Assisting in Pediatrics

Question 1

What do pediatricians do?

Answer 1

• children doctor (up to age 18 or 21)
• monitors development
• immunization schedules
• parent education

Question 2

What are some examples of developmental milestones to look out for?

Answer 2

• physical development
• intellectual-cognitive development
• social development

Question 3

What is Erikson’s stages of psychosocial development?

Answer 3

• 8 stages
• positive or negative outcome for personality development

Question 4

What is trust?

Answer 4

successful outcome

Question 5

What is mistrust?

Answer 5

unsuccessful outcome (needs not met)

Question 6

What happens from birth to 18 months?

Answer 6

• trust vs. mistrust
• suspicious and struggle with interpersonal relationships
• form attachments to mother
• fine motor skills are learned

Question 7

What happens from ages 2-3?

Answer 7

• autonomy
• shame
• doubt

Question 8

What is autonomy?

Answer 8

develop sense of independence and self-control (run, throw ball, scribble with crayons)
- acquire language skills

Question 9

What is shame and doubt?

Answer 9

lack of self-confidence
- no sense of pride in ability to perform tasks

Question 10

What happens from ages 3-6?

Answer 10

• initiative vs guilt

Question 11

What is initiative?

Answer 11

• look for new experiences
• active imagination, trying new things
• make friends
• results in assertiveness, dependability, creativity

Question 12

What is guilt?

Answer 12

• parents restrict from trying new things
• feelings of inadequacy, defeat, guilt

Question 13

What happens at age 7-12?

Answer 13

industry vs inferiority

Question 14

What is industry?

Answer 14

• need to receive recognition for accomplishments
• results in competence, self-satisfaction, trustworthiness

Question 15

What is inferiority?

Answer 15

• no recognition
• feelings of inadequacy, inability to compromise or cooperate with others

Question 16

What happens at age 12-20?

Answer 16

identity vs role confusion

Question 17

What is identity?

Answer 17

• trying to figure out where they fit in
• results in emotional stability, forming committed relationship, sound decision making

Question 18

What is role confusion?

Answer 18

• not fitting in with groups
• lack of personal goals, self-consciousness, lack of self-confidence

Question 19

What happens at age 20-35?

Answer 19

intimacy vs isolation

Question 20

What is intimacy?

Answer 20

• begin to think about partnerships, marriage, family, and career
• results in mutual self-respect, love, intimacy, commitment to others, and a career

Question 21

What is isolation?

Answer 21

leads to social isolation, job changes, lack of productivity, inability to form long-term, intimate relationships

Question 22

What happens at age 35-65?

Answer 22

generativity vs stagnation

Question 23

What is generativity?

Answer 23

• adults raise children and become grandparents
• help to mold future generation by teaching, coaching
• results in professional and personal achievements, serving the community and society

Question 24

What is stagnation?

Answer 24

leads no capacity to give and share with others

Question 25

What happens at ages 65 and older?

Answer 25

ego integrity vs despair

Question 26

What is ego integrity?

Answer 26

• adults retire, children no longer live close
• volunteer to retain feeling of usefulness
• loved ones die, health changes
• understanding of changes results in wisdom, self-acceptance, sense of worth

Question 27

What is despair?

Answer 27

leads dissatisfaction with life, depression, anger, inability to accept death

Question 28

What vitals are taken in an infant physical exam?

Answer 28

• height/length
• weight
• head/chest circumference
• temperature, pulse
• ear exams
• blood pressure (over 3)

Question 29

When are well child exams for infants?

Answer 29

• 2 weeks
• 1 month
• 2 months
• 4 months
• 6 months
• 9 months
• 1 year

Question 30

When are well child exams for children age 2-3?

Answer 30

• 15 months
• 18 months
• 24 months
• 30 months
• annually after age 3

Question 31

What is the task of a MA during well child exams?

Answer 31

• remove all clothing except diaper, cover baby until physician arrives
• temperature can be elevated if baby cries

Question 32

How should you measure temperature of kids?

Answer 32

tympanic, temporal, rectal, axillary
- no oral temperature if they’re less than 5

Question 33

How do you take blood pressure of kids?

Answer 33

small cuff size
- don’t use palpatory method

Question 34

What vitals do you take for kids?

Answer 34

• temperature
• pulse
• weight
• length/height
• head circumference

Question 35

What do growth charts record?

Answer 35

• height
• weight

Question 36

What is failure to thrive?

Answer 36

infant or child under the third percentile of stanardized growth charts

Question 37

What is the most important thing to do before giving immunizations?

Answer 37

check for contraindications

Question 38

What is the big e chart called?

Answer 38

snellen test

Question 39

What is the general ear exam?

Answer 39

same as adult test
- check for response to sounds

Question 40

What are some common diseases and disorders in kids?

Answer 40

• common cold
• influenza
• otitis media (middle ear infection)
• bronchitis: produce mucus in the lungs
• respiratory syncytial virus (RSV): mild cold-like symptoms
• hand, foot, mouth disease: very contagious with skin rash
• conjunctivitis: pink eye
• gastroenteritis: stomach flu
• sinusitis: sinus infection
• strep throat: sore throat, fever, swollen tonsils
• impetigo: skin infection with crusting
• ringworm