Pediatric Nursing: Milestones & Congenital Anomalies Quiz
Pediatric Nursing is a high-scoring subject in exams like AIIMS NORCET and NCLEX-RN. In this comprehensive mock test, we focus on two critical areas: Growth & Development and Congenital Disorders.
This quiz covers high-yield questions on Developmental Milestones (When does a baby sit, walk, or smile?), Congenital Heart Defects (Tetralogy of Fallot, PDA), and genetic conditions like Down Syndrome. Mastering these milestones is essential for skill tests.
💡 Golden Points to Remember:
- Social Smile: Appears at 2 Months.
- Head Control: Achieved by 3-4 Months.
- Sitting without Support: Achieved by 8 Months.
- Tetralogy of Fallot (TOF): Includes VSD, Pulmonary Stenosis, Overriding Aorta, and Right Ventricular Hypertrophy.
- Classic Sign of PDA: Machine-like Murmur.
Milestones & Congenital Defects
Q1.A normal infant should be able to "sit without support" by the age of:
A. 5 months
B. 6 months
C. 8 months
D. 10 months
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. Sitting with support typically occurs at 6 months. Sitting without support is a milestone achieved by 8 months.
Source: www.logyanlo.in
Q2."Tetralogy of Fallot" (TOF) includes four defects. Which of the following is NOT a component of TOF?
A. Pulmonary Stenosis
B. Ventricular Septal Defect
C. Right Ventricular Hypertrophy
D. Atrial Septal Defect
View Answer & Rationale
Answer: D
Rationale: Answer D is correct. TOF includes VSD, Pulmonary Stenosis, Overriding Aorta, and Right Ventricular Hypertrophy. ASD is not part of the classic tetralogy.
Source: www.logyanlo.in
Q3.The "Pincer Grasp" (using thumb and index finger) is typically developed by:
A. 4 months
B. 6 months
C. 9 months
D. 12 months
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. The fine motor skill of pincer grasp typically appears around 9 months of age, allowing the infant to pick up small objects.
Source: www.logyanlo.in
Q4.Folic Acid deficiency during early pregnancy is the primary cause of which congenital defect?
A. Cleft Lip
B. Spina Bifida
C. Down Syndrome
D. Hydrocephalus
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Neural tube defects like Spina Bifida and Anencephaly are directly linked to low folate levels during the first 28 days of gestation.
Source: www.logyanlo.in
Q5.At which age does a child typically achieve "Social Smile"?
A. 1 month
B. 2 months
C. 4 months
D. 6 months
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. A true social smile (in response to a face/voice) appears at 2 months (8 weeks). Spontaneous smiling may occur earlier but is reflexive.
Source: www.logyanlo.in
Q6."Boot-shaped heart" on X-ray is a characteristic sign of:
A. Transposition of Great Arteries
B. Coarctation of Aorta
C. Tetralogy of Fallot
D. Patent Ductus Arteriosus
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. The "Coeur-en-sabot" or Boot-shaped heart is seen in TOF due to right ventricular hypertrophy and a concave pulmonary segment.
Source: www.logyanlo.in
Q7.An infant can typically "roll over" from prone to supine (belly to back) by:
A. 2 months
B. 4 months
C. 6 months
D. 9 months
View Answer & Rationale
Answer: B
Rationale: Answer B is correct (often cited as 4-5 months). Rolling from back to belly usually happens later, around 6 months.
Source: www.logyanlo.in
Q8.Which congenital defect is characterized by the urethra opening on the ventral (under) surface of the penis?
A. Epispadias
B. Hypospadias
C. Phimosis
D. Cryptorchidism
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Hypospadias is the ventral placement of the meatus. Epispadias (Option A) is the dorsal (upper) placement.
Source: www.logyanlo.in
Q9.A child is expected to say "mama" or "dada" with specific meaning by:
A. 6 months
B. 9 months
C. 12 months
D. 18 months
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. While babbling starts earlier, assigning specific meaning to "mama/dada" typically occurs by 12 months (1 year).
Source: www.logyanlo.in
Q10."Trisomy 21" is the chromosomal abnormality associated with:
A. Turner Syndrome
B. Klinefelter Syndrome
C. Down Syndrome
D. Patau Syndrome
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. Down Syndrome is caused by an extra copy of chromosome 21 (Trisomy 21). Turner is XO. Klinefelter is XXY.
Source: www.logyanlo.in
Q11."Object Permanence" (knowing an object exists even when not seen) is a concept typically fully developed by:
A. 3 months
B. 6 months
C. 9-10 months
D. 15 months
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. According to Piaget, object permanence usually solidifies around 9-10 months, which also correlates with the onset of separation anxiety.
