NURS 609 C Newest Exam with precise || || || || || || ||
detailed solutions ||
Thin stratum corneum (outermost layer of the epidermis) - ✔✔-Affects infants & toddlers until
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age 2-3, when skin becomes thicker due to daily friction & pressure
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-Thin skin (can see vessels); increased absorption of topical drugs, risk of burns, prone to
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hypothermia & dehydration || ||
Thin layer of SQ fat - ✔✔-Affects neonates
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-Temperature control ||
Epidermis is more loosely bound to dermis - ✔✔-Infants & early school age children
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-Easy separation leads to easy blistering
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-Prone to superficial bacterial infections and systemic symptoms w/ skin infections
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sebaceous glands - ✔✔Are active in neonate b/c of maternal androgen levels and again @
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puberty due to hormonal changes
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-Neonates & adolescents || ||
-Milia in neonates (acne for neonates)
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-Acne in teenagers || ||
Eccrine glands - ✔✔Functional @ birth; full function at 2-3 years
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-Infants; toddlers until preschool age || || || ||
-Palmar sweating occurs; pain assessment in neonates
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Apocrine glands - ✔✔not functioning until puberty
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-Adolescents
-Apocrine glands cause body odor || || || ||
Production of melanin - ✔✔reaches adult levels by adolescents
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-Infants; children until adolescents
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-Skin color changes as child ages
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skin UNTIL AGE 2 - ✔✔Greater body surface area
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-Infants, toddlers until 2 || || ||
- Increased exposure to topical drugs (possible toxicity)
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b/c of cephalocaudal development. Head circumference exceeds chest circumference from -
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✔✔birth to age 2 || || ||
-Larger head means potential for injury; lots of head trauma in this age group
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Head at birth - ✔✔Cranial structures are not fully fused @ birth to accommodate brain growth
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Posterior Fontanel closes @ - ✔✔2 months
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Anterior Fontanel closes @ - ✔✔12-18 months
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full/ bulging anterior fontanel means? - ✔✔increased ICP
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sunken fontanel means? - ✔✔Dehydration || || || ||
When does neck Lengthen? - ✔✔3-4 years
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infants under 3-4 short neck and prominent occiput what does it mean? - ✔✔-prone to injury
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-airway structures are close together || || || ||
-difficult intubation in this age group || || || || ||
Eye structure & function are immature at - ✔✔Birth
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Pupils are small w/ poor reflex until - ✔✔5 months
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Transient nystagmus & esotropia (eye facing inward) in - ✔✔neonates younger than 6 months is
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normal
Irises have little pigment till - ✔✔6-12 months
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Vision underdeveloped at - ✔✔Birth
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infants fixate eyes at - ✔✔4 months || || || || || ||
color vision by - ✔✔8 months
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children are farsighted until - ✔✔-6-7 years (School age)
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- Affects vision exam
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Weak abdominal musculature; abdomen is protuberant in - ✔✔NEONATES
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Weak abdominal musculature; abdomen is prominent while standing but flat when supine in -
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✔✔Toddlers
What contributes to "pot-bellied" appearance in infants and toddlers - ✔✔weak abdominal
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musculature and Liver and spleen are not well protected || || || || || || || ||
abdomen larger than chest in - ✔✔-Infants, children until age 4 years
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Distended or scaphoid abdomen is indicative of - ✔✔a pathological finding
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Abdomen is cylindrical in shape - ✔✔Infants
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Peristalsis may be visible and may indicate a pathologic finding such as pyloric stenosis in -
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✔✔Infants
Abdominal contour changes to adult shape by - ✔✔Adolescence
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Stomach lies in Transverse plain in - ✔✔Infants, toddlers until age 2 years
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-Affects normal area for auscultation and palpation during physical examination
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Gastric pH is alkalotic at - ✔✔Birth
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- Affects oral medication absorption, increases incidence of gastroesophageal reflux
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Gastric acid production slowly increases to adult levels by - ✔✔2 years
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