NURS524 Midterm Questions and Answers| New Update with 100% Correct Answers
Infant history taking Maternal physical/mental health before, during, and after pregnancy
Prenatal care
Complications during delivery
Bonding, feeding, social, home situation (housing, food security)
Support system
Developmental milestones
Immunization status
Safety concerns for 8 months old Starting to crawl/sit unsupported/grasp
Car seat safety
Safe sleeping
Poison control
Firearm safety
Safe bathtime/burn hazards
Functional smoke/carbon monoxide detectors
Secondhand smoke
Pesticide exposure
Esposure to sun/sunscreen/insect repellent
Covered outlets/moved electrical cords
Stair gates
Secured furniture
Sharp/small objects
Toxic plants
Window safety
,Physical exam - infant not regaining birth weight Ht/Wt/head circumference and plotting on
growth chart
Fontanelles
Inspection of palate
Tongue mobility
Skin assessment (jaundice)
Spine/muscle tone
Head to toe - special focus on
Dysmorphic features
Oral/motor dysfunction
Heart murmur
Lung abnormalities
Abdo pain/masses
Organomegaly
Genitourinary/anal abnormalities
Pallor
Edema
Bruises/abrasions
Relations between child/parent
Erythema toxicum (area affected, appearance, course, treatment) Chin, neck, upper chest,
sacrum, abdomen, thighs, spares acral surfaces
App: Isolated/clustered erythematous pustules/macules in first days or weeks after birth
Course: self-limited
Treatment: none
Seborrheic dermatitis (area affected, course, complications, treatment) Scalp (cradle cap),
face, ears, neck
,Resolves in 2-3 months with no treatment - if persists past can use keratolytic shampoo
Complications: secondary infection with candida or staph (use antifungal/antibiotic accordingly)
Milia (appearance, course, treatment) Yellow papules 1-3mm, transient, face, chin, forehead
Usually resolves within a few months - no treamtnet
Heat rash (milliaria) location, treatment Intertriginous areas, scalp, face and trunk
Tx: cool skin, wear loose clothing
History to determine vision problems Family hx of vision problems
Abnormalities in eye appearance/alignment
Frequently rubbing/squinting/blinking
Follow objects with eyes?
Difficulty recognizing familiar faces/objects
Excessive tearing/redness/discharge
Tilt head or cover one eye
Sensitivity to light
Trip/stumble
Vision screening in childhood Check red light reflex at each encounter
(retinoblastoma/cataracts)
Corneal light reflex & cover/uncover test (strabismus)
Visual acuity at age 3-5y
How to measure infant head circumference Use non-stretchable measuring tape wrapped
around most prominent part of the head to the middle of the forehead, pulled snug. Take
measurement twice and record average.
, How long to measure head circumference? Until 2 years old
Significance of head circumference <10th percentile. >90th percentile >90th: increased ICP,
osteogenesis imperfecta, achondraplasia, hypothyroidism, skeletal system abnormalities
<10th: craniosynosis, hyperthyroidism, microcephaly
Major developmental milestones - 1 month Sucks well on nipple/bottle
Focuses gaze on person/object
Startles to loud noise
Easily comforted by caregiver
Major developmental milestones - 2 months Follows moving object with gaze
Make intentional sounds (coo/gurgle)
Lifts head during tummy time
Smiles responsively
Major developmental milestones - 4 months Responds with excitement
Holds head upright while sitting/being held
Pushes up onto elbows in tummy time
Brings hands to mouth
Holds an object placed in hand
Giggles/attempts to laugh
Makes sounds responsively ("talks back")
Major developmental milestones - 6 months Rolls from belly to back
Attempts rolling from back to belly
Sits with support
Infant history taking Maternal physical/mental health before, during, and after pregnancy
Prenatal care
Complications during delivery
Bonding, feeding, social, home situation (housing, food security)
Support system
Developmental milestones
Immunization status
Safety concerns for 8 months old Starting to crawl/sit unsupported/grasp
Car seat safety
Safe sleeping
Poison control
Firearm safety
Safe bathtime/burn hazards
Functional smoke/carbon monoxide detectors
Secondhand smoke
Pesticide exposure
Esposure to sun/sunscreen/insect repellent
Covered outlets/moved electrical cords
Stair gates
Secured furniture
Sharp/small objects
Toxic plants
Window safety
,Physical exam - infant not regaining birth weight Ht/Wt/head circumference and plotting on
growth chart
Fontanelles
Inspection of palate
Tongue mobility
Skin assessment (jaundice)
Spine/muscle tone
Head to toe - special focus on
Dysmorphic features
Oral/motor dysfunction
Heart murmur
Lung abnormalities
Abdo pain/masses
Organomegaly
Genitourinary/anal abnormalities
Pallor
Edema
Bruises/abrasions
Relations between child/parent
Erythema toxicum (area affected, appearance, course, treatment) Chin, neck, upper chest,
sacrum, abdomen, thighs, spares acral surfaces
App: Isolated/clustered erythematous pustules/macules in first days or weeks after birth
Course: self-limited
Treatment: none
Seborrheic dermatitis (area affected, course, complications, treatment) Scalp (cradle cap),
face, ears, neck
,Resolves in 2-3 months with no treatment - if persists past can use keratolytic shampoo
Complications: secondary infection with candida or staph (use antifungal/antibiotic accordingly)
Milia (appearance, course, treatment) Yellow papules 1-3mm, transient, face, chin, forehead
Usually resolves within a few months - no treamtnet
Heat rash (milliaria) location, treatment Intertriginous areas, scalp, face and trunk
Tx: cool skin, wear loose clothing
History to determine vision problems Family hx of vision problems
Abnormalities in eye appearance/alignment
Frequently rubbing/squinting/blinking
Follow objects with eyes?
Difficulty recognizing familiar faces/objects
Excessive tearing/redness/discharge
Tilt head or cover one eye
Sensitivity to light
Trip/stumble
Vision screening in childhood Check red light reflex at each encounter
(retinoblastoma/cataracts)
Corneal light reflex & cover/uncover test (strabismus)
Visual acuity at age 3-5y
How to measure infant head circumference Use non-stretchable measuring tape wrapped
around most prominent part of the head to the middle of the forehead, pulled snug. Take
measurement twice and record average.
, How long to measure head circumference? Until 2 years old
Significance of head circumference <10th percentile. >90th percentile >90th: increased ICP,
osteogenesis imperfecta, achondraplasia, hypothyroidism, skeletal system abnormalities
<10th: craniosynosis, hyperthyroidism, microcephaly
Major developmental milestones - 1 month Sucks well on nipple/bottle
Focuses gaze on person/object
Startles to loud noise
Easily comforted by caregiver
Major developmental milestones - 2 months Follows moving object with gaze
Make intentional sounds (coo/gurgle)
Lifts head during tummy time
Smiles responsively
Major developmental milestones - 4 months Responds with excitement
Holds head upright while sitting/being held
Pushes up onto elbows in tummy time
Brings hands to mouth
Holds an object placed in hand
Giggles/attempts to laugh
Makes sounds responsively ("talks back")
Major developmental milestones - 6 months Rolls from belly to back
Attempts rolling from back to belly
Sits with support