Source: www.logyanlo.in
Q12.Which sign is indicative of "Developmental Dysplasia of the Hip" (DDH) in an infant?
A. Ortolani and Barlow signs
B. Brudzinski sign
C. Homan's sign
D. Kernig sign
View Answer & Rationale
Answer: A
Rationale: Answer A is correct. Ortolani (relocating the hip) and Barlow (dislocating the hip) maneuvers are specific screening tests for hip dysplasia in newborns.
Source: www.logyanlo.in
Q13.A toddler typically achieves bowel and bladder control (daytime) by:
A. 12 months
B. 18 months
C. 2-3 years
D. 5 years
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. While readiness signals appear at 18 months, actual daytime control is usually achieved between 2 to 3 years. Nighttime control takes longer.
Source: www.logyanlo.in
Q14."Hirschsprung's Disease" (Congenital Aganglionic Megacolon) is characterized by the absence of ganglion cells in the:
A. Small Intestine
B. Rectosigmoid colon
C. Stomach
D. Esophagus
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. The disease involves the absence of parasympathetic ganglion cells in the distal colon (rectosigmoid), preventing peristalsis and causing obstruction.
Source: www.logyanlo.in
Q15.An infant typically doubles their birth weight by:
A. 3 months
B. 5-6 months
C. 9 months
D. 12 months
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Birth weight doubles by 5-6 months and triples by 12 months (1 year).
Source: www.logyanlo.in
Q16.Which congenital anomaly involves the failure of the esophagus to connect to the stomach, often ending in a blind pouch?
A. Pyloric Stenosis
B. Esophageal Atresia
C. Hiatal Hernia
D. Intussusception
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Esophageal Atresia is the interrupted esophagus. It is often associated with Tracheoesophageal Fistula (TEF).
Source: www.logyanlo.in
Q17.The "Moro Reflex" typically disappears by the age of:
A. 1 month
B. 3-4 months
C. 8 months
D. 12 months
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. The Moro (startle) reflex is present at birth and usually fades by 3-4 months. Persistence beyond 6 months indicates neurological issues.
Source: www.logyanlo.in
Q18."Projectile Vomiting" appearing at 2-3 weeks of age is a classic sign of:
A. GERD
B. Hypertrophic Pyloric Stenosis
C. Hirschsprung's Disease
D. Cleft Palate
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Non-bilious, projectile vomiting after feeding is the hallmark of Pyloric Stenosis due to hypertrophy of the pyloric muscle blocking the stomach exit.
Source: www.logyanlo.in
Q19.A child can typically walk up stairs (alternating feet) by:
A. 18 months
B. 2 years
C. 3 years
D. 4 years
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. Walking up stairs alternating feet is a milestone for 3 years. At 2 years, they walk up stairs placing both feet on each step.
Source: www.logyanlo.in
Q20."Patent Ductus Arteriosus" (PDA) results in a shunt from the:
A. Right Atrium to Left Atrium
B. Pulmonary Artery to Aorta
C. Aorta to Pulmonary Artery
D. Right Ventricle to Left Ventricle
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. After birth, systemic pressure (Aorta) is higher than pulmonary pressure. A PDA causes a Left-to-Right shunt (Aorta back to Pulmonary Artery), leading to pulmonary congestion.
Source: www.logyanlo.in
Q21."Cleft Lip" repair (Cheiloplasty) is typically performed at which age?
A. At birth
B. 3 to 6 months
C. 12 to 18 months
D. 4 years
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Cleft lip repair is typically performed at 3-6 months of age (some use the Rule of 10s: 10 weeks old, 10 pounds weight, 10g/dL hemoglobin) to aid feeding and bonding. Cleft Palate repair is done later (12-18 months) to allow for palatal growth and before speech development.
Source: www.logyanlo.in
Q22.An infant typically starts "Teething" (eruption of first primary tooth) at:
A. 3 months
B. 6 months
C. 9 months
D. 12 months
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. The lower central incisors are usually the first to erupt around 6-7 months of age.
Source: www.logyanlo.in
Q23.Which of the following is an "Acyanotic" congenital heart defect?
A. Tetralogy of Fallot
B. Transposition of Great Arteries
C. Tricuspid Atresia
D. Ventricular Septal Defect (VSD)
View Answer & Rationale
Answer: D
Rationale: Answer D is correct. VSD causes a Left-to-Right shunt (oxygenated blood recirculates to lungs), so systemic blood remains oxygenated (Acyanotic). Options A, B, and C are Cyanotic (Right-to-Left shunt).
