MVU NURS 629 EXAM SCRIPT VERIFIED
QUESTIONS WITH ACCURATE ANSWERS
●● When does the posterior fontanelle close? Anterior?
Answer: posterior- 2 months,
anterior- 9-18 mo
●● when do the abdominal muscles close?
Answer: 3 years
●● When are the testicles descended?
Answer: usually 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?
Answer: leg fold symmetry
hib abduction- no clicks
●● Ortolani maneuver
Answer: check 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
Answer: place 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
Answer: atopic 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?
Answer: their sphincters are not mature, break up feedings ~15mL, burp,
then return.
,●● When does colic usually resolve?
Answer: by 6 months
●● Toddler weight gain per year
Answer: 4-6lbs per year,
grow 3 inches pe ryear
●● In toddler always assess for?
Answer: anterior 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?
Answer: at 3 years
●● School age children grow more steadily?
Answer: 2 in/year
4-6lbs/ year
, ●● In adolescence when does puberty begin in girls?
Answer: 9-13 years
●● when does puberty begin in boys?
Answer: 11-14 years
●● At what ages do puberty changes develop in girls?
Answer: breast 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?
Answer: genital enlargement 9-13 yrs
axiallary hair 12-14 yrs
facial hair 11-14 yrs
pubic hair 12-15 yrs
●● Tanner Stages Girls
Answer: 1. 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.
QUESTIONS WITH ACCURATE ANSWERS
●● When does the posterior fontanelle close? Anterior?
Answer: posterior- 2 months,
anterior- 9-18 mo
●● when do the abdominal muscles close?
Answer: 3 years
●● When are the testicles descended?
Answer: usually 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?
Answer: leg fold symmetry
hib abduction- no clicks
●● Ortolani maneuver
Answer: check 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
Answer: place 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
Answer: atopic 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?
Answer: their sphincters are not mature, break up feedings ~15mL, burp,
then return.
,●● When does colic usually resolve?
Answer: by 6 months
●● Toddler weight gain per year
Answer: 4-6lbs per year,
grow 3 inches pe ryear
●● In toddler always assess for?
Answer: anterior 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?
Answer: at 3 years
●● School age children grow more steadily?
Answer: 2 in/year
4-6lbs/ year
, ●● In adolescence when does puberty begin in girls?
Answer: 9-13 years
●● when does puberty begin in boys?
Answer: 11-14 years
●● At what ages do puberty changes develop in girls?
Answer: breast 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?
Answer: genital enlargement 9-13 yrs
axiallary hair 12-14 yrs
facial hair 11-14 yrs
pubic hair 12-15 yrs
●● Tanner Stages Girls
Answer: 1. 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.
