APEA Growth and development-Questions with Correct Answers/ Verified
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Course
Apea
Institution
Apea
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 ...
- ✔✔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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