Source: www.logyanlo.in
Q24."Hydrocephalus" is characterized by the accumulation of CSF in the ventricles due to obstruction or overproduction. A classic sign in infants is:
A. Depressed fontanelle
B. "Sun-setting" eyes
C. Microcephaly
D. Hypotension
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. The "Sun-setting" sign (eyes driven downward, sclera visible above iris) is a classic sign of increased intracranial pressure in hydrocephalus.
Source: www.logyanlo.in
Q25.A child typically achieves the milestone of "Head Control" (no head lag when pulled to sit) by:
A. 1 month
B. 2 months
C. 4 months
D. 6 months
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. Complete head control/no head lag is usually achieved by 4 months. Before this, the head must be supported.
Source: www.logyanlo.in
Q26."Currant Jelly Stool" is a hallmark clinical sign of:
A. Hirschsprung's Disease
B. Intussusception
C. Pyloric Stenosis
D. Meckel's Diverticulum
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Intussusception (telescoping of bowel) causes venous congestion and bleeding, leading to mucus and blood in stool (Currant Jelly).
Source: www.logyanlo.in
Q27.An infant triples their birth weight by:
A. 6 months
B. 9 months
C. 1 year
D. 2 years
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. Weight typically doubles by 6 months and triples by 12 months (1 year).
Source: www.logyanlo.in
Q28."Coarctation of the Aorta" is characterized by:
A. High BP in arms, low BP in legs
B. Low BP in arms, high BP in legs
C. Equal BP in all extremities
D. Pulmonary Hypertension
View Answer & Rationale
Answer: A
Rationale: Answer A is correct. The narrowing of the aorta usually occurs after the subclavian arteries, causing hypertension in the upper body (arms) and hypotension/weak pulses in the lower body (legs).
Source: www.logyanlo.in
Q29.A child is expected to speak sentences of 2-3 words by age:
A. 12 months
B. 18 months
C. 2 years
D. 3 years
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. By 2 years (24 months), a child typically has a vocabulary of 50+ words and can form simple 2-word sentences ("Mommy go").
Source: www.logyanlo.in
Q30.Which precaution is crucial for a child with "Spina Bifida" (Myelomeningocele) to prevent allergy?
A. Latex-free environment
B. Gluten-free diet
C. High protein diet
D. Vitamin D
View Answer & Rationale
Answer: A
Rationale: Answer A is correct. Children with Spina Bifida have a very high risk of developing Latex Allergy due to frequent exposure to medical products (catheters, gloves) from early life.
Source: www.logyanlo.in
Q31.The "Anterior Fontanelle" normally closes by:
A. 2-3 months
B. 6-8 months
C. 12-18 months
D. 24 months
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. The diamond-shaped anterior fontanelle closes between 12 and 18 months. Early closure can indicate Craniosynostosis; delayed closure can indicate Rickets/Hydrocephalus.
Source: www.logyanlo.in
Q32."Omphalocele" differs from "Gastroschisis" in that Omphalocele:
A. Has no covering membrane
B. Is covered by a sac/membrane
C. Occurs to the right of the umbilicus
D. Is less severe
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. An Omphalocele involves herniation of viscera into the umbilical cord covered by a peritoneal sac. Gastroschisis is a herniation through the abdominal wall (usually right of umbilicus) with no sac.
Source: www.logyanlo.in
Q33.A toddler engages in "Parallel Play". This means they:
A. Play cooperatively with others
B. Play alone with no interest in others
C. Play alongside others but not with them
D. Follow rules of a game
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. Parallel play (typical of toddlers 1-3 years) involves playing beside other children with similar toys but without direct interaction or cooperation.
Source: www.logyanlo.in
Q34.Which test is used to screen for "Cystic Fibrosis"?
A. Mantoux Test
B. Sweat Chloride Test
C. Heel Prick Test
D. Guthrie Test
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. The Sweat Chloride test measures salt in sweat. CF patients have abnormally high chloride levels (>60 mmol/L).
Source: www.logyanlo.in
Q35."Cryptorchidism" refers to:
A. Fluid in the scrotum
B. Undescended testes
C. Narrow foreskin
D. Opening of urethra on dorsal side
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Cryptorchidism is the failure of one or both testes to descend into the scrotum. It requires surgical correction (Orchidopexy) to prevent infertility and cancer risk.
Source: www.logyanlo.in
Q36.The "Rooting Reflex" disappears by:
A. 1 month
B. 3-4 months
C. 6 months
D. 12 months
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. The reflex where an infant turns their head toward a cheek stroke disappears around 3-4 months as voluntary control takes over.
Source: www.logyanlo.in
Q37."Clubfoot" (Talipes Equinovarus) involves which deformity of the foot?
