head, neck, lymph assessment

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head, neck, lymph assessment
2010-09-26 21:54:56
head neck face lymph nodes neonates

Chapter 13: Head, Neck, Face and Lymphatics (Health Assessment)
Show Answers:

  1. The major neck muscle are the…
    sternomastoid and the trapezius.
  2. Where is the anterior triangle?
    In front between the two sternomastoids muscles and runs from the mandible to the suprasternal notch.
  3. Where is the posterior triangle?
    Between the sternomastoid muscle and the trapezius muscle with its base along the clavicle. It contains the posterior belly of the omohyoid muscle.
  4. Where are the Preauricular lymph nodes?
    in front of the ear
  5. Where are the Posterior auricular lymph nodes?
    superficial to the mastoid process
  6. Where are the Occipital lymph nodes?
    at the base of the skull
  7. Where are the Submental lymph nodes?
    midline, behind the tip of the mandible
  8. Where are the Submandibular lymph nodes?
    halfway between the angle and tip of mandible
  9. Where are the Jugulodigastric lymph nodes?
    under the angle of the mandible
  10. Where are the Superficial cervical lymph nodes?
    overlying the sternomastoid muscle
  11. Where are the Deep cervical lymph nodes?
    under the sternomastoid muscle
  12. Where are the Posterior cervical lymph nodes?
    in the posterior triangle along the edge of the trapezius muscle
  13. Where are the Supraclavicular lymph nodes?
    just above and behind the clavicle, at the sternomastoid muscle
  14. Where in the body are lymph nodes accessible for examination?
    • Head and neck
    • Arms
    • Axillae
    • Inguinal region
  15. Where is the greatest supply of lymph nodes found for examination?
    Head and neck
  16. At what age does lymph tissue develop to its adult size?
    Age 6
  17. When does lymph tissue stop growing?
    Age 10 or 11
  18. At what age does the posterior fontanel close?
    1 to 2 months
  19. At what age does the anterior fontanel close?
    9 mos to 2 yrs
  20. When does the head reach 90% of its final size?
    Age 6
  21. What does normocephalic mean?
    Skull that is round, symmetrical and appropriately related to body size
  22. What is a bruit?
    Soft, pulsatile, whooshing, blowing sound heard while auscultating the thyroid gland
  23. What is the significance of a bruit?
    It indicates turbulent blood flow around an enlarged thyroid
  24. What is the average size of a newborn’s head?
    32-38 cm
  25. How much larger is the newborn’s head from its chest?
    2 cm larger than chest circumference
  26. How much larger than the head will the chest grow to during childhood?
    5-7 cm larger than head
  27. What is frontal bulging or “bossing” indicative of in the neonate?
    Prematurity or rickets
  28. What is a caput succedaneum?
    Edemous swelling and ecchymosis of the presenting part of the head caused by birth trauma.
  29. What is cephalhematoma?
    Subperiosteal hemorrhage due to birth trauma.
  30. What treatment is indicated for caput succedaneum and cephalhematoma?
    None, these are normal results of birth and most resolve themselves within the first days to weeks.
  31. What is the tonic neck reflex?
    When supine and the head is turned, the neonates arm and leg on the same side is extended and the opposite side is flexed
  32. When does the tonic neck reflex disappear?
    B/w 3 and 4 months
  33. What does it mean if the tonic neck reflex continues after 5 months?
    Possible brain damage
  34. What is considered enlarged for cervical lymph nodes?
  35. What is craniotabes?
    Softening of the outer layer of the skull
  36. What does craniotabes indicate?
    It may occur with rickets, hydrocephaly and syphilis