GNRS 5670 exam 1 questions and
answers graded a+
Enlarged lymph nodes greater than 1cm... - ANSWERS>>>>>need
to be measured and documented
normal for child to have palpable lymph nodes
How do you assess thyroid on a child? - ANSWERS>>>>>-have
child hyper-extend the neck and drink water
-observe movement
Pediatric visual development: 2mos - ANSWERS>>>>>tears
Pediatric visual development: 3 mos - ANSWERS>>>>>focus on
simple colors, mouth, and eyes
eye movement becomes regular
Pediatric visual development: 4mos - ANSWERS>>>>>color vision
Pediatric visual development: toddler - ANSWERS>>>>>50% of
adult vision
Pediatric visual development: preschool - ANSWERS>>>>>visual
acuity improves
,Pediatric visual development: 3yrs - ANSWERS>>>>>visual acuity
is 20/30
Pediatric visual development: school age - ANSWERS>>>>>visual
acuity in 20/20
Assessing visual acuity in a newborn: - ANSWERS>>>>>use black
and white chart
Assessing visual acuity in young children: -
ANSWERS>>>>>pictorial snellen or E chart
Peripheral cyanosis: - ANSWERS>>>>>-normal in newborns
-involves hands and feet appearing blue
-resolves in 3 days
Central cyanosis: - ANSWERS>>>>>-involves lips, trunk, nose, and
earlobes
-indicates a cardiovascular problem
What can a child squatting indicate? - ANSWERS>>>>>a cyanotic
heart defect
How should you assess a child who is ticklish? - ANSWERS>>>>>-
have them bend their knees and place feet on exam table
-have them place their hand over yours during palpation
,When do you need to adjust a childs screening tool based on
their age? - ANSWERS>>>>>if they were born 3 weeks premature
and they are currently less than 24 months old, adjust the screen
tool to the appropriate age
How much weight may an infant lose in the first week of life? -
ANSWERS>>>>>5-8% of birth weight
they should regain it by 10-14 days old
Double birth weight @ - ANSWERS>>>>>4-6mo
Triple birth weight @ - ANSWERS>>>>>12 mo
How much does a newborn sleep? - ANSWERS>>>>>approx 15-24
hours
How often does a newborn feed? - ANSWERS>>>>>BF or bottle
feed every 2-3hrs
Iron deficiency anemia in infants: - ANSWERS>>>>>-term infants
BF have enough iron stores for 4-6mo
-preterm infants or low birth weight infants, BF beyond 6mo, or
only on cows milk prior to 12mo are at high risk for iron def
anemia
-supplement with iron fortified cereal
-give iron 1mg/kg/day beginning at 4mo
, Newborn motor skills: - ANSWERS>>>>>primary reflexes present
and symmetric
sucking, rooting, moro, grasp
arm and leg recoil
knee flexibility
Newborn psychological development: - ANSWERS>>>>>-erickson:
trust v mistrust
-piaget: sensorimotor (coordination between self and
environment)
-assess parent child interaction, oral gratification, stimulating
environment
-assess mental health
-screen for signs of abuse
Anticipatory guidance for newborns: - ANSWERS>>>>>-consistent
routines
-ppd
-accept help
-avoid crowds
-skin, circ, umbilical care
-vitamin D- need 400 iu if they are exclusively bf, until formula is
introduced
Safety for newborns: - ANSWERS>>>>>-safe sleep
answers graded a+
Enlarged lymph nodes greater than 1cm... - ANSWERS>>>>>need
to be measured and documented
normal for child to have palpable lymph nodes
How do you assess thyroid on a child? - ANSWERS>>>>>-have
child hyper-extend the neck and drink water
-observe movement
Pediatric visual development: 2mos - ANSWERS>>>>>tears
Pediatric visual development: 3 mos - ANSWERS>>>>>focus on
simple colors, mouth, and eyes
eye movement becomes regular
Pediatric visual development: 4mos - ANSWERS>>>>>color vision
Pediatric visual development: toddler - ANSWERS>>>>>50% of
adult vision
Pediatric visual development: preschool - ANSWERS>>>>>visual
acuity improves
,Pediatric visual development: 3yrs - ANSWERS>>>>>visual acuity
is 20/30
Pediatric visual development: school age - ANSWERS>>>>>visual
acuity in 20/20
Assessing visual acuity in a newborn: - ANSWERS>>>>>use black
and white chart
Assessing visual acuity in young children: -
ANSWERS>>>>>pictorial snellen or E chart
Peripheral cyanosis: - ANSWERS>>>>>-normal in newborns
-involves hands and feet appearing blue
-resolves in 3 days
Central cyanosis: - ANSWERS>>>>>-involves lips, trunk, nose, and
earlobes
-indicates a cardiovascular problem
What can a child squatting indicate? - ANSWERS>>>>>a cyanotic
heart defect
How should you assess a child who is ticklish? - ANSWERS>>>>>-
have them bend their knees and place feet on exam table
-have them place their hand over yours during palpation
,When do you need to adjust a childs screening tool based on
their age? - ANSWERS>>>>>if they were born 3 weeks premature
and they are currently less than 24 months old, adjust the screen
tool to the appropriate age
How much weight may an infant lose in the first week of life? -
ANSWERS>>>>>5-8% of birth weight
they should regain it by 10-14 days old
Double birth weight @ - ANSWERS>>>>>4-6mo
Triple birth weight @ - ANSWERS>>>>>12 mo
How much does a newborn sleep? - ANSWERS>>>>>approx 15-24
hours
How often does a newborn feed? - ANSWERS>>>>>BF or bottle
feed every 2-3hrs
Iron deficiency anemia in infants: - ANSWERS>>>>>-term infants
BF have enough iron stores for 4-6mo
-preterm infants or low birth weight infants, BF beyond 6mo, or
only on cows milk prior to 12mo are at high risk for iron def
anemia
-supplement with iron fortified cereal
-give iron 1mg/kg/day beginning at 4mo
, Newborn motor skills: - ANSWERS>>>>>primary reflexes present
and symmetric
sucking, rooting, moro, grasp
arm and leg recoil
knee flexibility
Newborn psychological development: - ANSWERS>>>>>-erickson:
trust v mistrust
-piaget: sensorimotor (coordination between self and
environment)
-assess parent child interaction, oral gratification, stimulating
environment
-assess mental health
-screen for signs of abuse
Anticipatory guidance for newborns: - ANSWERS>>>>>-consistent
routines
-ppd
-accept help
-avoid crowds
-skin, circ, umbilical care
-vitamin D- need 400 iu if they are exclusively bf, until formula is
introduced
Safety for newborns: - ANSWERS>>>>>-safe sleep
