NFDN 2005 FINAL EXAM 2024 WITH 500

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NFDN 2005 FINAL EXAM 2024 WITH 500

REAL EXAM QUESTIONS AND CORRECT

ANSWERS (100% CORRECT ANSWERS)

NFDN 2005 FINAL EXAM LATEST 2024/2025

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What does enlarge cervical node indicate?Upper respiratory infection and otitis media What can webbing and excessive neck skin may indicate?Turner syndrome

Lax or stretchable neck may indicate what?Down syndrome

Eyes assessment on children -Pupil should be looking directly ahead -Iris should be round and sclera is clear -Cornea is transparent -Corner of the eyes are uniform, free of discharge, inflammation and swelling Assess cranial II, IV and VI 1 / 4

pg. 2 Are young infant to 4 months normally cross eyes/Intermittent strabismus?Yes

Ears assessment on children The top pinna should lie lower than the eyes and deviated no more than 10 degree from a line When palpating mastoid it should not cause pain Do not flush foreign objects out with water as it can cause it to swell.Should you irrigate the internal ear of a child?No! as it can rapture tympanic membrane. The use of mineral oil is highly recommended What can low set ears indicates?Genetic abnormalities and syndrome

What does ear protrusion or flattening of ears indicate?Inflammation, persistent side lying

Nose and sinuses assessment on children Clear mucus may indicate a baby crying Inspect the interior of the nose by tilting the child's head backward and pushing the 2 / 4

pg. 3 tip of the nose upward.Nasal mucosa is uniformly pink.Firm and free from edema, excoriation or masses Are 3-6 months nose breathers?Yes! due to soft and long palate Mouth and throat assessment on children Cry should neither be hoarse or shrill Drooling occurs about three months due to inability to swallow Mouth is pink, moist and mucosal are intact7 Extrusion reflex of the tongue allows infant to suckle easily Assess cranial XI (Hypoglossal) and IX (Glossopharyngeal) Throat are to be assess during yawning and crying only Tonsil are usually not found in infants Assess gag reflex cranial V (Vagus) Why should you avoid topical analgesic and anesthetic during teething?Risk for aspiration and chocking When does eruption of teeth first occur?3-12 months When do infant develop 20 teeth?30 months What can protuberant abdomen indicate?Ascites, fluid retention, gaseous distention or tumor What can depressed or concave abdomen indicate?Malnutrition When auscultating and hyperactive is noted. What does it indicate?Diarrhea 3 / 4

pg. 4 When auscultating and hypoactive is noted. What does it indicate?Obstruction Is palpable kidney in neonatal normal?No, it indicates tumor Inconsolable crying that last more than 3 hours, which is worse in evening Sucking, tummy down, knees up -No known cause Colic Intervention for colic

• Educate parents that crying increase in 6 weeks old and diminished about 12

week\ 2.Assess that all babies needs are met 3.Reduce stimulation 4.Car ride or swing 5.Carrying more often 6.Vibration, noise or gentle music

• Pacifier use

inflammation of the stomach and intestines -Dehydration is important to look for as it can lead to hypovolemic shock

S/S: Watery diarrhea, vomiting, low fever

• Educate patient to drink fluid slowly

gastroenteritis

Agreeing to something/ Child's participation in the decision making about health care

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