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NURS 629 EXAM 2 UPDATED
ACTUAL EXAM WITH CORRECT
SOLUTIONS.
Weight changes in 1st year of life - correct answer- Weight increases 6-8lbs, up to 20lbs in the 1st year of life
When does the posterior fontanelle close? Anterior? - correct answer- posterior- 2 months, anterior- 9-18 mo
when do the abdominal muscles close? - correct answer- 3 years
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)
what do you assess for with infants musculoskeletal system? - correct answer- leg fold symmetry hib abduction- no clicks
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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
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
Infantile eczema - correct answer- atopic dermatitis is an inflammation of genetically hypersensitive skin
- local vasodilation in affected areas
- rarely seen in breastfed infants until they begin to eat
- it is a symptom rather than a disorder
- infant is oversensitive to certain substances
spongiosis or breakdown of dermal cells and formation of intradermal vesicles
additional food
Worse in winter
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why is acid reflux common in infants? - correct answer- their sphincters are not mature, break up feedings ~15mL, burp, then return.
When does colic usually resolve? - correct answer- by 6 months
Toddler weight gain per year - correct answer- 4-6lbs per year, grow 3 inches pe ryear
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
what age do you screen for hearing and vision? - correct answer- at 3 years
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School age children grow more steadily? - correct answer- 2 in/year 4-6lbs/ year
In adolescence when does puberty begin in girls? - correct answer- 9-13 years
when does puberty begin in boys? - correct answer- 11-14 years
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
at what ages do puberty changes develop in boys? - correct answer- genital enlargement 9-13 yrs axiallary hair 12-14 yrs facial hair 11-14 yrs pubic hair 12-15 yrs
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