NURS 629 exam 2 Questions and Answers
Graded A+
Weight changes in 1st year of life - Correct answer-Weight increases 6-8lbs, up to
20lbs in the 1st year of life
When does the posterior fontanelle close? Anterior? - Correct answer-posterior- 2
months,
anterior- 9-18 mo
when do the abdominal muscles close? - Correct answer-3 years
When are the testicles descended? - Correct 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? - Correct answer-leg
fold symmetry
hib abduction- no clicks
Ortolani maneuver - Correct 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 - Correct 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 - Correct 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? - Correct answer-their sphincters are not
mature, break up feedings ~15mL, burp, then return.
When does colic usually resolve? - Correct answer-by 6 months
,Toddler weight gain per year - Correct answer-4-6lbs per year,
grow 3 inches pe ryear
In toddler always assess for? - Correct 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? - Correct answer-at 3 years
School age children grow more steadily? - Correct answer-2 in/year
4-6lbs/ year
In adolescence when does puberty begin in girls? - Correct answer-9-13 years
when does puberty begin in boys? - Correct answer-11-14 years
At what ages do puberty changes develop in girls? - Correct 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? - Correct answer-genital
enlargement 9-13 yrs
axiallary hair 12-14 yrs
facial hair 11-14 yrs
pubic hair 12-15 yrs
Tanner Stages Girls - Correct 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.
3. Breast and areola grow together in one mound. no separation. pubic hair more
abundant.
4. Areola and nipple project as secondary mound. pubic hair abundant but smaller
area than adult. menstruation starts.
5. Adult breast: Areola recedes, nipple retracts
Graded A+
Weight changes in 1st year of life - Correct answer-Weight increases 6-8lbs, up to
20lbs in the 1st year of life
When does the posterior fontanelle close? Anterior? - Correct answer-posterior- 2
months,
anterior- 9-18 mo
when do the abdominal muscles close? - Correct answer-3 years
When are the testicles descended? - Correct 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? - Correct answer-leg
fold symmetry
hib abduction- no clicks
Ortolani maneuver - Correct 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 - Correct 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 - Correct 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? - Correct answer-their sphincters are not
mature, break up feedings ~15mL, burp, then return.
When does colic usually resolve? - Correct answer-by 6 months
,Toddler weight gain per year - Correct answer-4-6lbs per year,
grow 3 inches pe ryear
In toddler always assess for? - Correct 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? - Correct answer-at 3 years
School age children grow more steadily? - Correct answer-2 in/year
4-6lbs/ year
In adolescence when does puberty begin in girls? - Correct answer-9-13 years
when does puberty begin in boys? - Correct answer-11-14 years
At what ages do puberty changes develop in girls? - Correct 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? - Correct answer-genital
enlargement 9-13 yrs
axiallary hair 12-14 yrs
facial hair 11-14 yrs
pubic hair 12-15 yrs
Tanner Stages Girls - Correct 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.
3. Breast and areola grow together in one mound. no separation. pubic hair more
abundant.
4. Areola and nipple project as secondary mound. pubic hair abundant but smaller
area than adult. menstruation starts.
5. Adult breast: Areola recedes, nipple retracts
