The nurse is reviewing the development of the newborn infant. Regarding the sinuses, which statement is true in relation to a newborn infant?

Maxillary sinuses reach full size after puberty.

Maxillary and ethmoid sinuses are the only sinuses present at birth.

Frontal sinuses are fairly well developed at birth.

Sphenoid sinuses are full size at birth.

Answer and Explanation

The Correct Answer is B

A. Maxillary sinuses reach full size after puberty: While maxillary sinuses continue to grow throughout childhood, they are present at birth and reach adult size during late adolescence. The frontal and sphenoid sinuses, rather than the maxillary, experience more significant postnatal development.

B. Maxillary and ethmoid sinuses are the only sinuses present at birth: At birth, only the maxillary and ethmoid sinuses are developed. The frontal and sphenoid sinuses begin to develop later in infancy and childhood, with full maturation occurring in adolescence.

C. Frontal sinuses are fairly well developed at birth: Frontal sinuses do not develop until around 7 to 8 years of age and continue growing into adolescence. They are absent or rudimentary in newborns.

D. Sphenoid sinuses are full size at birth: The sphenoid sinuses begin developing around 2 to 3 years of age and continue growing into late childhood and adolescence. They are not present at birth.

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Correct Answer is D

Explanation

A. Aorta- right atrium-right ventricle-lungs-pulmonary vein→ left atrium→ left ventricle→ vena cava: This sequence is incorrect because blood does not flow from the aorta to the right atrium; rather, the aorta carries oxygenated blood from the left ventricle to the body. The vena cava brings deoxygenated blood into the right atrium.

B. Vena cava-right atrium-right ventricle-lungs-pulmonary artery-left atrium-left ventricle: This sequence is incorrect because the blood does not flow from the lungs directly into the left atrium via the pulmonary artery; instead, blood from the lungs returns to the left atrium via the pulmonary veins.

C. Right atrium → right ventricle → pulmonary vein → lungs → pulmonary artery → left atrium → left ventricle: This sequence is incorrect because the pulmonary veins carry oxygenated blood from the lungs to the left atrium, not to the right ventricle.

D. Right atrium → right ventricle → pulmonary artery → lungs → pulmonary vein → left atrium → left ventricle: This is the correct sequence of blood flow through the heart. Blood flows from the right atrium to the right ventricle, then to the pulmonary artery, which carries it to the lungs for oxygenation. After oxygenation, blood returns to the left atrium via the pulmonary veins and then flows into the left ventricle before being pumped out to the body through the aorta.

A. Anteroposterior-to-transverse diameter ratio of 1:1 B. Unequal chest expansion C. Atrophied neck and trapezius muscles D. Increased tactile fremitus

Correct Answer is A

Explanation

A. Anteroposterior-to-transverse diameter ratio of 1:1: In COPD, chronic air trapping leads to hyperinflation of the lungs, causing a "barrel chest" appearance where the anteroposterior (AP) diameter approaches or equals the transverse diameter (1:1 ratio). This is a hallmark physical finding in advanced stages of the disease.

B. Unequal chest expansion: COPD causes diffuse rather than localized lung pathology, leading to generally reduced but symmetrical chest expansion. Unequal expansion is more characteristic of conditions like pneumothorax, pleural effusion, or unilateral lung consolidation.

C. Atrophied neck and trapezius muscles: Patients with COPD often develop hypertrophy of the neck and accessory muscles due to chronic respiratory effort, not atrophy. These muscles become more prominent as they assist with breathing, especially during exacerbations.

D. Increased tactile fremitus: Fremitus is the vibration felt on the chest wall when a patient speaks. In COPD, hyperinflation and air trapping decrease lung density, leading to reduced tactile fremitus. Increased fremitus is typically found in conditions with lung consolidation, such as pneumonia.

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The nurse is reviewing the development of the newborn infant. Regarding the sinuses, which statement is true in relation to a newborn infant?

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