Peds Exam 3

Question 1

What is the head lag reflex

Answer 1

When the infant is lifted from the bed, the head will fall back because the newborn cannot maintain neutral head position. disappears by 6 months

Question 2

What is the rooting reflex

Answer 2

causes the infants head to turn in the direction of anything that touches it’s cheek in anticipation of food.. disappears around 3- 4 months

Question 3

What is the tonic neck reflex

Answer 3

When sleeping or quiet the infants head turns to one side and the arm and leg on the side that are extended, while the opposite arm and leg are flexed, disappears around 5 months

Question 4

What is the palmar grasp

Answer 4

place an object in the hand of a newborn and the newborn will grasp it tightly, disappears by 4 months

Question 5

What is the moro relex

Answer 5

reaction to a sudden movement in which the infants arms and legs extend and abduct and the fingers are splayed in a C position. Then the infants arms return to the midline in an embracing position. disappears around 3-6 months

Question 6

What is the babinski reflex

Answer 6

stroke the sole of the foot, the big toe will dorsiflex and the toes will flare out.

Question 7

what is the blinking response

Answer 7

the infant will blink when hearing a loud noise disappears around 3-6 months

Question 8

what is the sucking response

Answer 8

the infant will suck on a finger or nipple when placed in mouth, disappears around 7-12 months

Question 9

What is the dancing relex

Answer 9

the infant when held upright above a table will lift their foot up on contact with the surface disappears around 4-5 months

Question 10

What is molding in a newborn

Answer 10

shaping of the fetal head to facilitate movement into the birth canal

Question 11

WHat are fontanelles

Answer 11

openings at the point of the union of skull bones, soft spots

Question 12

signs of dehydration in newborn

Answer 12

sunken fontanel, cold, clammy skin, reduced activity, dry skin, lips dry, fewer wet diapers, lack of tears

Question 13

what is lanugo

Answer 13

fine hair that covers the infants body, tends to disappear during the first week of life.

Question 14

what is milia

Answer 14

white pinpoint pimples caused by obstructed sebaceous glands

Question 15

What is the range for a newborns head circumference

Answer 15

from 12.4 inches to 14.1 inches or 32 to 36 cm

Question 16

What are the functions of the fontanelles

Answer 16

to allow for the head to adapt to the birth canal, and to allow for future brain growth

Question 17

Shape of the anterior fontanelles and how long until closure

Answer 17

diamond- 12-18 months

Question 18

shape of the posterior fontanelle and how long until closure

Answer 18

triangle and by the end of the 2nd month

Question 19

Types of murmurs found in newborns and what they are

Answer 19

functional- functioning murmur, normal murmur, due to blood passing through normal heart valves.

abnormal or organic is abnormal and due to abnormal openings or normal openings that have not yet closed.

Question 20

Normal newborn vital signs

Answer 20

Temp: axillary- 36.6-37.2 (97.8-98.9)
Pulse- 110-160 bpm
Respirations- 30-60 per minute

Question 21

Erikson’s first task for infant

Answer 21

trust vs. mistrust

Question 22

Social development for an infant of 2 months

Answer 22

tears appear, they can hold head erect in midposition, can following moving light with eyes and hold a rattle briefly

Question 23

Social development for an infant of 4 months

Answer 23

can play with a rattle and dangling toys, rooting, tonic neck, moro and extrusion reflexes are no longer present

Question 24

social development for an infant of 6 months

Answer 24

cries loudly when interrupted from play, increased interest in world. babbles and squeals, sucks food from spoon.

Question 25

social development for 12 months

Answer 25

friendly, repeats acts that elicit a response, recognizes no

Question 26

At what age does the parachute relex appear

Answer 26

7 to 9 months

Question 27

How to deal with an irritable infant or infant with colic

Answer 27

Breast feeding mothers should avoid gas producing foods, and the infants should be burped frequently, holding the infant face down and close to the body while supporting the abdomen. Using gentle formulas such as enfamil gentlease or similac gentle