A. Dorsiflexion and Eversion
B. Plantar flexion and Inversion
C. Flat foot
D. High arch
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. The foot is twisted inwards (Inversion) and downwards (Plantar flexion), resembling a golf club.
Source: www.logyanlo.in
Q38.Which chromosomal defect is associated with "Klinefelter Syndrome"?
A. 45, XO
B. 47, XXY
C. 47, XY, +21
D. 46, XY
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Klinefelter syndrome affects males who have an extra X chromosome (XXY), leading to hypogonadism and infertility. Turner syndrome is XO.
Source: www.logyanlo.in
Q39.A child can "hop on one foot" by age:
A. 2 years
B. 3 years
C. 4 years
D. 5 years
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. Gross motor skills like hopping on one foot are typically developed by 4 years of age.
Source: www.logyanlo.in
Q40."Ribbon-like stool" is a clinical feature of:
A. Intussusception
B. Hirschsprung's Disease
C. Celiac Disease
D. Cystic Fibrosis
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. In Hirschsprung's, the obstruction causes stool to be compressed into thin, ribbon-like or pellet-like shapes as it passes the narrowed segment.
Source: www.logyanlo.in
Q41."Palpable olive-shaped mass" in the right upper quadrant of the abdomen is a pathognomonic sign of:
A. Intussusception
B. Hypertrophic Pyloric Stenosis
C. Wilms Tumor
D. Hernia
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. The hypertrophied pyloric muscle feels like an olive-shaped mass. (Note: Intussusception has a sausage-shaped mass).
Source: www.logyanlo.in
Q42.A newborn typically doubles their birth length (height) by the age of:
A. 1 year
B. 2 years
C. 4 years
D. 5 years
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. While weight doubles by 6 months, length takes about 4 years to double (e.g., 50 cm at birth becomes 100 cm at 4 years).
Source: www.logyanlo.in
Q43.The "3 Cs" (Choking, Coughing, Cyanosis) during feeding are classic signs of:
A. Cleft Palate
B. Tracheoesophageal Fistula (TEF)
C. Pyloric Stenosis
D. GERD
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. In TEF/Esophageal Atresia, fluid enters the trachea (aspiration) causing choking, coughing, and cyanosis immediately upon feeding.
Source: www.logyanlo.in
Q44.At what age does the Head Circumference become equal to the Chest Circumference?
A. At birth
B. 6 months
C. 12 months (1 year)
D. 2 years
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. At birth, the head is larger than the chest (by ~2-3 cm). By 1 year of age, they become equal. After 1 year, the chest becomes larger.
Source: www.logyanlo.in
Q45."Turner Syndrome" occurs in females due to the absence of one X chromosome. The karyotype is:
A. 45, XO
B. 47, XXY
C. 47, XXX
D. 46, XY
View Answer & Rationale
Answer: A
Rationale: Answer A is correct. Turner syndrome is Monosomy X (45, XO), characterized by short stature, webbed neck, and infertility.
Source: www.logyanlo.in
Q46.The "Babinski Reflex" (fanning of toes when sole is stroked) is considered normal (physiological) up to which age?
A. 3 months
B. 6 months
C. 12-24 months
D. 5 years
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. A positive Babinski is normal in infants due to an immature nervous system. It usually disappears by 1 year (or up to 2 years). After walking starts, it should be negative (toes curl down).
Source: www.logyanlo.in
Q47."Egg on Side" (or Egg on String) appearance on Chest X-ray is seen in:
A. Tetralogy of Fallot
B. Transposition of Great Arteries (TGA)
C. TAPVC
D. Coarctation of Aorta
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. In TGA, the aorta and pulmonary artery are transposed (swapped), creating a narrow mediastinum that looks like an egg on a string.
Source: www.logyanlo.in
Q48.A child can typically build a tower of 9-10 cubes by age:
A. 15 months
B. 18 months
C. 2 years
D. 3 years
View Answer & Rationale
Answer: D
Rationale: Answer D is correct. Developmental milestones for block stacking: 15 months - 2 blocks; 18 months - 3-4 blocks; 2 years - 6-7 blocks; 3 years - 9-10 blocks (and can build a bridge).
Source: www.logyanlo.in
Q49."Palatoplasty" (Repair of Cleft Palate) is ideally performed at:
A. 3-6 months
B. 6-12 months
C. 12-18 months
D. 5 years
View Answer & Rationale
Answer: C
Rationale: Answer C is correct (typically 12-18 months, or before speech develops). It is done later than cleft lip to allow for palatal growth changes.
