©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
NURS524 Midterm Exam Questions With
Correct Answers
Infant history taking - answer✔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 - answer✔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
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
Stair gates
Secured furniture
Sharp/small objects
Toxic plants
Window safety
Physical exam - infant not regaining birth weight - answer✔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) - answer✔Chin, neck, upper
chest, sacrum, abdomen, thighs, spares acral surfaces
2|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
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) - answer✔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) - answer✔Yellow papules 1-3mm, transient, face, chin,
forehead
Usually resolves within a few months - no treamtnet
Heat rash (milliaria) location, treatment - answer✔Intertriginous areas, scalp, face and trunk
Tx: cool skin, wear loose clothing
History to determine vision problems - answer✔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 - answer✔Check red light reflex at each encounter
(retinoblastoma/cataracts)
Corneal light reflex & cover/uncover test (strabismus)
Visual acuity at age 3-5y
3|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
How to measure infant head circumference - answer✔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? - answer✔Until 2 years old
Significance of head circumference <10th percentile. >90th percentile - answer✔>90th:
increased ICP, osteogenesis imperfecta, achondraplasia, hypothyroidism, skeletal system
abnormalities
<10th: craniosynosis, hyperthyroidism, microcephaly
Major developmental milestones - 1 month - answer✔Sucks well on nipple/bottle
Focuses gaze on person/object
Startles to loud noise
Easily comforted by caregiver
Major developmental milestones - 2 months - answer✔Follows moving object with gaze
Make intentional sounds (coo/gurgle)
Lifts head during tummy time
Smiles responsively
Major developmental milestones - 4 months - answer✔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 - answer✔Rolls from belly to back
Attempts rolling from back to belly
Sits with support
4|Page
11/16/2024 10:16 AM
NURS524 Midterm Exam Questions With
Correct Answers
Infant history taking - answer✔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 - answer✔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
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
Stair gates
Secured furniture
Sharp/small objects
Toxic plants
Window safety
Physical exam - infant not regaining birth weight - answer✔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) - answer✔Chin, neck, upper
chest, sacrum, abdomen, thighs, spares acral surfaces
2|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
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) - answer✔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) - answer✔Yellow papules 1-3mm, transient, face, chin,
forehead
Usually resolves within a few months - no treamtnet
Heat rash (milliaria) location, treatment - answer✔Intertriginous areas, scalp, face and trunk
Tx: cool skin, wear loose clothing
History to determine vision problems - answer✔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 - answer✔Check red light reflex at each encounter
(retinoblastoma/cataracts)
Corneal light reflex & cover/uncover test (strabismus)
Visual acuity at age 3-5y
3|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
How to measure infant head circumference - answer✔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? - answer✔Until 2 years old
Significance of head circumference <10th percentile. >90th percentile - answer✔>90th:
increased ICP, osteogenesis imperfecta, achondraplasia, hypothyroidism, skeletal system
abnormalities
<10th: craniosynosis, hyperthyroidism, microcephaly
Major developmental milestones - 1 month - answer✔Sucks well on nipple/bottle
Focuses gaze on person/object
Startles to loud noise
Easily comforted by caregiver
Major developmental milestones - 2 months - answer✔Follows moving object with gaze
Make intentional sounds (coo/gurgle)
Lifts head during tummy time
Smiles responsively
Major developmental milestones - 4 months - answer✔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 - answer✔Rolls from belly to back
Attempts rolling from back to belly
Sits with support
4|Page
