NB (Ch. 18) - Bates/Sullivan

Question 1

Perform less invasive procedures ___ and more distressing maneuvers near the ___ of the exam.

Answer 1

first, end

Question 2

b/p screening begins after age ___. BMI screening begins after age ___.

Answer 2

3, 2

Question 3

Score the NB on the apgar system at ___ and ___ mins of age. Scoring may continue at 5-min intervals until the score is > ___.

Answer 3

1, 5, 7

Question 4

On the apgar scale, 8-10 is ___, 5-7 indicates some ___ ___ depression, 0-4 indicates severe ___, requiring immediate resuscitation.

Answer 4

normal, nervous system, depression

Question 5

SGA = \_\_\_%
AGA = \_\_\_-\_\_\_%
LGA = > \_\_\_%

Answer 5

10
10-90
90

Question 6

Infants of mothers who have diabetes are at increased risk for being ___. A common complication of LGA is ___.

Answer 6

LGA, hypoglycemia

Question 7

___ infants are more likely to experience asphyxia, hypoglycemia, and hypocalcemia.

Answer 7

SGA

Question 8

Infants have head control and follow object at ___ month. Rolls over and grasps rattle at ___-___ months. Sits at ___-___ months, pulls to stand at ___-___ months. Stands at ___ months. Walks at ___ months.

Answer 8

1, 2-3, 5-6, 7-8, 10, 12

Question 9

The ___ ___ ___ test (DDST) is designed to detect developmental delays.

Answer 9

Denver developmental screening

Question 10

___ is an abnormally large head circumference, and ___ is an abnormally small head circumference.

Answer 10

macrocephaly, microcephaly

Question 11

___ can raise RR.

Answer 11

Fever

Question 12

A pulse rate too rapid to count may indicate ___ ___ ___.

Answer 12

paroxysmal supraventricular tachycardia

Question 13

Tachypnea and increased resp effort could be signs of ___ or ___.

Answer 13

bronchiolitis, pneumonia

Question 14

___ may elevate NB body temp.

Answer 14

Anxiety

Question 15

Central cyanosis should raise suspicion of ___ ___ ___>

Answer 15

congenital heart disease

Question 16

Jaundice typically disappears w/in a ___. Persisting beyond 2-3 wks could indicate ___ ___ or ___ disease.

Answer 16

week, biliary obstruction, liver

Question 17

___ blanching indicates jaundice.

Answer 17

yellowish

Question 18

Stork bites or angel kisses are ___ findings.

Answer 18

normal

Question 19

___ are pinhead-sized smooth white raised areas w/out erythema on the nose, chin, and forehead and are normal. Disappear over several weeks.

Answer 19

Milia

Question 20

___ ___ are common among dark-skinned babies and can be mistaken for ___.

Answer 20

mongolian spots, bruises

Question 21

Overlap of the cranial bones at the suture line is called ___.

Answer 21

molding

Question 22

The ___ fontanelle closes between 4-26 months of age. the ___ fontanelle closes by 2 months.

Answer 22

anterior, posterior

Question 23

A ___ is localized swelling of the scalp that does not cross over the suture line, whereas a ___ ___ does cross the suture line.

Answer 23

cephalohematoma, caput succedaneum

Question 24

A + Chvostek’s sign is noted in cases of ___ ___.

Answer 24

hypocalcemic tetany

Question 25

Brushfield’s spots are a ring of white specks in the iris of the eye and are typically seen in ___ ___ babies.

Answer 25

down syndrom

Question 26

A ___ retinal reflex (instead of the normal ___) could indicate retinoblastoma.

Answer 26

white, red

Question 27

Pull the auricle ___, not ___ to visualize the eardrum.

Answer 27

down, up

Question 28

___ are commonly found on the soft palate after birth.

Answer 28

Petechiae

Question 29

Abnormal cries:
Shrill/high-pitched = ___ ___ ___
Hoarse = ___ ___ or ___ ___
Inspiratory/Expiratory stridor = ___ ___ ___
Absence of cry = severe ___, vocal cord ___, or ___ ___

Answer 29

increased intracranial pressure
hypocalcemic tetany, congenital hypothyroidism
upper airway obstruction
illness, paralysis, brain damage

Question 30

Nasal flaring may be the result of an ___ ___ ___.

Answer 30

upper respiratory infection

Question 31

The best sign for r/o pneumonia in an infant is the absence of ___.

Answer 31

tachypnea

Question 32

___ sign is where the abdomen moves outward upon inspiration while the chest moves inward.

Answer 32

Hoover’s

Question 33

Diminished breath sounds on one side of the chest is suggestive of ___ ___.

Answer 33

diaphragmatic hernia

Question 34

Central cyanosis suggests ___ disease.

Answer 34

cardiac

Question 35

Tachypnea, tachycardia, and hepatomegaly indicate ___ ___.

Answer 35

heart failure

Question 36

A bulge outward of the left side of the chest suggests ___.

Answer 36

cardiomegaly

Question 37

If you cannot detect femoral pulses, measure ___ of the lower and upper extremities. If they are equal or lower in the ___, coarctation is likely.

Answer 37

b/p, legs

Question 38

Benign ___ are normal.

Answer 38

murmurs

Question 39

The breasts of the NB in both males and females are often enlarged d/t maternal ___ effect.

Answer 39

estrogen

Question 40

___ is when the urethral orifice appears at some point along the ventral surface of the glans or shaft of the penis.

Answer 40

Hypospadias

Question 41

Scrotal ___ is normal and may be present for several days following birth.

Answer 41

edema

Question 42

Two common scrotal masses include: ___ and ___ ___.

Answer 42

hydroceles, inguinal hernias

Question 43

The ___ response is dorsiflexion of the big toe and fanning of other toes.

Answer 43

Babinski