UTA NURS 5333 Test 1 (Pediatric Health And
Immunizations) – Questions & Solutions
14 yr and older. Genitalia adult size and shape, pubic hair extend to thighs,
growth ceases 18-20 Right Ans - male tanner 5
12.5-14 yr. grow 10cm/yr. testes 4.1-5cm. penis increasing size and breadth.
pubic hair adult-like and abundant but over smaller area than fully mature
adult Right Ans - male tanner stage 4
11-12.5 yr. growth 6-7cm/year. testes 12 ml or 3.6cm. penis enlargement and
lengthening. hair on pubis, getting more pigmented, coarse, curled Right
Ans - male tanner stage 3
9-11 yr. growth 5-6cm yr. testes 4ml or 2.5-3.5cm; scrotum becoming red and
textured. penis not yet enlarged. hair sparse, light and straight at base of penis
Right Ans - male tanner stage 2
9yr and <. growth 5-6cm yr. testes <4ml or <2.5cm. penis same as early
childhood. no pubic hair. Right Ans - male tanner stage 1
mean age 11.5. range 9-14 Right Ans - male puberty
prior to 9 years starts with testicular development/ late 13-14 Right Ans -
male precocious/late puberty
10 and <. grow 5-6cm/yr. breasts papilla elevated above chest wall. no pubic
hair Right Ans - female tanner stage 1
10-11.5yr. grow 7-8cm/yr. breasts and papilla form small mound; areola
increases in diameter. hair sparse, light, straight along labial border Right
Ans - female tanner stage 2
11.5-13 yrs. grow 8cm/yr. breast and areola enlarge; no separation in
contour. hair on pubis more coarse, pigmented and curled Right Ans -
female tanner stage 3
,13-15 yrs. grow 7cm/yr. secondary mound formed by areola and papilla
about level of breast. hair adult like just over smaller area than fully mature
adult Right Ans - female tanner stage 4
15 and >. growth ceases 2-2.5yr post menarche. adult breast; nipple projects;
areola becomes part of contour of breast; adult in type and quantity and
extends to thighs Right Ans - female tanner stage 5
8/12-13 Right Ans - female precocious/late puberty
begins with breast development. mean onset 10.5. range 8-12 Right Ans -
female puberty
9-15 after breast, pubic and underarm hair begin to grow. avg 2.6 yr post
onset puberty and 0.5 yr post PHV Right Ans - menarche
underlying swelling or accumulation of fluid/ecchymosis of scalp over
presenting part resolves within a few days (why owen's head looked like a
football first day of his life) Right Ans - caput succedaneum
20/200-20/400 Right Ans - newborn visual acuity
open at birth approx size of thumbnail. 2-3cm palpable until 9-18 mo. Right
Ans - anterior fontanel
congenital cataracts, retinoblastoma Right Ans - red reflex absent indicates
wide set eyes; present in down syndrome Right Ans - hypertelorism
may indicate renal or genetic abnormality or multisystem syndrome Right
Ans - neonate low set ears
OAE - otoacoustic emissions Right Ans - routine hearing screen in nursery
testing for newborns at high risk for neural hearing loss Right Ans - AER -
auditory evoked response
, may limit movement of tongue, can contribute to feeding problems and or
speech impediments (why kylee cannot lick an ice cream cone) Right Ans -
short frenulum
small white cysts on palate and gums (common) Right Ans - epsteins pearls
sometimes present: risk of aspiration if loose Right Ans - natal teeth
excessive skin in Turner's and Noonan's syndromes Right Ans - neck
webbing in neonate
coarctation of aorta Right Ans - when femoral pulses unequal or weak in
neonate suspect
dextrocardia Right Ans - assess PMI location to r/o
(only 10% murmurs) may present with central cyanosis or hear failure
Right Ans - serious cardiac murmurs
on feet and hands in first few days of life due to heat loss and is normal
Right Ans - acrocyanosis
if unable to palpate refer to urologist Right Ans - testes fail to descend
neonate
ortolani and barlow maneuvers Right Ans - hip dysplasia
bow legs Right Ans - genu varum
knock knees Right Ans - genu valgum
clubfoot Right Ans - talipes
adduction of forefoot (usually no tx needed) Right Ans - metatarsus
adductus
assess by checking response to bright light (squinting) Right Ans - CNII
optic neonate
Immunizations) – Questions & Solutions
14 yr and older. Genitalia adult size and shape, pubic hair extend to thighs,
growth ceases 18-20 Right Ans - male tanner 5
12.5-14 yr. grow 10cm/yr. testes 4.1-5cm. penis increasing size and breadth.
