Developmental Competence
What is a fontanel?
Fontanels are the spaces on an infant's skull where the sutures intersect.
How would you document the assessment of normal findings within the mouth?
The oral mucous membrane is pink, moist, and intact. Teeth intact.
In assessing the ears, what assessment tool would the nurse utilize?
Otoscope
How would the nurse educate a newborn's parent about tummy time?
To help prevent flat spots on the head, prop the newborn their stomach for 5 minutes several times a day. Increase the time per day as the infant tolerates. Must be observed while doing this.
In this type of headache, the patient feels as though there is a tight band squeezing their head.
Tension Headache
Normal eruption of deciduous teeth is between 6 and 24 months.
What term would the nurse use to document the patient has a bloody nose?
Epistaxis
In assessing visual acuity, what assessment tool would the nurse utilize?
Snellen Chart
At what age should adults start to be screened for glaucoma?
40
In a cluster headache, do the symptoms affect the patient bilaterally or unilaterally?
Unilateral
True or False: During pregnancy, an expectant mother's thyroid may palpate smaller, as the gland slightly atrophies with each pregnancy.
False! The thyroid gland enlarges slightly during pregnancy related to hyperplasia of the tissues and increased vascularity.
The patient reports difficulty swallowing; what term would the nurse utilize to document?
Dysphagia
In assessing the ears, how would the nurse modify his/her approach in the ear's of a 2-year-old with using an otoscope.
Pull the pinna of the ear down and back.
Decreases the risk for mouth and throat cancer.
Why are infants and children at an increased risk for otitis media (ear infection)?
The infant’s eustachian tube is relatively shorter and wider, and its position is more horizontal than that of an adult’s; thus it is easier for pathogens to migrate through to the middle ear. also, the lumen is surrounded by lymphoid tissue.
When do the anterior and posterior fontanel close?
Posterior closes between 1 to 2 months.
The patient reports a complaint of ringing in their ears; what term would the nurse use to document?
Tinnitus
How does the nurse assess the thyroid gland?
Palpate the thyroid gland and have the patient take a sip of water. The thyroid gland should rise then fall.
What are three pieces of education you would target an adolescent population for HEENT?
Concussion
Helmet
Oral Hygiene
Music/Loud Noise
Ear Protection
What are the four stages of a migraine?
Prodrome
Aura
Resolution
Headache