Source: www.logyanlo.in
Q50.A "Sausage-shaped mass" in the abdomen is a clinical feature of:
A. Pyloric Stenosis
B. Intussusception
C. Appendicitis
D. Hernia
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. While Pyloric Stenosis has an "Olive" mass, Intussusception presents with a "Sausage-shaped" mass in the right upper quadrant.
Source: www.logyanlo.in
Q51."Musty" or "Mousy" odor of urine is a characteristic sign of which metabolic disorder?
A. Galactosemia
B. Phenylketonuria (PKU)
C. Maple Syrup Urine Disease
D. Cystic Fibrosis
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. In PKU, the inability to metabolize phenylalanine leads to its accumulation, causing a musty body/urine odor and mental retardation.
Source: www.logyanlo.in
Q52.Which congenital defect involves the urinary meatus opening on the dorsal (upper) surface of the penis?
A. Hypospadias
B. Epispadias
C. Phimosis
D. Hydrocele
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Epispadias is the dorsal opening (top). Hypospadias is the ventral opening (bottom).
Source: www.logyanlo.in
Q53.A toddler typically engages in "toilet training" for nighttime bladder control by:
A. 2 years
B. 3 years
C. 4-5 years
D. 7 years
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. While daytime control is achieved by 2-3 years, nighttime control takes longer, typically by 4-5 years. Bedwetting (Enuresis) is considered normal before age 5.
Source: www.logyanlo.in
Q54."Wilms Tumor" (Nephroblastoma) care includes a strict precaution to:
A. Avoid measuring BP
B. Avoid palpating the abdomen
C. Keep NPO
D. Isolate the child
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Palpating the abdomen can cause the encapsulated tumor to rupture and spread cancer cells. A sign is usually placed over the bed: "Do Not Palpate Abdomen".
Source: www.logyanlo.in
Q55.The "Palmar Grasp" reflex typically disappears by:
A. 1 month
B. 3-4 months
C. 6 months
D. 9 months
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. The reflex gripping of an object placed in the palm fades by 3-4 months to prepare for voluntary grasping.
Source: www.logyanlo.in
Q56.A child can "ride a tricycle" by age:
A. 2 years
B. 3 years
C. 4 years
D. 5 years
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Riding a tricycle (3 wheels) is a classic gross motor milestone for a 3-year-old.
Source: www.logyanlo.in
Q57."Phimosis" is defined as:
A. Inflammation of the glans penis
B. Inability to retract the foreskin
C. Undescended testes
D. Fluid in scrotum
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Phimosis is the tightness of the prepuce (foreskin) preventing it from being retracted over the glans.
Source: www.logyanlo.in
Q58."Anencephaly" can be detected prenatally by elevated levels of:
A. hCG
B. Alpha-Fetoprotein (AFP)
C. Estriol
D. Inhibin A
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. Neural tube defects like Anencephaly (open defect) allow AFP to leak into amniotic fluid and maternal blood, causing high AFP levels.
Source: www.logyanlo.in
Q59.A "Fixed Split S2" heart sound is a clinical feature of:
A. VSD
B. ASD (Atrial Septal Defect)
C. PDA
D. TOF
View Answer & Rationale
Answer: B
Rationale: Answer B is correct. In ASD, the extra blood flow through the right side of the heart delays pulmonary valve closure, causing a fixed splitting of the second heart sound (S2) that does not vary with respiration.
Source: www.logyanlo.in
Q60.A child typically copies a "Circle" by age 3. At what age can they copy a "Square"?
A. 2 years
B. 3 years
C. 4 years
D. 5 years
View Answer & Rationale
Answer: C
Rationale: Answer C is correct. Fine motor developmental milestones for copying shapes: Circle - 3 years; Cross (+) - 3.5-4 years; Square - 4-4.5 years; Triangle - 5 years.
Source: www.logyanlo.in
Frequently Asked Questions (Pediatrics)
Q1: At what age does the Anterior Fontanelle normally close?
Ans: The Anterior Fontanelle (Diamond shape) normally closes between 12 to 18 months of age. Early closure may indicate Craniosynostosis.
Q2: What is the "Tet Spell" position?
Ans: During a hypercyanotic spell (Tet Spell) in TOF, the child should be placed in a Knee-Chest Position (Squatting). This increases systemic vascular resistance and improves blood flow to the lungs.
Q3: What is the first sign of Puberty in girls?
Ans: The first sign is Thelarche (Breast Budding), usually occurring between 9-11 years.
❓ Question for You:
At what age does a baby start "Transferring objects from one hand to another"?
A. 3 Months
B. 6-7 Months
C. 9 Months
D. 12 Months
👉 Comment your answer below! (We will reveal the correct answer in the next post).
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3 month
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