Ch 11 hard

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Questions and Answers

What area of the body should the nurse assess if the vertebra prominens is tender?

At the level of the C7 vertebra (correct)

At the level of the T11 vertebra

Just above the diaphragm

Just lateral to the knee cap

What is the purpose of the soft spot on the top of a baby's head?

Perhaps that could be a result of the mother's dietary intake during pregnancy

That soft spot is normal, and allows for growth of the brain during the first year of life (correct)

That soft spot may be an indication of cretinism or congenital hypothyroidism

The baby may have craniosynostosis, a disease of the sutures of the brain

Which cranial nerve is responsible for facial muscles?

Accessory nerve (CN XI)

Trigeminal nerve (CN V)

Glossopharyngeal nerve (CN IX)

Facial nerve (CN VII) (correct)

What might inability to differentiate between sharp and dull stimulation on the face suggest?

Damage to trigeminal nerve (CN V) Signup and view all the answers

Which glands are accessible for examination on the face?

Parotid and submandibular glands Signup and view all the answers

What may neck and shoulder pain with inability to turn the head indicate?

Damage to cranial nerve XI (CN XI) Signup and view all the answers

What does elevated thyroxine (T4) levels prompt an examination of?

Thyroid gland Signup and view all the answers

What might a mobile and not hard lump in the neck not be?

Cancerous thyroid nodule Signup and view all the answers

What does enlarged submental lymph nodes prompt assessment of?

The area proximal to the enlarged node Signup and view all the answers

Where are lymph nodes accessible for examination?

Head and neck, arms, inguinal area, and axillae Signup and view all the answers

At birth, should the head circumference be greater than the chest circumference?

Yes Signup and view all the answers

When does head growth predominate?

During the fetal period Signup and view all the answers

What impact does the anterior fontanel closing at 2 months have on the relative proportion of the head to the body?

Does not impact Signup and view all the answers

Which type of headache is characterized by pain around the eye, temple, forehead, and cheek, lasting up to 2 hours, occurring once or twice per day?

Cluster headache Signup and view all the answers

What is a characteristic symptom of meningeal inflammation?

Neck stiffness Signup and view all the answers

How is hydrocephalus characterized?

Enlarged head and dilated scalp veins Signup and view all the answers

Where is the temporomandibular joint located?

Anterior to the tragus Signup and view all the answers

What could swelling below the angle of the jaw indicate?

Inflammation of the submandibular gland Signup and view all the answers

Why is parotid gland examination crucial for a patient with acquired immunodeficiency syndrome (AIDS) suspecting mumps?

To prevent spread of the virus Signup and view all the answers

What should be examined for lesions in a patient suspecting mumps?

Cervical lymph nodes and mouth Signup and view all the answers

What should a nurse palpate for when examining the temporomandibular joint?

Tenderness Signup and view all the answers

Are cluster headaches usually unilateral?

Yes Signup and view all the answers

What is a common association with migraines?

Family history of migraine headaches Signup and view all the answers

What is a common location for migraine headaches?

Supraorbital Signup and view all the answers

What is a characteristic of facial bones with age?

Increased noticeability Signup and view all the answers

Study Notes

Facial bones become more noticeable with age due to decreased elasticity, subcutaneous fat, and moisture in the skin Cluster headaches produce excruciating pain around the eye, temple, forehead, and cheek, lasting up to 2 hours, occurring once or twice per day Migraine headaches tend to be supraorbital, retroorbital, or frontotemporal with a throbbing quality, and are relieved by lying down Meningeal inflammation is suspected with acute onset of neck stiffness, headache, and fever Hydrocephalus is characterized by an enlarged head, small face, dilated scalp veins, and setting sun eyes The temporomandibular joint is located just below the temporal artery and anterior to the tragus Swelling below the angle of the jaw could indicate inflammation of the parotid gland Parotid gland examination is crucial for a patient with acquired immunodeficiency syndrome (AIDS) suspecting mumps Thyroid gland, cervical lymph nodes, mouth, and skin should be examined for lesions in a patient suspecting mumps The nurse should palpate the temporomandibular joint for crepitation Cluster headaches are unilateral and always on the same side of the head Migraines are associated with a family history of migraine headaches