N4331 - EXAM 1 PEDS - UTA QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS
Regarding newborn growth and development, discuss the
meaning of cephalocaudal and proximodistal patterns -
ANSWER cephalocaudal: learn skills from head to
toesproximodistal: learn from trunk to fingers
____ kg = _____ lbs
____ oz = _____ mL____
cm = _____ in____
tsp = ____ mL - ANSWER 1 kg = 2.2 lbs
1 oz = 30 mL
2.54 cm = 1 inch
1 tsp = 5 mL
What is the normal schedule of newborn assessments? -
ANSWER 1m
2m
,2|Page
4m
6m
9m
12m
Define hand movement development stages in a newborn -
ANSWER 2m: open/close hands
6m: raking grasp
9m: pincer grasp
12m: feed self w/ spoon
Discuss development of fontanelles - ANSWER posterior: close
@ 2-3m
anterior: close @ 12-18m (referred to as " soft spot")
Define strabismusIs this normal in a newborn? - ANSWER eyes
straying in gaze ∵ undeveloped eye muscles
common until 6m of age
, 3|Page
How should you inspect the ear of a newborn?Toddler? -
ANSWER infant: pull pinna down and back
toddler: same! down and back
used different method once 3+ years
What is the expected pulse range of a newborn?Where should
pulse be assessed?How long should pulse be assessed? -
ANSWER 80-160 bpm
apical pulse @ 3-4 rib to left (medial) to midclavicular line
monitor for full 60 sec
When does hand preference appear in a child? - ANSWER 2-3
yrs
Are murmurs common in newborns - ANSWER yes, S3 very
common
murmurs often asymptomatic but should always be inspected
by MD
When does myelination of the spinal cord occur? - ANSWER
birth to 24m