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201: Peds Exam 1 > Assessments > Flashcards

Assessments Flashcards

1
Q

RR at 12 months

A

20-30 rpm

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2
Q

Pulse of 1 yo

A

100 bpm

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3
Q

Anterior fontanelle should close by…

A

12 to 18 months

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4
Q

Warning signs of neuro development in infant

A

No smile at 3 months
Refuses cuddles
Doesn’t enjoy people
No peek a boo at 8 months

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5
Q

Warning signs of motor development in infant

A

Stiff or floppy
Can’t support head
Only 1 hand reach
Can’t sit
Can’t crawl
Can’t stand

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6
Q

Warning signs sensory development in infant

A

No response to loud
No focus on near objects
No babble at 4 months
No turn to ID sound at 4 months
Crosses eyes at 6 months

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7
Q

Warning signs of language development in infant

A

No making sounds at 4 months
No laugh or squeal at 6 months
No babble at 8 months
No single words by 12 months

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8
Q

Signs toddler is ready for potty training

A

Regular BMs
Expresses need to go
Diaper not always wet
Willing to follow instructions
Walks well alone
Can pull pants down
Follows caregiver to bathroom
Climbs into potty chair or toilet

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9
Q

Signs toddler needs to potty

A

Looks into or grabs diaper
Squats
Crossed legs
Grimaces or grunts
Hides behind something

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10
Q

Normal things for toddlers (that might seem weird or bad)

A

Temper tantrums
Saying “no”
Labile moods
Security item
Impulsive

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11
Q

When do they walk independently?

A

12 to 15 months

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12
Q

(Gross motor)
At 18 months kids can…

A

Climb stairs with assistance
Pull toys while walking

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13
Q

(Gross motor)
At 24 months kids can…

A

Run
Kick
Tiptoe
Carry lots of toys
Climb on and off furniture

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14
Q

(Gross motor)
At 36 months kids can…

A

Climb
Tricycle
Run easily
Walk up and down stairs
Bend over

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15
Q

(Fine motor)
At 12-15 months they can…

A

Feed self finger foods
Point with index finger

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16
Q

(Fine motor)
At 18 months they can…

A

Reach
Grasp
Release
Stack blocks
Turn pages
Remove shoes and socks

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17
Q

(Fine motor)
At 24 months they can…

A

Scribbles and paints
Turn knobs
Puts pegs into holes

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18
Q

(Fine motor)
At 36 months they can…

A

Undress
Hold pencil
Unscrew lids

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19
Q

Signs of delay in 18 month old

A

No walk
No speak 15 words
No understand function of household items

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20
Q

Signs of delay in 2 year old

A

No 2 word sentences
Doesn’t imitate
Doesn’t follow basic instructions
Can’t push toy with wheels

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21
Q

Signs of delay in 3 year old

A

Can’t do stairs
Falls
Can’t build tower
Extreme separation anxiety
Doesn’t pretend play
Little interest in other kids
Drooling
Unclear speech

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22
Q

Toddler playing habits

A

No share
Parallel play
Changes toys frequently

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23
Q

General changes for preschooler

A

Loses fat
Gains muscle
20 teeth
Longer attention span
Can tolerate separation
Bladder control
More voluntary control of motor
Refinement of motor
Longer bones

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24
Q

(Gross motor)
At 4 yo they can…

A

Throw ball
Kick ball
Hop on 1 foot
Stand on 1 foot

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25
Q

(Gross motor)
At 5 yo they can…

A

Skip
Somersault
Skate and swim

26
Q

(Fine motor)
At 4 yo they can

A

Scissors
Copy capital letters
Draw circles and squares
Draw person
Lace shoes

27
Q

(Fine motor)
At 5 yo they can…

A

Print some letters
Tie shoes
Fork, spoon, knife
Copies shapes

28
Q

Communication ability of 4 yo

A

Adult like grammar
Follow 3 part command
Names common objects
1500 words

29
Q

Communication ability of 5 yo

A

Can explain how to use something
Talks about events
Answers why and when questions
2100 words

