Advanced health assessment 500 exam 1 questions and solutions

1. where do you check pulse for children >2: radial (week 1 ppt)
q, q, q, q, q, q, q, q, q, q, q,




2. where do you check pulse for children <2:apical (week 1 ppt)
q, q, q, q, q, q, q, q, q, q, q,




3. what is normal HR for 1-2yrs: 70-150bpm(week 1 ppt)
q, q, q, q, q, q, q, q,




4. what is normal HR for 2-6yrs: 68-138bpm(week 1 ppt)
q, q, q, q, q, q, q, q,




5. what is normal HR for 6-10yrs: 65-125bpm(week 1 ppt)
q, q, q, q, q, q, q, q,




6. what is normal resp for early childhood: 20-40resp/min(week 1 ppt)
q, q, q, q, q, q, q, q, q,




7. what is normal resp for late childhood: 15-25resp/min(week 1 ppt)
q, q, q, q, q, q, q, q, q,




8. what muscle do children less than 7 use to breath:ABD/diaphragmatic
q, q, q, q, q, q, q, q, q, q,




breathers(week 1 ppt)
q, q, q,




9. wheretotaketempfor youngerthan3months: rectal;normis37.5(98.6-99.5)
q
, q, q, q, q, q, q, q, q
, q, q, q,




(week 1 ppt)
q, q, q,




10. whatdoesFLACCstandfor:Faces,Legs,Activity,Crying,Consolability(week 1
,q q
, q
, q
, ,q q
, q
, q
, q
, q
, q,




ppt)
q,




11. what ages is FLACC used for:2months - 7yrs/non-verbal (week 1 ppt)
q, q, q, q, q, q, q, q, q, q, q,




12. whatisconsideredoutsidegrowthparameters:lessthan5%orgreaterthan 95%
q, q, q, q, q, q, q, q, q, q, q, q,




(week 1 ppt)
q, q, q,




13. to what age do we measure head circumference: up to 24-36months old or if
q, q, q, q, q, q, q, q, q, q, q, q, q,




head size is questionnable like shunts or premature births (week 1 ppt)
q, q, q, q, q, q, q, q, q, q, q, q,




14. normal head circumference:should be equal to chest circumference up to 1- q, q, q, q, q, q, q, q, q, q, q,




2yrs; chest >head if >2yrs (week 1 ppt)
q, q, q, q, q, q, q,




15. what is common schedule of tooth eruption: generally begins by 6months;
q, q, q, q, q, q, q, q, q, q,




beginswithlower&upperincisors;majorityoftoddlershavefull20teethbyage2yrs (week
q, q
, q, q, q, q, q
, q, q, q, q, q, q, q, q, q,




1 ppt)
q, q,




16. what is the denver development scale: assessments developmental stages
q, q, q, q, q, q, q, q,




forages0-6;has125itemsdividedinto4parts-social,language,finemotor,&gross motor
q, q
, q
, q
, q
, q
, q
, q
, q
, q
, q
, q
, q
, q
, q
, q,




(medicine.net)
q,




17. how toassess head/skull: palpatesutures/fontanels/fractures/swelling;assess
q, q, q, q, q, q
,




head control (week 1 ppt)
q, q, q, q, q,




18. how old when posterior fontanel closes: 2 months (week 1 ppt)
q, q, q, q, q, q, q, q, q, q,




19. how old when anterior fontanel closes:12-18months (week 1 ppt)
q, q, q, q, q, q, q, q, q,




20. when is it a red flag for infant unable to hold head erect: 6months- may
q, q, q, q, q, q, q, q, q, q, q, q, q, q,




indicate cerebral injury, requires further developmental/neurological eval (week 1
q, q, q, q, q, q, q, q, q,




ppt)
q,




21. what is tortocollis (Wryneck): contraction of sternocleidomastoid muscle
q, q, q, q, q, q, q,




causing head to tilt to involved side (week 1 ppt)
q, q, q, q, q, q, q, q, q, q,




22. what can be done about tortocollis neck: stretching exercises;may order PT and
q, q, q, q, q, q, q, q, q
, q, q, q,




reassess in 2-4weeks; infant may have hip dysplasia as well so assess for that via
q, q, q, q
, q, q, q, q, q, q, q, q, q, q, q,




ultrasound (kidshealth.org)
q, q,

, 23. what is the red light reflex exam assessing: determines clarity of posterior
q, q, q, q, q, q, q, q, q, q, q,




chamber of eye/receptivityto light/and sensitivityof retina to visualstimulus(week 1 ppt)
q, q, q, q, q, q, q, q, q, q, q, q, q,




