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

Name: 2023 NURS629 Maryville University Prenatal MVU Exam 2 With Answers (115 Solved Questions)
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Author: Mia Wood

Understand common exam pitfalls with 2023 NURS629 Maryville University Prenatal MVU Exam 2 With Answers, a detailed past exam collection.

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NURS 629 exam 2
Weight changes in 1st year of life Ans- Weight increases 6-8lbs, up to 20lbs in the 1st
year of life
When does the posterior fontanelle close? Anterior? Ans- posterior- 2 months,
anterior- 9-18 mo
when do the abdominal muscles close? Ans- 3 years
When are the testicles descended? Ans- 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? Ans- leg fold symmetry
hib abduction- no clicks
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Ortolani maneuver Ans- 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 Ans- 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 Ans- 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? Ans- their sphincters are not mature, break up
feedings ~15mL, burp, then return.
When does colic usually resolve? Ans- by 6 months
Toddler weight gain per year Ans- 4-6lbs per year,
grow 3 inches pe ryear
In toddler always assess for? Ans- 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? Ans- at 3 years
School age children grow more steadily? Ans- 2 in/year
4-6lbs/ year
In adolescence when does puberty begin in girls? Ans- 9-13 years
when does puberty begin in boys? Ans- 11-14 years
At what ages do puberty changes develop in girls? Ans- breast enlargement 8-13 yr
axillary hair 11-13 yrs
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pubic hair 10-12 years
menarche 10-16 years
at what ages do puberty changes develop in boys? Ans- genital enlargement 9-13 yrs
axiallary hair 12-14 yrs
facial hair 11-14 yrs
pubic hair 12-15 yrs
Tanner Stages Girls Ans- 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 Ans- 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? Ans- Jaundice at birth (hemolysis). High-pitched cry. Irritable.
"Floppy" (hypotonic). Poor reflexes
red flags of 3 month Ans- inability to hold head. avoids eye contact, floppy.
red flags at 6 months Ans- lack of babbling. does not laugh. inability to turn head past
180 degrees
Red flags at 9 months Ans- Cannot sit without support, not indicating wants (Niner
needs recliner, but doesn't want it)
if infantile reflexes remain strong.
does not bable
does not bear weight on legs
2 year red flags Ans- Unable to speak meaningful two-word "sentences." Does not
understand simple commands. Loss of speech, social skills, previously learned
behaviors and/or does not say words by 16 months (autism).

1 year red flag Ans- Unable to support own weight. Lack of babbling. No response to
smiles, poor eye contact, loss of previously learned skills (autism).
3 yr red flags Ans- Speech hard to understand or unclear speech. Unable to
understand simple commands. Fall down often. Does not speak in sentences. No eye
contact. Losses skills he or she once had.
4 yr red flags Ans- Unable to speak in full sentences. Inability to skip, run, hop. Cannot
put on clothes without help. Unable to play with other kids. Unable to follow three-part
commands.
5 yr red flags Ans- Unusually withdrawn. Not active. Trouble focusing on one activity
for more than 5 minutes.
2 year normal activities Ans- Walks. Runs. Climbs stair up and down on own by
holding onto handrails. Speech mostly understood by family. Follows two or three step
instructions. Copies a line.
PMH to address in sports physical Ans- ■ 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 to
sudden death, cardiac death, death with activity, and history of asthma, contacts or
dental appliances that may require accommodations, mental health, sexual status,
menstruation, alcohol/smoking/drug use
sports physical cardiac questions Ans- ■ Chest pain, shortness of breath, feeling dizzy
lightheaded 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 pulses
contraindications for clearance from sports physical? Ans- ● Chest pains while
exercising, 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 span
longer than height, girls taller than 5.10 and boys taller than 6.0, kyphoscoliosis, pectus
excavatum, myopia)
who needs referral for f/u before clearance from sports physical? Ans- ● History of or
current cardiac anomalies
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Walden University

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Nursing

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

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