position? - correct answer ✔✔ 4
months (p. 94)
When performing a physical exam on a toddler, what part of the exam do you do last? - correct
answer ✔✔ -Ears and throat.
-Or what causes most distress.
,What is the first food infants are introduced to? At what age? - correct answer ✔✔ - Infant rice
cereal is typically one of the first solid foods offered and should be spoon fed; not mixed in a
bottle or cup. (Burns; pg 101)
- If not already started, solids should begin at 6 months. (Burns, pg 102).
In evaluating a child with failure to thrive, the most important part of the assessment is? -
correct answer ✔✔ Assess weight
What are the two major causes of failure to thrive? - correct answer ✔✔ - 3 basic causes:
#1 inadequate caloric intake
#2 inadequate caloric absorption
#3 excessive caloric expenditure. The most common cause is nutritional deficiency without an
underlying medical condition (p.796).
What are causes for a jittery newborn? - correct answer ✔✔ i. Benign
ii. Sepsis
iii. Intracranial Hemorrhage
iv. HIE (Hypoxic Ischemic Encephalopathy)
v. Hypoglycemia
vi. Hypocalcemia
vii. Hypomagnesemia
viii. Drug withdrawal
ix. Maternal medications during pregnancy (SSRI)
, What is Caput Succedaneum? - correct answer ✔✔ i. Swelling and bruising in the parietal
regions of the scalp
ii. Superficial swelling that crosses suture lines
iii. Edema on skull/head d/t pressure/trauma during birth
iv. Pitting edema, bruises, abrasions
v. No treatment required; resolves in a few weeks to months
vi. Monitor of hyperbilirubinemia, hypotension, and anemia (pg 84).
What is a cephalohematoma? - correct answer ✔✔ Blood under the periosteum
Does not cross the suture line and manifest a few hours after birth
- Collection of blood on the outer surface of the skull resulting from friction between the
mother's pelvis and the baby's skull during the birth process
- DOES NOT CROSS SUTURE LINES
- D/t trauma from a possibly difficult delivery. No treatment needed, resolves in a few weeks to
months - monitor for hyperbilirubinemia, hypotension, anemia (p. 84).
What examination test do you do when checking for hip dysplasia? - correct answer ✔✔ Barlow
Test
