Assessing Growth - Week 1
How to calculate BMI (Pounds and inches)
(Weight in pounds divided by (height in inches )^squared) x 703 Step 1: take pt's weight ex 130lb and divide by ex 64 inches. Step 2: divide by 64 inches again Step 3: Multiply by 703.
When reading a patient's weight, the nurse should record the weight to the nearest ___________- pound. Record your answer using one decimal place
0.2 lb ( or 1/4 lb)
Age girls begin puberty
9-12 years of age with breast development
When assessing a male in Tanner stage , the nurse notes what about the size of the penis and scrotum? a) Penis and scrotum are the same size as those of a young child b) Scrotum is enlarged, w/ thinner, wrinkled skin c) Defined glans of the penis & increased pigmentation of scrotum d) penis reaches to bottome of scrotum; scrotum is ample in size
A
Which statement should the nurse make to a 16 year old female patient who is concerned that her breast are uneven? a) " Breasts often develop at different rates and appear asymmetric." b) " Most girls start developing breasts by age 12, so you are normal." c) " Breast development will start after menarche." d) " Higher body mass index is associated with early puberty."
A
Which developmental landmarks signify the onset of puberty in females? (select all that apply) a) Breast stage 2 b) Pubic hair stage 2 c) Menarche d) Breast stage 4 e) Pubic hair stage 5
A & B
What is the average age for menarche? a) 12 years b) 15 years c) 6 years d) 9 years
A) 12 years ** 12-13 is the average age at menarche
To accurately measure the infant's head circumference. the measuring tape must surround which part of the skull? a) Occipital protuberance b) Nipple line c)External auditory canal d) Outer canthus of eye
A) Occipital protuberance
Tanner stage 5 for female breast development
Adult stage Nipple projects strongly pigmented areola
Tanner stage 5 stages for male penis and scrotum development
Ample scrotum with penis reaching nearly to bottom of scrotum
What findings are expected when assessing a female in Tanner stage 3? a)Secondary areolar elevation b)Breast and areola enlarged c)Abundant coarse and curly pubic hair d) No growth of pubic hair
B
Which procedures should be performed when measuring weight on a hospitalized patient? a) Have the child look straight ahead b) Use the standing scale for ages 2 and older c) Leave shoes on when weighing d) Remove heavy clothing before weighing e) Read the weight to the nearest 0.1 kg
B -standing scale 2 and older D - Remove heavy clothing before E - read the weight to the nearest 0.1kg
What is the body mass index (BMI) of a patient who weighs 153 pounds and is 63 inches tall? a) 20 b) 27 c) 26 d) 28
B) 27
When measuring an infant's chest circumference, it is important to position the measuring tape at which anatomical landmark? a) Occipital protuberance b) Nipple line c) Supraorbital prominence d) Outer canthus of eye
B) Nipple line
Tanner stage 3 for female breast development
Breast and areola enlarged no contour separation
The nurse notes which Tanner stage for a child whose penis is enlarged, especially in length, with further enlargement from the testes and scrotal descent? a) Tanner stage 1 b) Tanner stage 2 c) Tanner stage 3 d) Tanner stage 4
C
Which developmental characteristics would the nurse use to measure the sexual maturity rate in males? a) Stage of growth spurt and nocturnal emission b) Stages of pubic hair and breast development c) Stages of pubic hair and genital development d)Stage of genital development and height
C
When measuring height of an infant or child between 0 to 24 months read the length to the nearest? a) 0.6 cm b) 0.2 cm c) 1/4 inch d) 1/8 inch
C) 1/4 inch or 0.5 cm
When measuring weight we read to the nearest? a) 0.2kg b) 1/8 lb c) 1/4 lb d) 0.3kg
C) 1/4lb or 0.1kg
When measuring Height of an adult read to the nearest ? a) 0.5 cm b) 1/4 inch c) 1 cm d) 0.1 cm
C) Centimeter or 1/2 inch
Tanner stage 4 stages for male penis and scrotum development
Continued enlargement of penis with sculpturing of glans increased pigmentation of scrotum
Tanner stage 3 for male pubic hair development
Dark pigmented curly hair around base of penis
Tanner stage 6 staging pubic hair (female)
Hair spread further laterally or upward ( occurs in only 10% of women)
Outer Canthus of eye is a landmark for?
Height measurement
Tanner stage 4 for female breast development
Increasing fat deposits areola forms a secondary elevation
Tanner stage 2 female staging pubic area
Is initial, scarcely pigmented straight hair, especially along medial border of the labia
Tanner stage 1 staging pubic hair (Female)
No growth of pubic hair
Tanner stage 1 for male pubic hair development
No growth of public hair ( preadolescent)
Tanner stage 1 for female breast development
Only nipple is raised above level of breast (preadolescent)
Tanner stage 4 for male pubic hair development
Pubic hair adult in type Not spread past inguinal fold
Tanner stage 4 Female staging pubic area
Pubic hair that is coarse and curly, abundant but less than adult
Tanner stage 1 stages for male penis and scrotum development
Scrotum and penis are the same size as that young child
Tanner stage 2 for male pubic hair development
Slightly pigmented longer hair, usually at base of penis
What action should the nurse take to assess the height of a 30- month-old child who is ambulatory? a) Measure height to the nearest inch b) obtain height using the device on the scale c) use a wall -mountaed stadiometer d) ask the child to look down when measuring
Use a wall mounted stadiometer
How to calculate BMI (Kilograms and meters)
Weight in kg divided (height in meters)^squared Step 1: take the patient's weight ex. 59.1kg and divided by 1.63 m. Step 2: Divide by 1.63m again. the answer is 22.2 BMI
Which factors affect genital and pubic hair development in males? a) age b) Height spurt c) Breast development d) Body mass index
a) Age & b) Height spurt
When assessing a female patient, the nurse notes that the patient's pubic hair is visibly pigmented and curly, but sparse and localized mainly to the labia. To which Tanner stage does this patient belong? a) stage 2 b) stage 3 c) stage 4 d) stage 5
b) stage 3 *** Sparse, dark, visibly pigmented, curly pubic hair on the labia
Tanner stage 2 for female breast development
bud-shaped elevation of the areola and slight elevation
Tanner stage 3 stages for male penis and scrotum development
enlargement of penis, and further enlargement of scrotum and testes, descent of scrotum
Tanner stage 2 stages for male penis and scrotum development
enlargement of scrotum and testes, skin of the scrotum becomes redder, thinner , and wrinkled.
Tanner stage 6 for male pubic hair development
hair spread along linea alba (occurs in 80& of men)
Tanner stage 5 for male pubic hair development
hair spread to medial thighs
Tanner stage 5 Female staging pubic area
lateral-spreading pubic hair with type and triangle spread of adult hair to medial surface of thighs.