NURS 5432 Midterm Study Guide exam ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
with correct answers
||\\||\\ ||\\||\\
Abnormal growth and development: skin - correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔Webbing excessive amounts of skin Turner's or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Noonan's syndrome ||\\||\\
Abnormal growth and development: Neurological - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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.
||\\||\\
with correct answers
||\\||\\ ||\\||\\
Abnormal growth and development: skin - correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔Webbing excessive amounts of skin Turner's or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Noonan's syndrome ||\\||\\
Abnormal growth and development: Neurological - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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.
||\\||\\
