Behavior

Question 1

How much sleep does a newborn need?

Answer 1

16.5 hrs/d

Question 2

How much sleep does a 12moth old need?

Answer 2

13.75hrs/d

Question 3

Sleep d/o that does not end upon waking, may not recognize surroundings or parents

Answer 3

night terrors

Question 4

When should infants be sleep trained (left ot cry for longer intervals outside parent’s bedroom)

Answer 4

after 4 months of age, otherwise you have to wait until after stranger anxiety goes away

Question 5

What is the age of tantrums and how long do they last?

Answer 5

18mos to 4yo, peaks age 3, 2-5min

Question 6

What should be considered when eliciting Hx of tantrums?

Answer 6

hunger, fatigue, overstimulation, inadequate exercise, domestic violence

Question 7

When does gender self-identification occur?

Answer 7

age 2-3yrs

Question 8

TV watching correlates with ________and should be limited to _____hours per day

Answer 8

poor school performance, obesity; less than 2 hrs/d

Question 9

What percentage of children experience divorce?

Answer 9

25%

Question 10

What is Rett syndrome?

Answer 10

seen in girls (x-linked, boys will die before birth), d/o of nervous system–developmental delay, decreased head growth, hand wringing

Question 11

Pervasive developmental delay includes which spectrum d/o?

Answer 11

Autism

Question 12

D/o of severe/persistent disobedience and hostility towards authority

Answer 12

Oppositional defiant d/o

Question 13

D/o where the rights of others are violated and the child violates social-norms

Answer 13

Conduct d/o

Question 14

What two dx’s should you consider before diagnosing ADHD?

Answer 14

lead poisoning & hyperthyroidism

Question 15

Toilet training should begin when? How long does it take?

Answer 15

used to be done by 18mos, typical to begin 2-3yo. takes about 6mos to learn

Question 16

Enuresis- expect daytime dryness vs nighttime dryness at what ages?

Answer 16

daytime =4, night =6yo

Question 17

Enuresis is often correlated with what?

Answer 17

Constipation

Question 18

Which treatment for enuresis has the lowest rate of recurrence?

Answer 18

enuresis alarm, 10% relapse vs 90% relapse w/TCAs

Question 19

What do you call an involuntary or voluntary passing of stool that result in soiling of clothes in a child who is potty-trained?

Answer 19

Encopresis

Question 20

What causes encopresis?

Answer 20

95% have NO underlying pathology, consider Hirschrpung’s, tethered cord, hypothyroid

Question 21

What are some Dx criteria for anorexia nervosa?

Answer 21

refusal to maintain nml body wt (at least 15% underweight), amenorrhea, intense fear of gaining wt, denial

Question 22

What are Dx criteria for bulimia nervosa?

Answer 22

binge eating w/compensatory behavior (V, laxatives, exercise) 2x’s/wk for 3 mos

Question 23

Early adolescence is a risk factor for which eating d/o?

Answer 23

anorexia nervosa