Bootcamp

Question 1

what type of question do you never want to ask a child?

Answer 1

A yes or no question

Question 2

what is HEEADDSS

Answer 2

acronym for obtaining a health history from adolescents

Question 3

when assessing a child, in what order do you want to do your assessment?

Answer 3

from least invasive to most invasive

Question 4

when measuring infants up to 2 years of age, how should you measure them? how do you do it after 24 months?
what’s important for infants up to 36 months?

Answer 4

up to 2 years: in recumbent position (laying down)
- lay on pad and mark with pencil
after 24 months: obtain a standing height and weight

up to 36 monthsL obtain a weight and head cirumference on all infants

Question 5

after you get the height/weight of a child, what do you do with that information?

Answer 5

plot it on a growth chart and compare to age/gender averages; always plot on same growth chat to record growth over a period of time

Question 6

how

Answer 6

use of skinfold thickness and

Question 7

what’s a good way to assess fluid status of an infant/toddler

Answer 7

if fontanelles are sunken could be dehydration and if bulging could be fluid overload

Question 8

where should you assess skin turgor on a small child?

Answer 8

on their belly

Question 9

how do you check visual acuity of a baby?

Answer 9

distract with a visually stimulating object, check red-reflex and pupil reactions

Question 10

what is a bit different about the airway of a baby?

Answer 10

breath VERY much through their noses, so nose patency is important

Question 11

where is the heart in newborns?

Answer 11

right in the middle, at about a year old moves over to the left

Question 12

where’s the best place to get a pulse in a baby?

Answer 12

the brachial pulse

Question 13

what shape is baby’s abdomens up until after toddler-hood?

Answer 13

round

Question 14

what is the hip click test for?

Answer 14

while in utero, the baby’s hip joints can come out of socket and you spread legs apart and back together and listen for a click

Question 15

what’s huge to screen for in pre-pubescense that’s related to the musculo-skeletal system?

Answer 15

scoliosis

Question 16

why do you measure the head circumference on a baby, what’s really important to remember when taking the head circumference?

Answer 16

to keep an eye out for abnormal head growth like hydrocephalus; DON’T FORGET TO DO IT TWICE FOR EACH MEASUREMENT!

Question 17

what’s the gold standard for temp for 2 and under?

Answer 17

rectal temp

Question 18

how do you take a pulse for children under 2

Answer 18

take the apical pulse

Question 19

what’s a startles?

Answer 19

a reflex test, make a dropping motion with a baby and it will spread its limbs in a startle

Question 20

what are the most common drugs to cause AEs in kids?

Answer 20

antibiotics, asthma meds, and analgesics like opiates

Question 21

why should you be careful using optic medications in infants/children?

Answer 21

• can cause systemic effects

Question 22

infant’’s/small child’s proportion of body water and fat compare to that of an adult

Answer 22

higher proportion of body water; lower proportion of fat

Question 23

how to give oral meds to a newborn

Answer 23

• hold in semi-reclining position
• in food possibly
• use oral syringe slowly drip med to right side of mouth
• can use a nipple from a bottle and put syringe in nipple and have them suck

Question 24

how to give PO meds for a toddler

Answer 24

• sit upright
• mix with small amount of juice/flavoring
• crush and mix with pudding/syrup/ice cream
• press cheeks together until med is swallowed

Question 25

if infant is going to spit up med, what can you do?

Answer 25

use paper to create wind on nose/blow on their nose (blowing bad b/c of spreading disease), automatic reflex to swallow

Question 26

which way do you pull the ear for children when administering otic meds?

Answer 26

for children younger than 3 years of age, pull the earlobe down and back; otherwise, if older then up and back

Question 27

How much fluid per day does a 32 kilo child need?

Answer 27

for the first 10, you add 100 ml/kg
for the second 10 (above 10 and less than 20), add 50ml/kg
after 20, add 20ml/kg

so 1740 ml/day