Approach to the Ped Patient Exam

Question 1

Motor Development: Newborns

Answer 1

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

Question 2

Motor Development: 2 mo

Answer 2

Smiles, less flexed, visually tracks

Question 3

Motor Development: 4 mo

Answer 3

Hands to midline, rolls front to back

Question 4

Motor Development: 5 mo

Answer 4

Rolls back to front

Question 5

Motor Development: 6 mo

Answer 5

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

Question 6

Motor Development: 8 mo

Answer 6

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

Question 7

Motor Development: 9 mo

Answer 7

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

Question 8

Motor Development: 12 mo

Answer 8

Walks with help

Question 9

Language Development: Newborn

Answer 9

Cries to communicate all needs

Question 10

Language Development: 6 weeks

Answer 10

Social Smile

Question 11

Language Development: 2 mo

Answer 11

Coos (musical long vowels)

Question 12

Language Development: 6 mo

Answer 12

Babbles (repetitive consonants)

Question 13

Language Development: 9 mo

Answer 13

Says Ma Ma & Da Da, Object permanence

Question 14

Language Development: 12 mo

Answer 14

Understands much, says 2 words

Question 15

Language Development: 18 mo

Answer 15

10 words, maybe many more

Question 16

Language Development: 2 years

Answer 16

2 word sentences

Question 17

Language Development: 3 years

Answer 17

3 word sentences

Question 18

Language Development: 3 years

Answer 18

3 word sentences

Question 19

Normal Heart Rate: Newborn to 3 mo

Answer 19

80-205 bpm

Question 20

Normal Heart Rate: 3 mo - 2 yo

Answer 20

75-190 bpm

Question 21

Normal Heart Rate: 2-10 yrs

Answer 21

60-140 bpm

Question 22

Normal Heart Rate: > 10 yr

Answer 22

50-100 bpm

Question 23

Normal Respiratory Rate: Infant (Birth - 12 mo)

Answer 23

30-60

Question 24

Normal Respiratory Rate: Toddler (1-2 yr)

Answer 24

24-40

Question 25

Normal Respiratory Rate: Preschoolers (3-4 yr)

Answer 25

22-34

Question 26

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

Answer 26

18-30

Question 27

Normal Respiratory Rate: Adolescent (13-19 yr)

Answer 27

12-16

Question 28

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

Answer 28

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

Question 29

Noisy Breathing: Upper Airway

Answer 29

Stridor (Racemic epinephrine)

Question 30

Noisy Breathing: Lower Airway

Answer 30

Wheezing (Albuterol)