30
Q

Signs of delay in 4 yo

A

Can’t jump
Can’t ride tricycle
Can’t hold crayon
Doesn’t use “me” or “you” appropriately
No fantasy play

31
Q

Signs of delay in 5 yo

A

Little interest in playing with kids
Can’t build tower
Can’t use plurals or past tense
Easily distracted

32
Q

Gross motor in school aged

A

Improved coordination, balance, rhythm
Can be awkward with growth

33
Q

Fine motor of school aged

A

Improved hand usage
Hand eye coordination improved
Pride in dexterity (music)

34
Q

Peak height velocity for adolescent female

A

Before menarche

35
Q

Peak height velocity for adolescent male

A

Spurt between 10.5 to 16 yo

36
Q

General growth and development of adolescents

A

Deep voice
Long limbs
Growth plates close
Sweat glands at pits and privates
Acne
Increased body hair
Hips widen in gals
Shoulders widen in guys

37
Q

Gross motor in adolescence

A

Endurance
Concentration
Coordination adjustment during spurts
Speed and accuracy
Competitive
Narrowed interests in late adolescence

38
Q

Fine motor in adolescence

A

Finger dexterity
Precise hand eye coordination

39
Q

Mimic caregiver by…

A

3 to 4 months

40
Q

Socially interactive games at…

A

6 to 8 months

41
Q

Cognitive milestones for preschool

A

Count to 10
Name colors
Concept of time
Knowing everyday objects

42
Q

Screenings for internationally adopted youngsters

A

Infectious disease
Disorders of growth and development
Vision and hearing
Intestinal parasites
Hep, varicella, HIV, syphilis, TB

43
Q

Issues covered in psychosocial assessment

A

Health insurance
Transportation
Financial stressors
Family coping
School’s response

44
Q

Elements of a health supervision visit

A

H and p
Developmental/behavioral assessment
Sensory screening
At risk screening
Immunizations
Health promotion/anticipatory guidance

45
Q

Components of health history

A

Demographics
Chief complaint
Past hx
Review of symptoms
Family hx
Motor milestones
School performance
Daily routine (“functional hx”)
Family environment

46
Q

Components of chief complaint assessment

A

Onset, duration, characteristics
Previous episodes
Changes in environment/routine
Previous testing and therapies
What makes better or worse?
What this means to child and family
Exposure to infectious or toxic agents?

47
Q

Aspects of past health history

A

Prenatal/perinatal hx
Past illnesses
Developmental concerns
Prior hx of illness or injury
Hospitalizations or surgeries
Diet
Allergies
Immunizations
Meds
Supplements
Menstrual hx

48
Q

Elements of physical examination

A

Measure: height, weight, head circumference, VS

Determine: BMI, appearance, activity, orientation, mood

Examine via head to toe

49
Q

Normal RR/HR Infant

A

25-55 RR
80-150 HR

50
Q

Normal RR/HR toddler

A

20-30 RR
70-120 HR

51
Q

Normal RR/HR preschooler

A

20-25 RR
65-110 HR

52
Q

Normal RR/HR school age

A

14-26 RR
60-100 HR

53
Q

Normal RR/HR adolescent

A

12-20 RR
55-95 HR

54
Q

Age for tympanic temp

A

3 month or older

55
Q

Age for temporal temp

A

Any age except younger than 90 days if ill or have fever (do rectal)

56
Q

Age for oral temp

A

5 yo

57
Q

Age for axillary

A

Newborns and uncooperative kids

58
Q

Can cause failure to thrive

A

Cardiac disease
Metabolic disease
Cleft palate
GERD
Feeding disorders
SDOH
Neglect and abuse
Mental illness
Behavioral problems
Lack of knowledge

59
Q

QUESTT (pain assessment)

A

Question child
Use pain scale
Evaluate
Secure parent involvement
Take the cause into account
Take action

60
Q

FLACC parameters

A

Facial
Legs
Activity
Cry
Consolability

61
Q

Ss of Reye syndrome

A

Vom
LOC
Lethargy
Irritable
Hyper reflex
(Due to brain swelling and liver failure)

201: Peds Exam 1 (4 decks)

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