Assessment of the Pediatric Patient

Question 1

cephalohematoma

Answer 1

swelling of one side of the head following birth trauma

Question 2

caput succedaneum

Answer 2

swelling of the scalp bilaterally following birth trauma

Question 3

what are the general components of a well child visit?

Answer 3

1. developmental assessment
2. physical exam
3. behavioral assessment
4. the parent-child interaction
5. anticipatory guidance

Question 4

what is the sequence of exam for a 2 week old, 2 month old, 4 month old, 6 month old?

Answer 4

1. heart and lungs
2. abdomen
3. neuro (reflexes)
4. ears, mouth
5. examine child prone, head raise, spine, anus

Question 5

at what age to kids normally double their birth weight?

Answer 5

5-6 months

Question 6

how much should kids be growing at the 2-6 month stage?

Answer 6

1 oz/day

Question 7

when should the posterior fontanelle close?

Answer 7

2 months

Question 8

when should the anterior fontanelle close?

Answer 8

9-18 months

Question 9

at what age should you start scoliosis screening?

Answer 9

8 years old

Question 10

at what ages should you measure head circumference?

Answer 10

birth-24 months

Question 11

when do you start calculating BMI in peds?

Answer 11

24 months

Question 12

palmar grasp reflex

Answer 12

press palmar surface of hand w/ finger, kid will grab your finger, birth-3/4 months

Question 13

placing repsonse

Answer 13

hold baby upright, one sole touching the table, they will try to talk.

Question 14

rooting reflex

Answer 14

stroke perioral skin at corners of mouth, mouth will open and start to suckle, birth-3/4 months

Question 15

tonic neck reflex

Answer 15

turn head to one side, arm should go out on that side

Question 16

startle reflex (Moro reflex)

Answer 16

lower abruptly, arms will come out in front, birth-4/6 months

Question 17

at what age should you try to do the entire visit w/ the child in parent’s lap?

Answer 17

15-18 month visit