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APEA Growth and development-Questions with Correct Answers/ Verified

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1 Lifts head, Equal movements in all extremities 2 none to speak of 3 Regards another's face • Human eyes are bright and shiny, so newborns should track caregivers' eyes 4 Cry: communication tool for hunger, pain, attention, cold • High-pitched cry can indicate neurologic disorder 5 Moro ...

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  • August 21, 2024
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  • 2024/2025
  • Exam (elaborations)
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MikeHarris
APEA Growth and development-Questions with Correct Answers/
Verified

1 Lifts head, Equal movements in all extremities

2 none to speak of

3 Regards another's face • Human eyes are bright and shiny, so newborns should track caregivers'
eyes

4 Cry: communication tool for hunger, pain, attention, cold • High-pitched cry can indicate
neurologic disorder

5 Moro • Stepping • Palmar • Plantar • Rooting • Sucking • Galant • Tonic neck • Blink, cough, gag,
sneeze, yawn (all are lifelong)

6 - ✔✔Growth and Development:

1 Gross motor ?

2 Fine motor ?

3 Personal social

4 Language

5 Reflexes

6 Fontanels

7 Visual behavior



- ✔✔Hyperextension of the head, abduction of the arms and legs in response to sound



- ✔✔Infant's head is turned to one side, the corresp



stepping reflex - ✔✔Takes steps when held upright with feet touching a flat surface



Babinski reflex - ✔✔Toes fan out in response to a stroke on the lateral sole of the foot



• Reflex: Babinski (plantar)

• Eliciting the reflex: On sole of foot, beginning at heel, stroke upward along lateral aspect of sole,
then move finger across ball of foot

• Characteristic response: All toes hyperextend, with dorsiflexion of big toe—recorded as a positive
sign

, • Comments: Absence requires neurological evaluation; should disappear after 1 year of age.
Response depends on infant's general muscle tone, maturity, and condition - ✔✔Babinski Reflex



caput succedaneum - ✔✔Edema over the presenting part of the head. Resolves in a few days.
Completely benign.



Cephalohematoma (CH) - ✔✔A collection of blood between a baby's scalp and the skull. Will take
weeks to resolve.



head circumference - ✔✔Should be plotted on a growth chart and compared to gestational age
through age 3 years



Head circumference is measured at the largest circumference, above the ears



• Red reflex should be present bilaterally at birth

• If red reflex absent, consider congenital cataracts, retinoblastoma

• Vision is about 20/200 to 20/400 - ✔✔Visual Behavior



• Newborn with purulent ocular discharge: Consider gonococcus, chlamydia, or herpes



• Chemical conjunctivitis from erythromycin ointment 0.5% used to prevent ophthalmia neonatorum
(ON) caused by gonorrhea - ✔✔Ocular Discharge



• Low-set ears may indicate renal agenesis

• Chromosomal abnormalities

• Assess gross hearing by observing for startle response - ✔✔Ears?



-AAP recommends universal hearing screening by age 1 month

• Goal is to detect hearing loss before 3 months of age

• Interventions by age 6 months



Gross hearing of infant is assessed by observing startle response to loud noise

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