NURS 629 Exam 2 questions and answers latest graded A
Question :Weight changes in 1st year of life
CORRECT ANSWER :Weight increases 6-8lbs, up to 20lbs
in the 1st year of life
Question :When does the posterior fontanelle close? Anterior?
CORRECT ANSWER :posterior- 2 months, anterior- 9-18
mo
Question :when do the abdominal muscles close?
CORRECT ANSWER :3 years
Question :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)
Question :what do you assess for with infants musculoskeletal
system?
CORRECT ANSWER :leg fold symmetry hib abduction- no
clicks
Question :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
Question :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
Question :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
Question :why is acid reflux common in infants?
CORRECT ANSWER :their sphincters are not mature, break
up feedings ~15mL, burp, then return.
Question :When does colic usually resolve?
CORRECT ANSWER :by 6 months
Question :Toddler weight gain per year
CORRECT ANSWER :4-6lbs per year, grow 3 inches pe
ryear
Question :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
Question :what age do you screen for hearing and vision?
CORRECT ANSWER :at 3 years
Question :School age children grow more steadily?
CORRECT ANSWER :2 in/year 4-6lbs/ year
Question :In adolescence when does puberty begin in girls?
CORRECT ANSWER :9-13 years
Question :when does puberty begin in boys?
CORRECT ANSWER :11-14 years
Question :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