Approach to the Ped Patient Exam Flashcards

1
Q

Motor Development: Newborns

A

Primitive reflexes, fixing gaze, flexed posture (fisted hands normal)

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2
Q

Motor Development: 2 mo

A

Smiles, less flexed, visually tracks

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3
Q

Motor Development: 4 mo

A

Hands to midline, rolls front to back

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4
Q

Motor Development: 5 mo

A

Rolls back to front

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5
Q

Motor Development: 6 mo

A

Sits, unilateral reach, raking grasp – pulling towards them (now can roll both ways)

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6
Q

Motor Development: 8 mo

A

crawls (don’t worry if isn’t), immature pincer grasp

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7
Q

Motor Development: 9 mo

A

cruises (walks along furniture), claps (stranger anxiety starts!

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8
Q

Motor Development: 12 mo

A

Walks with help

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9
Q

Language Development: Newborn

A

Cries to communicate all needs

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10
Q

Language Development: 6 weeks

A

Social Smile

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11
Q

Language Development: 2 mo

A

Coos (musical long vowels)

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12
Q

Language Development: 6 mo

A

Babbles (repetitive consonants)

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13
Q

Language Development: 9 mo

A

Says Ma Ma & Da Da, Object permanence

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14
Q

Language Development: 12 mo

A

Understands much, says 2 words

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15
Q

Language Development: 18 mo

A

10 words, maybe many more

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16
Q

Language Development: 2 years

A

2 word sentences

17
Q

Language Development: 3 years

A

3 word sentences

18
Q

Language Development: 3 years

A

3 word sentences

19
Q

Normal Heart Rate: Newborn to 3 mo

A

80-205 bpm

20
Q

Normal Heart Rate: 3 mo - 2 yo

A

75-190 bpm

21
Q

Normal Heart Rate: 2-10 yrs

A

60-140 bpm

22
Q

Normal Heart Rate: > 10 yr

A

50-100 bpm

23
Q

Normal Respiratory Rate: Infant (Birth - 12 mo)

A

30-60

24
Q

Normal Respiratory Rate: Toddler (1-2 yr)

A

24-40

25
Q

Normal Respiratory Rate: Preschoolers (3-4 yr)

A

22-34

26
Q

Normal Respiratory Rate: School Age (5-12 yr)

A

18-30

27
Q

Normal Respiratory Rate: Adolescent (13-19 yr)

A

12-16

28
Q

The 3 Biggies to remember when it comes to the pediatric exam

A
  1. General Appearance
  2. Respiratory effort & energy level
  3. Circulation
29
Q

Noisy Breathing: Upper Airway

A

Stridor (Racemic epinephrine)

30
Q

Noisy Breathing: Lower Airway

A

Wheezing (Albuterol)