pubic hair adult-like and abundant but over smaller area than fully mature
adult Right Ans - male tanner stage 4
11-12.5 yr. growth 6-7cm/year. testes 12 ml or 3.6cm. penis enlargement and
lengthening. hair on pubis, getting more pigmented, coarse, curled Right
Ans - male tanner stage 3
9-11 yr. growth 5-6cm yr. testes 4ml or 2.5-3.5cm; scrotum becoming red and
textured. penis not yet enlarged. hair sparse, light and straight at base of penis
Right Ans - male tanner stage 2
9yr and <. growth 5-6cm yr. testes <4ml or <2.5cm. penis same as early
childhood. no pubic hair. Right Ans - male tanner stage 1
mean age 11.5. range 9-14 Right Ans - male puberty
prior to 9 years starts with testicular development/ late 13-14 Right Ans -
male precocious/late puberty
10 and <. grow 5-6cm/yr. breasts papilla elevated above chest wall. no pubic
hair Right Ans - female tanner stage 1
10-11.5yr. grow 7-8cm/yr. breasts and papilla form small mound; areola
increases in diameter. hair sparse, light, straight along labial border Right
Ans - female tanner stage 2
11.5-13 yrs. grow 8cm/yr. breast and areola enlarge; no separation in
contour. hair on pubis more coarse, pigmented and curled Right Ans -
female tanner stage 3
,13-15 yrs. grow 7cm/yr. secondary mound formed by areola and papilla
about level of breast. hair adult like just over smaller area than fully mature
adult Right Ans - female tanner stage 4
15 and >. growth ceases 2-2.5yr post menarche. adult breast; nipple projects;
areola becomes part of contour of breast; adult in type and quantity and
extends to thighs Right Ans - female tanner stage 5
8/12-13 Right Ans - female precocious/late puberty
begins with breast development. mean onset 10.5. range 8-12 Right Ans -
female puberty
9-15 after breast, pubic and underarm hair begin to grow. avg 2.6 yr post
onset puberty and 0.5 yr post PHV Right Ans - menarche
underlying swelling or accumulation of fluid/ecchymosis of scalp over
presenting part resolves within a few days (why owen's head looked like a
football first day of his life) Right Ans - caput succedaneum
20/200-20/400 Right Ans - newborn visual acuity
open at birth approx size of thumbnail. 2-3cm palpable until 9-18 mo. Right
Ans - anterior fontanel
congenital cataracts, retinoblastoma Right Ans - red reflex absent indicates
wide set eyes; present in down syndrome Right Ans - hypertelorism
may indicate renal or genetic abnormality or multisystem syndrome Right
Ans - neonate low set ears
OAE - otoacoustic emissions Right Ans - routine hearing screen in nursery
testing for newborns at high risk for neural hearing loss Right Ans - AER -
auditory evoked response
, may limit movement of tongue, can contribute to feeding problems and or
speech impediments (why kylee cannot lick an ice cream cone) Right Ans -
short frenulum
small white cysts on palate and gums (common) Right Ans - epsteins pearls
sometimes present: risk of aspiration if loose Right Ans - natal teeth
excessive skin in Turner's and Noonan's syndromes Right Ans - neck
webbing in neonate
coarctation of aorta Right Ans - when femoral pulses unequal or weak in
neonate suspect
dextrocardia Right Ans - assess PMI location to r/o
(only 10% murmurs) may present with central cyanosis or hear failure
Right Ans - serious cardiac murmurs
on feet and hands in first few days of life due to heat loss and is normal
Right Ans - acrocyanosis
if unable to palpate refer to urologist Right Ans - testes fail to descend
neonate
ortolani and barlow maneuvers Right Ans - hip dysplasia
bow legs Right Ans - genu varum
knock knees Right Ans - genu valgum
clubfoot Right Ans - talipes
adduction of forefoot (usually no tx needed) Right Ans - metatarsus
adductus
assess by checking response to bright light (squinting) Right Ans - CNII
optic neonate
