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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A. II: The optic nerve (cranial nerve II) is responsible for vision, including visual acuity and the afferent limb of the pupillary reflex. Damage to this nerve causes vision loss or visual field defects but does not affect eye movement or positioning.
B. VI: The abducens nerve (cranial nerve VI) innervates the lateral rectus muscle, which abducts the eye. Damage to this nerve results in an inability to move the eye laterally, leading to horizontal diplopia, but it does not cause a "down and out" eye position.
C. III: The oculomotor nerve (cranial nerve III) controls most of the extraocular muscles, including the superior, inferior, and medial rectus muscles, as well as the inferior oblique. It also controls the levator palpebrae superioris and the parasympathetic fibers responsible for pupillary constriction. Damage to cranial nerve III results in ptosis, a "down and out" eye position due to unopposed action of the lateral rectus (cranial nerve VI) and superior oblique (cranial nerve IV), and potentially a dilated pupil.
D. IV: The trochlear nerve (cranial nerve IV) innervates the superior oblique muscle, which depresses and internally rotates the eye. Damage to this nerve typically causes vertical diplopia and difficulty looking downward, especially when reading or descending stairs, but it does not cause a "down and out" eye position at rest.
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