Maryville NURS 629 Exam 2 | 100% Correct
Answers | Verified | Latest 2024 Version
Weight changes in 1st year of life - ✔✔Weight increases 6-8lbs, up to 20lbs in the 1st year of life
When does the posterior fontanelle close? Anterior? - ✔✔posterior- 2 months,
anterior- 9-18 mo
when do the abdominal muscles close? - ✔✔3 years
When are the testicles descended? - ✔✔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? - ✔✔leg fold symmetry
hib abduction- no clicks
Ortolani maneuver - ✔✔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 - ✔✔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 - ✔✔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
why is acid reflux common in infants? - ✔✔their sphincters are not mature, break up feedings ~15mL,
burp, then return.
When does colic usually resolve? - ✔✔by 6 months
Toddler weight gain per year - ✔✔4-6lbs per year,
grow 3 inches pe ryear
In toddler always assess for? - ✔✔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? - ✔✔at 3 years
School age children grow more steadily? - ✔✔2 in/year
4-6lbs/ year
In adolescence when does puberty begin in girls? - ✔✔9-13 years
when does puberty begin in boys? - ✔✔11-14 years
At what ages do puberty changes develop in girls? - ✔✔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? - ✔✔genital enlargement 9-13 yrs
axiallary hair 12-14 yrs
facial hair 11-14 yrs
pubic hair 12-15 yrs
Tanner Stages Girls - ✔✔1. Preadolescent breasts, breast papilla elevated above breast wall. no pubic
hair.
2. *puberty starts* Breast buds with areolar enlargement, papilla forms small mound. scant pubic hair,
light pigment.
3. Breast and areola grow together in one mound. no separation. pubic hair more abundant.
4. Areola and nipple project as secondary mound. pubic hair abundant but smaller area than adult.
menstruation starts.
5. Adult breast: Areola recedes, nipple retracts
Tanner stages boys - ✔✔1 prepubertal- no pubic hair, scrotum and pedis are childhood size
2 enlargement of scrotum- puberty starts. age11-13. increased testicular size, pubic hair scant and lightly
pigmented. scrotum reddened and textured
3 (age 13-14) enlargement of penis (length). testicular growth. increase in pubic hair and pigment
4 (14-15) enlargement of penis (breadth). acne. voice changes.
5 (15-16) adult genitalia, mature pubic hair distribution.
Red flags of neonate? - ✔✔Jaundice at birth (hemolysis). High-pitched cry. Irritable. "Floppy"
(hypotonic). Poor reflexes
red flags of 3 month - ✔✔inability to hold head. avoids eye contact, floppy.
Answers | Verified | Latest 2024 Version
Weight changes in 1st year of life - ✔✔Weight increases 6-8lbs, up to 20lbs in the 1st year of life
When does the posterior fontanelle close? Anterior? - ✔✔posterior- 2 months,
anterior- 9-18 mo
when do the abdominal muscles close? - ✔✔3 years
When are the testicles descended? - ✔✔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? - ✔✔leg fold symmetry
hib abduction- no clicks
Ortolani maneuver - ✔✔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 - ✔✔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 - ✔✔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
why is acid reflux common in infants? - ✔✔their sphincters are not mature, break up feedings ~15mL,
burp, then return.
When does colic usually resolve? - ✔✔by 6 months
Toddler weight gain per year - ✔✔4-6lbs per year,
grow 3 inches pe ryear
In toddler always assess for? - ✔✔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? - ✔✔at 3 years
School age children grow more steadily? - ✔✔2 in/year
4-6lbs/ year
In adolescence when does puberty begin in girls? - ✔✔9-13 years
when does puberty begin in boys? - ✔✔11-14 years
At what ages do puberty changes develop in girls? - ✔✔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? - ✔✔genital enlargement 9-13 yrs
axiallary hair 12-14 yrs
facial hair 11-14 yrs
pubic hair 12-15 yrs
Tanner Stages Girls - ✔✔1. Preadolescent breasts, breast papilla elevated above breast wall. no pubic
hair.
2. *puberty starts* Breast buds with areolar enlargement, papilla forms small mound. scant pubic hair,
light pigment.
3. Breast and areola grow together in one mound. no separation. pubic hair more abundant.
4. Areola and nipple project as secondary mound. pubic hair abundant but smaller area than adult.
menstruation starts.
5. Adult breast: Areola recedes, nipple retracts
Tanner stages boys - ✔✔1 prepubertal- no pubic hair, scrotum and pedis are childhood size
2 enlargement of scrotum- puberty starts. age11-13. increased testicular size, pubic hair scant and lightly
pigmented. scrotum reddened and textured
3 (age 13-14) enlargement of penis (length). testicular growth. increase in pubic hair and pigment
4 (14-15) enlargement of penis (breadth). acne. voice changes.
5 (15-16) adult genitalia, mature pubic hair distribution.
Red flags of neonate? - ✔✔Jaundice at birth (hemolysis). High-pitched cry. Irritable. "Floppy"
(hypotonic). Poor reflexes
red flags of 3 month - ✔✔inability to hold head. avoids eye contact, floppy.