24. what are abnormalities of the red light reflex exam: dark spots in the red
q, q, q, q, q, q, q, q, q, q, q, q, q,




reflex, blunted reflex on one side, lack of red reflex, or the presence of white reflex all
q, q, q, q, q, q, q, q, q, q, q, q, q, q, q, q, q,




indicate referral to ophthalmology (week 1 ppt)
q, q, q, q, q, q, q,




25. what do the abnormalities mean:possible early detection of cataracts, glau-
q, q, q, q, q, q, q, q, q, q,




coma, retinoblastoma, systemic diseases with ocular manifestations (week 1 ppt)
q, q, q, q, q, q, q, q, q, q,




26. how to test relight reflex: use ophthalmascope setto 0, place at 15-25 degree angle
q, q, q, q, q, q, q, q, q, q, q, q, q, q,




lateral to eye and back 12inchs; look for symmetry and brightness (week 1 ppt)
q, q, q, q, q, q, q, q, q, q, q, q, q, q,




27. what is strabismus:when the eyes do not line up in the same direction (med-
q, q, q, q, q, q, q, q, q, q, q, q, q, q,




lineplus)
q,




28. what is the hirschberg test:the corneal light reflex (week 1 ppt)
q, q, q, q, q, q, q, q, q, q, q,




29. howtotestcorneallightreflex:havechildlookatanobject,positionapenlight
,q q
, q
, q
, ,q q
, q
, q
, q
, q
, q
, q
, q
, q
,




resting on the object at eye level with the child and the examiner at eye level with the
q, q, q, q, q, q, q, q, q, q, q, q, q, q, q, q, q, q,




child, the light from penlight should be symmetrical in each child's pupil (week 1 ppt)
q, q, q, q, q, q, q, q, q, q, q, q, q, q, q,




30. what are the signs that if positive may indicate hip dysplasia: ortolani's &
q, q, q, q, q, q, q, q, q, q, q, q,




barlows; galeazzi's, gluteal folds (week 1 ppt)
q, q, q, q, q, q, q,




31. howtotestforhipdysplasia: withchildsupine&kneesflexedbilaterally,grasp thigh
q, q, q, q, q, q, q, q, q, q, q, q, q, q,




and adduct while applying downward pressure; if you feel a clunk its positive for
q, q, q, q, q, q, q, q, q, q, q, q, q, q,




dysplasia (week 1 ppt)
q, q, q, q,




32. what is galeazzi's sign:while supine, with feet flat on table and knees flexed, if
q, q, q, q, q, q, q, q, q, q, q, q, q, q,




knees are unequals it's positive sign for dysplasia (week 1 ppt)
q, q, q, q, q, q, q, q, q, q, q,




33. howtotestforscoliosis:useAdam'sforwardbendtest;greaterthan5degrees curve
q, q, q, q, q, q, q, q, q, q
, q, q, q, q,




needs further eval (week 1 ppt)
q, q, q, q, q, q,




34. when are primitive/infant reflexes abnormal:asymmetrical, absent, or pre-
q, q, q, q, q, q, q, q,




sent after 6months (week 1 ppt)
q, q, q, q, q, q,




35. what is the moro/startle reflex: pull infant up by hands then gently drop;
q, q, q, q, q, q, q, q, q, q, q, q,




response should be arms extend & abduct, hands open, fingers fan out, then arms flex
q, q, q, q, q, q, q, q, q, q, q, q, q, q, q,




& adduct (week 1 ppt)
q, q, q, q, q,




36. what is the asymmetrical tonic neck (fencing pose): head on flat surface and turn
,q q
, q
, q
, q
, q
, q
, q, q
, q
, q
, q
, q,




head 90degrees; response is arm and leg extend on same side infant is turned towards
q, q, q
, q, q, q, q, q, q, q, q, q, q, q, q,




and opposite side flex (week 1 ppt)
q, q, q, q, q, q, q,




37. what is stepping reflex: hold infant upright under arms above the table with
q, q, q, q, q, q, q, q, q, q, q, q,




palmarsurfaceoffeetjusttouchingthesurface;responseshouldbesteppingmotion
q, q, q, q, q, q, q, q, q
, q, q, q, q,




(week 1 ppt)
q, q, q,