2023 NURS629 Maryville University Prenatal MVU Exam 2 With Answers (115 Solved Questions)

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2023 NURS629 Maryville University Prenatal MVU Exam 2 With Answers (115 Solved Questions) - Page 1 preview image

NURS 629 exam 2Weight changes in 1st year of lifeAns- Weight increases 6-8lbs, up to 20lbs in the 1styear of lifeWhen does the posterior fontanelle close? Anterior?Ans- posterior- 2 months,anterior- 9-18 mowhen do the abdominal muscles close?Ans- 3 yearsWhen are the testicles descended?Ans- usually descended at birth, but spontaneousdescent may occur in the first year after birth. (usually 6 months)what do you assess for with infants musculoskeletal system?Ans- leg fold symmetryhib abduction- no clickslOMoARcPSD|13778330

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2023 NURS629 Maryville University Prenatal MVU Exam 2 With Answers (115 Solved Questions) - Page 2 preview image

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2023 NURS629 Maryville University Prenatal MVU Exam 2 With Answers (115 Solved Questions) - Page 3 preview image

Ortolani maneuverAns- 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 ortolanisignBarlow maneuverAns- place your index and middle finger over the greatertronchanter. Gently push both knees together at midline downwards.Positive:"Clunk" sounds or palpating trochangter being displaced by the index/middlefingerInfantile eczemaAns- atopic dermatitis is an inflammation of genetically hypersensitiveskin- local vasodilation in affected areasspongiosis 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 substancesWorse in winterwhy is acid reflux common in infants?Ans- their sphincters are not mature, break upfeedings ~15mL, burp, then return.When does colic usually resolve?Ans- by 6 monthsToddler weight gain per yearAns- 4-6lbs per year,grow 3 inches pe ryearIn toddler always assess for?Ans- anterior fontanel (should be closed by 18 m-2 yrs.screen for strabismustooth eruption- if no teeth by 18 mo= xrayassess for hip dysplasia, gait, bowlegged-DTRs-Babinski + (dorsiflex) normal in infant less than 24 mowhat age do you screen for hearing and vision?Ans- at 3 yearsSchool age children grow more steadily?Ans- 2 in/year4-6lbs/ yearIn adolescence when does puberty begin in girls?Ans- 9-13 yearswhen does puberty begin in boys?Ans- 11-14 yearsAt what ages do puberty changes develop in girls?Ans- breast enlargement 8-13 yraxillary hair 11-13 yrslOMoARcPSD|13778330

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2023 NURS629 Maryville University Prenatal MVU Exam 2 With Answers (115 Solved Questions) - Page 4 preview image

pubic hair 10-12 yearsmenarche 10-16 yearsat what ages do puberty changes develop in boys?Ans- genital enlargement 9-13 yrsaxiallary hair 12-14 yrsfacial hair 11-14 yrspubic hair 12-15 yrsTanner Stages GirlsAns- 1. Preadolescent breasts, breast papilla elevated abovebreast 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 moreabundant.4. Areola and nipple project as secondary mound. pubic hair abundant but smaller areathan adult. menstruation starts.5. Adult breast: Areola recedes, nipple retractsTanner stages boysAns- 1 prepubertal- no pubic hair, scrotum and pedis are childhoodsize2 enlargement of scrotum- puberty starts. age11-13. increased testicular size, pubic hairscant and lightly pigmented. scrotum reddened and textured3 (age 13-14) enlargement of penis (length). testicular growth. increase in pubic hairand pigment4 (14-15) enlargement of penis (breadth). acne. voice changes.5 (15-16) adult genitalia, mature pubic hair distribution.Red flags of neonate?Ans- Jaundice at birth (hemolysis). High-pitched cry. Irritable."Floppy" (hypotonic). Poor reflexesred flags of 3 monthAns- inability to hold head. avoids eye contact, floppy.red flags at 6 monthsAns- lack of babbling. does not laugh. inability to turn head past180 degreesRed flags at 9 monthsAns- Cannot sit without support, not indicating wants (Ninerneeds recliner, but doesn't want it)if infantile reflexes remain strong.does not babledoes not bear weight on legs2 year red flagsAns- Unable to speak meaningful two-word "sentences." Does notunderstand simple commands. Loss of speech, social skills, previously learnedbehaviors and/or does not say words by 16 months (autism).

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2023 NURS629 Maryville University Prenatal MVU Exam 2 With Answers (115 Solved Questions) - Page 5 preview image

1 year red flagAns- Unable to support own weight. Lack of babbling. No response tosmiles, poor eye contact, loss of previously learned skills (autism).3 yr red flagsAns- Speech hard to understand or unclear speech. Unable tounderstand simple commands. Fall down often. Does not speak in sentences. No eyecontact. Losses skills he or she once had.4 yr red flagsAns- Unable to speak in full sentences. Inability to skip, run, hop. Cannotput on clothes without help. Unable to play with other kids. Unable to follow three-partcommands.5 yr red flagsAns- Unusually withdrawn. Not active. Trouble focusing on one activityfor more than 5 minutes.2 year normal activitiesAns- Walks. Runs. Climbs stair up and down on own byholding onto handrails. Speech mostly understood by family. Follows two or three stepinstructions. Copies a line.PMH to address in sports physicalAns- ■ Look at PMH, meds and supplements,steroid use, previous injuries, immunization status, weight concerns, allergies,concussions, dizziness or fainting with physical exertion, family history related tosudden death, cardiac death, death with activity, and history of asthma, contacts ordental appliances that may require accommodations, mental health, sexual status,menstruation, alcohol/smoking/drug usesports physical cardiac questionsAns- ■ Chest pain, shortness of breath, feeling dizzylightheaded or faint after physical activity■ Cardiac anomalies, murmurs, high blood pressure, irregular heart rate- family cardiac history- displaced PMI with different positioning- changes in heart sounds with supine, standing and valsalva-asymmetric pulsescontraindications for clearance from sports physical?Ans- ● Chest pains whileexercising, congenital cardiac anomalies, hypertrophic cardiomyopathy, new murmurs,hypertension● Family hx. Of sudden death under 50 or while playing sports, exertional syncope,symptoms of Marfan syndrome● Marfan syndrome (2 or more of the following needs further evaluation: arm spanlonger than height, girls taller than 5.10 and boys taller than 6.0, kyphoscoliosis, pectusexcavatum, myopia)who needs referral for f/u before clearance from sports physical?Ans- ● History of orcurrent cardiac anomalieslOMoARcPSD|13778330

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