NURS 5432 MIDTERM STUDY GUIDE EXAM
QUESTIONS WITH ACCURATE ANSWERS .
Abnormal growth and development: skin - correct Answers -Jaundice within the first 24 hours
(pathologic, possible hemolysis or infection).
Petechiae, purpura (suggests clotting disorders or sepsis).
Birthmarks: Café-au-lait spots (>6 or >0.5 cm in size may indicate neurofibromatosis). Port-wine
stain (may indicate Sturge-Weber syndrome).
Abnormal growth and development: Head - correct Answers -Bulging fontanel (increased
intracranial pressure, hydrocephalus).
Sunken fontanel (dehydration).
Craniosynostosis (premature suture closure, abnormal head shape).
Large anterior fontanel (hypothyroidism, Down syndrome).
Abnormal growth and development: Eyes - correct Answers -Absent red reflex (retinoblastoma,
congential cataracts).
Hypertelorism (widely spaced eyes may indicate genetic syndromes like Down or Noonan
syndrome).
Purulent eye drainage is not normal usually indicative of infection gonorrhea,chlamydia, or
herpes
,Persistent strabismus after 6 months.
Abnormal growth and development: Ears - correct Answers -Low-set ears (associated with renal
or genetic abnormality like Turner's or trisomy 21).
Ear pits or tags (linked to renal anomalies).
Abnormal growth and development: Mouth - correct Answers -Cleft palate/lip (requires surgical
evaluation).
Absent suck reflex (neurological impairment or prematurity).
Macroglossia (associated with hypothyroidism, Beckwith-Wiedemann syndrome).
Abnormal growth and development: Neck - correct Answers -Webbing excessive amounts of
skin Turner's or Noonan's syndrome
Abnormal growth and development: Neurological - correct Answers -Tone abnormalities:
Hypotonia ("floppy baby syndrome" may indicate CNS abnormalities or genetic conditions).
Hypertonia (cerebral palsy, neonatal abstinence syndrome).
Reflexes:
Absent Moro reflex (brachial plexus injury, neurologic abnormality).
Persistent primitive reflexes beyond expected age (suggests developmental delay).
Seizures: Subtle movements like lip smacking, pedaling, or eye deviation may indicate seizures.
Abnormal growth and development: Cardiovascular - correct Answers -Murmurs: Cyanosis with
murmur (congenital heart defects like Tetralogy of Fallot).
, Weak/absent femoral pulses (coarctation of the aorta).
Abnormal growth and development: Gastrointestinal - correct Answers -Absent or delayed
meconium (>48 hours): Failure to pass meconium in 24-48 hours is abnormal **Think
Hirschsprung disease or cystic fibrosis.**
Omphalocele or gastroschisis: Abdominal wall defects requiring surgical intervention.
Projectile vomiting: Pyloric stenosis (non-bilious), intestinal obstruction (bilious).
Abnormal growth and development: Geintourinary - correct Answers -Ambiguous genitalia:
Requires genetic and endocrinology evaluation.
Cryptorchidism: Undescended testicles beyond 6 months.
Hydrocele: Persistent beyond 1 year or associated with inguinal hernia.
Abnormal growth and development: Musculoskeletal - correct Answers -Developmental
dysplasia of the hip (DDH): Positive Ortolani/Barlow tests or asymmetric gluteal folds.
Clavicular fracture: Crepitus, decreased arm movement on the affected side.
Childhood Immunization Schedule: Birth - correct Answers -Hep B
Childhood Immunization Schedule: 2 months - correct Answers -"2 Be DR HIP"
B: Hep B
D: DTaP (Diphtheria Tetanus acellular Pertussis)
R: Rv (Rotovirus)
QUESTIONS WITH ACCURATE ANSWERS .
Abnormal growth and development: skin - correct Answers -Jaundice within the first 24 hours
(pathologic, possible hemolysis or infection).
Petechiae, purpura (suggests clotting disorders or sepsis).
Birthmarks: Café-au-lait spots (>6 or >0.5 cm in size may indicate neurofibromatosis). Port-wine
stain (may indicate Sturge-Weber syndrome).
Abnormal growth and development: Head - correct Answers -Bulging fontanel (increased
intracranial pressure, hydrocephalus).
Sunken fontanel (dehydration).
Craniosynostosis (premature suture closure, abnormal head shape).
Large anterior fontanel (hypothyroidism, Down syndrome).
Abnormal growth and development: Eyes - correct Answers -Absent red reflex (retinoblastoma,
congential cataracts).
Hypertelorism (widely spaced eyes may indicate genetic syndromes like Down or Noonan
syndrome).
Purulent eye drainage is not normal usually indicative of infection gonorrhea,chlamydia, or
herpes
,Persistent strabismus after 6 months.
Abnormal growth and development: Ears - correct Answers -Low-set ears (associated with renal
or genetic abnormality like Turner's or trisomy 21).
Ear pits or tags (linked to renal anomalies).
Abnormal growth and development: Mouth - correct Answers -Cleft palate/lip (requires surgical
evaluation).
Absent suck reflex (neurological impairment or prematurity).
Macroglossia (associated with hypothyroidism, Beckwith-Wiedemann syndrome).
Abnormal growth and development: Neck - correct Answers -Webbing excessive amounts of
skin Turner's or Noonan's syndrome
Abnormal growth and development: Neurological - correct Answers -Tone abnormalities:
Hypotonia ("floppy baby syndrome" may indicate CNS abnormalities or genetic conditions).
Hypertonia (cerebral palsy, neonatal abstinence syndrome).
Reflexes:
Absent Moro reflex (brachial plexus injury, neurologic abnormality).
Persistent primitive reflexes beyond expected age (suggests developmental delay).
Seizures: Subtle movements like lip smacking, pedaling, or eye deviation may indicate seizures.
Abnormal growth and development: Cardiovascular - correct Answers -Murmurs: Cyanosis with
murmur (congenital heart defects like Tetralogy of Fallot).
, Weak/absent femoral pulses (coarctation of the aorta).
Abnormal growth and development: Gastrointestinal - correct Answers -Absent or delayed
meconium (>48 hours): Failure to pass meconium in 24-48 hours is abnormal **Think
Hirschsprung disease or cystic fibrosis.**
Omphalocele or gastroschisis: Abdominal wall defects requiring surgical intervention.
Projectile vomiting: Pyloric stenosis (non-bilious), intestinal obstruction (bilious).
Abnormal growth and development: Geintourinary - correct Answers -Ambiguous genitalia:
Requires genetic and endocrinology evaluation.
Cryptorchidism: Undescended testicles beyond 6 months.
Hydrocele: Persistent beyond 1 year or associated with inguinal hernia.
Abnormal growth and development: Musculoskeletal - correct Answers -Developmental
dysplasia of the hip (DDH): Positive Ortolani/Barlow tests or asymmetric gluteal folds.
Clavicular fracture: Crepitus, decreased arm movement on the affected side.
Childhood Immunization Schedule: Birth - correct Answers -Hep B
Childhood Immunization Schedule: 2 months - correct Answers -"2 Be DR HIP"
B: Hep B
D: DTaP (Diphtheria Tetanus acellular Pertussis)
R: Rv (Rotovirus)
