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NBCE: NBS- Part 2 > ACS: Neonate & Pediatrics > Flashcards

ACS: Neonate & Pediatrics Flashcards

1
Q

What does APGAR stand for?

A 
Appearance (color)
Pulse (HR)
Grimace (irritability)
Activity (muscle tone)
Respiration
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2
Q 
Pulse ranges for:
Infant
Toddler
School Age
Adolescent
A

Infant: 120-160
Toddler: 80-130
School Age: 70-110
Adolescent: 60-100

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3
Q 
BP Ranges for:
Infant
Toddler
School Age
*Older = assume normal
A

Infant: 60-90/30-55
Toddler: 70-80/45-65
School Age: 90-110/50-70

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4
Q

Respiration rates for:
Infant
Toddler
*Older = assume normal

A

Infant: 25-40
Toddler: 20-35

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5
Q

Constitutes a Preemie baby

A
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6
Q

Feces in the womb

A

Meconium

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7
Q

Cheesy, sticky material covering infant

A

Vernix caseosa

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8
Q

Soft hair covering infant/fetus

A

Lanugo

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9
Q

Unilateral bruise from delivery

A

Cephalhematoma

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10
Q

Bruise from delivery crossing suture

A

Caput succedaneum

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11
Q

Anterior fontanelle closes…

A

18 mo’s (to never)

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12
Q

Posterior fontanelle closes…

A

Approx 2 mo’s

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13
Q

Neonate projective vomiting
RUQ Olive mass
“String sign” on xray (pyloric channel)

A

Pyloric stenosis

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14
Q

Jaundice appearing (?) in less than 24 hours is considered…

A

Life threatening

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15
Q

Jaundice appearing (?) after 3 days is considered…

A

Self-limiting

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16
Q

Infant Seborrheic dermatitis

A

Cradle cap

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17
Q

Most primitive reflex

A

Grasp reflex

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18
Q

Suckling reflex

Disappear?

A

Tap under lip, baby purses lip

Disappearance soon after birth

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19
Q

Rooting reflex

Disappear?

A

Touch cheek, turn twd stimulus

Disappears w/in 3-4 mo’s

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20
Q 
Tonic neck (fencers?) reflex
Disappears?
A

Baby supine, turn their head and Ipsi arm and leg extend while contra arm and leg flex
Disappears w/in 2-6 mo’s

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21
Q

Moro’s Reflex
Aka Startle Reflex
Disappears?

A

Arms raise bilaterally to loud noise
Disappears in 4-6 mo’s
Pathological if persists

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22
Q

Babinski’s reflex

Disappears?

A

Stroke ball of foot, dorsiflexion occurs

Disappears after 2 years

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23
Q

Chvostek’s reflex

A

Tap the cheek, test for tetany (CN VII)

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24
Q 
At what age would you see:
Feeding every 3-4 hours
Grasp toys
Smile
Raise head & chest in prone
Recognize people
A

1-4 months old

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25
Q 
At what age would you expect:
Kick legs
Roll onto back
Gent on all four and rock
Switch toys
Teething
A

4-8 months

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26
Q

At what age can you introduce solid foods?

What should you not introduce?

A 
6 months have
NO honey (botulism)
NO cows milk (iron deficiency)
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27
Q 
At what age would you expect:
Sleep 8-10 hours
Babble "da da/ ma ma"
Shows preference
Feed self (messy)
Crawl - stand - walk
A

8-12 months

28
Q 
At what age would you expect:
Walking
Talking
Short memory
Play next to but not with others
A

12- 24 months

29
Q 
At what age would you expect:
Toilet training
Playing with others
Running
Washing self (supervised)
A

2 - 4 years

30
Q

Which immunoglobulin crosses the placenta

31
Q

Immunoglobulin high in mother’s milk

32
Q

Least allergic food

33
Q

Most allergic foods

A

Whole milk and wheat (gluten)

34
Q

Best grains

A

Corn & Rice

Avoid gluten

35
Q

Inadequate calories

36
Q

Inadequate protein only

A

Kwashiorkor

37
Q

Most common malnutrition in USA

38
Q

Bone injuries suggestive of child abuse:

A 
Metaphyseal chip
Spiral rib
Sub periosteal shearing
Bucket-handle
Repeated fracture site
Multiple stages of healing
39
Q

Caused by anoxia at birth

A

Cerebral palsy

40
Q

Caused by aspirin

A

Reyes Syndrome

41
Q

Papules on neonates face

42
Q

“Prickly heat, Red soup”

Caused by blocked sweat ducts

43
Q

Tests for hip dysplasia

A

Ortolans and Barlows

44
Q

Barking cough
Stridor
Acute upper airway obstruction

45
Q

Active vaginal infection during delivery can cause…

A

Conjunctivitis and blindness in neonate

46
Q

Folate deficiency causes…

A

Neuro tube defects

B9

47
Q

Flu-like symptoms are first sign

48
Q 
"Sweat test"- salty baby
Mucous plugging (pancreas & lungs)
A

Cystic Fibrosis

49
Q

Oral fecal route of transmission

A

Hepatitis A

50
Q

Most common day care disease

A

E Coli (diarrhea)

51
Q

Good Pasteur’s effects…

A

Lungs & renal systems

52
Q

Megacolon aka….

A

Hirschsprung’s

53
Q

Lung infection

Dry cough

A

Respiratory syncytial virus

54
Q

Itchy vesicles, lead to “scarring”

Varicella Zoster

A

Chicken pox

55
Q

Pain is proximal to distal

Vesicles are distal to proximal

A

Herpes Zoster

56
Q

Koplik spots

Rubeola

57
Q

1st trimester dangerous to fetus

Rubella

A

German measles

58
Q

Inspiratory stridor

A

Pertussis/ Whooping Cough

59
Q

High fever
Desquamation
Many small pink spots

60
Q

Swollen parotid glands

Adult -> orchitis

61
Q

Pseudomembrane

62
Q

Tick bite
Bulls eye lesion
Flu-like symptoms

A

Lyme disease

63
Q

Post strep infection
Migrating joint pain
Glomerulonephritis

A

Rheumatic fever

64
Q

Red tongue
Circumoral pallor
High fever

A

Scarlet fever

65
Q

Raccoon sign & battle sign indicative of…

A

basal skull fractures

66
Q

Test done at 1 min and 5 mins after birth

NBCE: NBS- Part 2 (9 decks)

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