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Nur 943 OB > Exam 3 Pediatrics Part 1 > Flashcards

Exam 3 Pediatrics Part 1 Flashcards

1
Q

Head size reflects growth of ____

A

brain

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2
Q

During 1st year of life, head circumference increases about ______cm

A

10

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3
Q

Anterior Fontanel closes at _______

A

9-18 mos

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4
Q

Sunken anterior fontanel means

A

Deyhydration

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5
Q

Bulging anterior fontanel means

A

Increased Intercranial Pressure (hydrocephalus, infection, hemorrhage, Increased PaCo2)

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6
Q

Posterior fontanel closes at

A

2-4 months

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7
Q

At 9 months, the infant head is _____% size of adult

A

50%

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8
Q

At 2 years old, head circumference increases an additional ____cm and is ___% of adult size

A

2.5cm

75%

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9
Q

Frontal sinuses develop ______ years of age

A

2-6

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10
Q

1st tooth arrives around

A

6 months old

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11
Q

Teeth are complete around

A

20 months old

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12
Q

Permanent teeth start at

A

6 years old

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13
Q

Face and base of skull develop more _____ than cranium

A

slowly

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14
Q

Failure of prenatal development of mandible (3 diseases)

A

Pierre Robin
Treacher Collins
Goldenhar Syndrome

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15
Q

1-3 years old

A

Toddler

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16
Q

Preschool

A

4-6 years old

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17
Q

Up to 4 weeks old

A

Neonate

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18
Q

4 weeks to 1 year

A

Infant

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19
Q

School Age

A

6-13 years

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20
Q

13-18 years

A

Adolescent

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21
Q

Toddler

A

1-3 years

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22
Q

4-6 years

A

Preschool

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23
Q

NPO Guidelines

Clear Liquids-

A

2 hours

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24
Q

NPO Guidelines

Breast Milk

A

4 hours

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25
Q

NPO Guidelines

Infant Formula

A

6 hours

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26
Q

NPO Guidelines

Solids- Fatty or fried foods

A

8 hours

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27
Q

Herbal remedies are associated with

A

CV instability, coagulation disturbance, prolonged anesthesia, and immunosuppression

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28
Q

With these Sx, Surgery needs to be postponed 4-6 weeks for Elective Nonurgent Surgeries

A 
Fever > 38.4C
Malaise
Productive Cough
Wheezing
Rhonchi
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29
Q

Routine Hgb and UA are _______ for most elective surgical procedures

A

not indicated

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30
Q

Routine CXR is

A

not necessary

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31
Q

Acetaminophen dose for myringotomies

A

10-15mg/kg

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32
Q

Acetaminophen dose for T&A

A

Preop 40mg/kg + 20mg rectally in 2hr

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33
Q

Total 24 hour Acetaminophen dose not to exceed

A

100mg/kg

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34
Q

Ofirmev: 13 years and up (>50kg) max doses

A

1000mg q 6 hours or 650 mg q 4 hours

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35
Q

Ofirmev max doses for 2 y/o or < 50kg

A

15mg/kg Q 6 hours or 12.5mg Q 4 hours

36
Q

Peds Dosing

Glycopyrrolate

A

0.01 mg/kg

37
Q

Peds Dosing

Atropine

A

0.01-0.02 mg/kg

38
Q

Anticholinergics do what (3 things)

A

Prevent Bradycardia
Minimize autonomic vagal effects
Reduce Secretions

39
Q

After age 2, the face grows _____

A

rapidly

40
Q

Maxillary, sphenoidal , ethmoidal sinuses appear after age:

A

6

41
Q

Teeth: 1st one around ____
Complete about ____
Permanent start at _____ of age

A

Teeth: 1st one around 6 mon
Complete about 20 mos
Permanent start at 6 years of age

42
Q

Neonatal have a _____ epiglottis (long or short), and is what shaped?

A

Long and narrow (this time), Omega shaped

43
Q

What is a normal RR (F) for a newborn

A

50+/-1 (Good thing I don’t have a gun right now)

44
Q

What is the normal RR for a 6 month old

A

30 +/- 5

45
Q

What is the normal RR for a 12 month old - 5 years old

A

20-30 something upper range for younger ones, lower range for older ones

46
Q

Normal RR for a 12 year old

A

18 +/- 5

47
Q

Normal RR for Adult

A

12 +/- 3

48
Q

Normal TV for Newborn

A

21

49
Q

Normal TV for 6 mos

A

45

50
Q

Normal TV for 12 mos

A

78

51
Q

Normal TV for 3 years

A

112

52
Q

Normal TV for 5 years

A

270

53
Q

Normal TV for 12 years

A

480

54
Q

Normal TV for Adult

A

575

55
Q

Or…the easy way to figure out TV for anyone?

A

7mg/kg

56
Q

VE or MV for newborn

A

200-260ml/kg/min

57
Q

VE or MV for Adult

A

90ml/kg/min

58
Q

Vo2 for newborn

A

6-8ml/kg/min

59
Q

Vo2 for Adult

A

3-4ml/kg/min

60
Q

VC for Newborn

A

120

61
Q

VC for Adult

A

4000

62
Q

FRC for newborn

A

80

63
Q

FRC for Adult

A

3000

64
Q

Ph for Newborn

A

7.3-7.4

65
Q

Ph for Adult

A

7.35-7.45 Fuck a Duck

66
Q

PaO2 for Newborn

A

60-90

67
Q

PaO2 for Adult

A

80-100

68
Q

PaCO2 for Newborn

A

30-35

69
Q

PaCO2 for Adult

A

37-42

70
Q

PaCo2 for 1 year old

A

30-40

71
Q

Mean Heart Rate in BPM for Premature

A

120-170

72
Q

Mean HR for 0-3 Months

A

100-150

73
Q

Mean HR for 1-3 years

A

70-110

74
Q

Mean HR for 6-12

A

60-95

75
Q

Mean HR for > 12 years

A

55-85

76
Q

Mean HR Newborn, 6 years, Adult

A

130ish
100ish
70ish

77
Q

Mean BP for Preemie and Adult

A

Preemie 60/40
Adult 110/70
All other ages—somewhere in between

78
Q

Smoking ____blood carboxyhemoglobin concentration and sputum production

A

increases

79
Q

Smoking______ ciliary function, FVC, and FEV (25-75%)

A

decreades

80
Q

Children exposed to second hand smoke are more likely to have

A

asthma, otitis media, atopic eczema, hay fever, and dental caries

81
Q

What age?
Maximum Stress for Parent
Minimum Stress for infant- not old enough to be frightened of strangers

A

0-6months

82
Q 
What age? 
Tolerates Separation Well
Understands Processes and Explanations
May interpret everything Literally
May fear waking up during surgery, or not waking up at all
A

8-Adolescence

83
Q

What Age?
Maximum fear of separation
Not able to understand processes and explanations
Significant postoperative emotional upset and behavior
Begins to have MAGICAL thinking
Cognitive development and increased temper tantrums

A

6 mos to 4 years

84
Q

What Age?
Begins to understand processes and explanations
Fear of separation remains
Concerned about body integrity

A

4-8years

85
Q

What Age?
Independent
Issues regarding self-esteem and body image
Dev sexual characteristics and fear of loss of dignity
Fear of unknown

A

Adolescence

Nur 943 OB (11 decks)

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