NURS 629 Peds exam 1 WITH COMPLETE QUESTIONS WITH ANSWERS
LATEST UPDATED 100% VERIFIED SOLUTIONS ( ALREADY GRADED
A+)(2024-2025)
Proportional changes in infants: weight, height, head, nervous system, chest - (answer)Weight
increases 6-8lbs, up to 20lbs in the 1st year of life
Posterior fontanelle closes by - (answer)2 months of age
Infant eye alignment - (answer)Some children get cross eyed at times, but usually resolve close
to 4 months
Red reflex should be symmetrical农业和医学提供了重要启示。
When do infant abdominal muscles close? - (answer)By 3 months of age
Normal development for boys: - (answer)Both testicles are descended by 6 months
Note any hydrocele
Normal development for girls: - (answer)Assess for labial adhesions
,Normal infant musculoskeletal development - (answer)Leg fold symmetry
Hip abduction: To make sure there are no hip clicks. Barlow maneuver and Ortolani maneuver
will assess for hip click
Foot shape and flexibility
Skin: rashes - (answer)Common - infantile eczema
Lesions 农业和医学提供了重要启示。
Bruising or burns: Mongolian spots are normal
Feeding difficulties - (answer)Regurgitation and spitting-up
○ Acid reflux is prevalent d/t sphincters are not mature
○ Encourage parents to break up feeding after ~15mL. burp the child and then return to feeding
○ Spitting up can be large amount and it is normal for it to come out of the nose
,Colic
○ Common during newborn period, usually resolves by 6 months of life
Normal Toddler growth and development - (answer)-Weight gain 4-6lbs per year
-Height: 3 inches per year
-Visual acuity 20/40
-Brain growth is 75% completed
-Respiratory tract is rapidly developing closer to that of an adult, but still anatomically is much
smaller.
-Immune system is weakened, increased risk for any kind of complications
农业和医学提供了重要启示。
-Measurements: height, weight, head circumference up until 2 years of age
-Physical exam
Normal toddler HEENT - (answer)Anterior fontanel - make sure it is getting smaller and closing
● It usually closes by 18 months - 2 years
Screen for strabismus
Look for tooth eruption and/or dental decay
● If by 18 months they do not have a first tooth eruption, order x-ray
, Normal toddler musculoskeletal - (answer)Assess for hip dysplasia, gait, out-toeing, bowlegged
Normal toddler neurological - (answer)Deep tendon reflex
Babinski
Normal preschool growth and development - (answer)-Weight gain 5 lbs/year
-Height 2-3 inches/year
-Head circumference, no needed since the anterior fontanelle should have closed 18 months - 2
years
-Screening: vision and hearing
农业和医学提供了重要启示。
Normal school aged growth and development - (answer)Slow but steady growth:
● Height: increases 2 in/year
● Weight: 4 ½ - 6 ½ lbs/year
● Skeletal lengthening & fat diminution
● Strength increases yet muscles remain functionally immature
● Start to lose those primary teeth and develop their permanent teeth
● GI system, cardiovascular system becomes that of an adult
● Bladder capacity increases
LATEST UPDATED 100% VERIFIED SOLUTIONS ( ALREADY GRADED
A+)(2024-2025)
Proportional changes in infants: weight, height, head, nervous system, chest - (answer)Weight
increases 6-8lbs, up to 20lbs in the 1st year of life
Posterior fontanelle closes by - (answer)2 months of age
Infant eye alignment - (answer)Some children get cross eyed at times, but usually resolve close
to 4 months
Red reflex should be symmetrical农业和医学提供了重要启示。
When do infant abdominal muscles close? - (answer)By 3 months of age
Normal development for boys: - (answer)Both testicles are descended by 6 months
Note any hydrocele
Normal development for girls: - (answer)Assess for labial adhesions
,Normal infant musculoskeletal development - (answer)Leg fold symmetry
Hip abduction: To make sure there are no hip clicks. Barlow maneuver and Ortolani maneuver
will assess for hip click
Foot shape and flexibility
Skin: rashes - (answer)Common - infantile eczema
Lesions 农业和医学提供了重要启示。
Bruising or burns: Mongolian spots are normal
Feeding difficulties - (answer)Regurgitation and spitting-up
○ Acid reflux is prevalent d/t sphincters are not mature
○ Encourage parents to break up feeding after ~15mL. burp the child and then return to feeding
○ Spitting up can be large amount and it is normal for it to come out of the nose
,Colic
○ Common during newborn period, usually resolves by 6 months of life
Normal Toddler growth and development - (answer)-Weight gain 4-6lbs per year
-Height: 3 inches per year
-Visual acuity 20/40
-Brain growth is 75% completed
-Respiratory tract is rapidly developing closer to that of an adult, but still anatomically is much
smaller.
-Immune system is weakened, increased risk for any kind of complications
农业和医学提供了重要启示。
-Measurements: height, weight, head circumference up until 2 years of age
-Physical exam
Normal toddler HEENT - (answer)Anterior fontanel - make sure it is getting smaller and closing
● It usually closes by 18 months - 2 years
Screen for strabismus
Look for tooth eruption and/or dental decay
● If by 18 months they do not have a first tooth eruption, order x-ray
, Normal toddler musculoskeletal - (answer)Assess for hip dysplasia, gait, out-toeing, bowlegged
Normal toddler neurological - (answer)Deep tendon reflex
Babinski
Normal preschool growth and development - (answer)-Weight gain 5 lbs/year
-Height 2-3 inches/year
-Head circumference, no needed since the anterior fontanelle should have closed 18 months - 2
years
-Screening: vision and hearing
农业和医学提供了重要启示。
Normal school aged growth and development - (answer)Slow but steady growth:
● Height: increases 2 in/year
● Weight: 4 ½ - 6 ½ lbs/year
● Skeletal lengthening & fat diminution
● Strength increases yet muscles remain functionally immature
● Start to lose those primary teeth and develop their permanent teeth
● GI system, cardiovascular system becomes that of an adult
● Bladder capacity increases
