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ASSESSMENT Exam 4 > EXAM 4 > Flashcards

EXAM 4 Flashcards

1
Q

yellow-orange color due to consuming large amounts of Vitamin C

A

carotenemia

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2
Q

tiny pimples resulting from sebum production in infants

A

milia

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3
Q

Where would one test skin tugor in infants?

A

abdomen

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4
Q

Film present at birth

A

vernix caseosa

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5
Q

Test where infant is place on their side, downward facing side becomes red, rest of the body blanches; normal finding

A

Harlequin color change

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6
Q

Tiny bumps presents looking like flea bites; tiny red papules; normal finding in infants

A

Erythema toxicum

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7
Q

Abnormal temperature finding in 0-8 year olds

A

Over 105 degrees Farenheit

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8
Q

Usually appears at about 2-3 weeks, lasting until 10 weeks, prominent when infant is crying

A

umbilical hernia

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9
Q

Best anatomical location to observe when obtaining respirations in an infant?

A

Abdomen

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10
Q

Best anatomical location to observe when assessing respirations in an 8 year old?

A

Shoulders or chest, NOT abdomen

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11
Q

Prenatal exposure to smoke can cause this

A

LBW, asthma, otitis media, RTIs, increases risk of SIDS

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12
Q

Why is it important to ask about food allergies?

A

Food allergy can cause broncorestriction, effecting the respiratory system

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13
Q

Why is it important to ask about child-proofing the home?

A

To determine exposure to inhalants, swallowing toxic substance

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14
Q

Order of assessment in an infant or child

A

Go from least invasive to most invasive (which may irritate the child the most)

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15
Q

Descriptors that can be used to get a child to take a deep breath when listening to lungs

A

“Pant like a puppy,” “blow out the candle”

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16
Q

Average chest cirsumference from 0-2 yrs.

A

30-36 cm (2 cm less than head)

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17
Q

Apgar Score

A

Birth score take 1-5 mintues after birth; based on HR, resp effort, muscle tone, reflex irritability (NG to clear fluid), color - higher the score the better

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18
Q

Apgar score of 7-10

A

Baby in good condition, needs little suction

19
Q

Apgar score of 3-6

A

Moderately depressed, need more resusitation and observation

20
Q

Apgar score of 0-2

A

Baby severely depressed, full resusitation, ventilation

21
Q

How to infants breathe (up until 3 months)?

A

Obligate nose breathers

22
Q

How do you palpate the infants respiratory system?

A

Encircling the infant’s thorax

23
Q

Typical lung sound in infants

A

Hyperresonance and fine crackles are NOT abnormal (within the first day of birth)

24
Q

Where growth plates are located, to be of great concern if child has a break or fracture in this area.

A

Epiphyses

25
Q

Feet in apart position

A

Varus

26
Q

Feet in together position

A

Valgus

27
Q

Most reliable exam to test for hip dislocation

A

Ortolani’s maneuever

28
Q

In what order would one need to place pressure on the hips to test for hip dislocation in infants

A

Up, out, in and down with smooth movement (clunk as head of femure pops back into place = positive Ortolani’s)

29
Q

Secondary test used to check for hip dislocation

A

Allis test to compare leg length

30
Q

Having extra fingers and/or toes

A

polydactyly

31
Q

Webbing between fingers and/or toes

A

syndactyly

32
Q

Single crease in palm

A

Simian crease

33
Q

Startle reflex in infants - arms should reach out simultaneously

A

Moro’s reflex

34
Q

Signs of spina bifida

A

Tuft of hair, dimple in midline, cyst or mass

35
Q

How would one test for muscle strength in infants?

A

Hold out with arms, see if baby slips through hands (if so, it could indicate muscle weakness and need investigation)

36
Q

Genu varum

A

Bowlegged

37
Q

Genu valgum

A

Knock knees

38
Q

Pes pranus

A

Flatfooted

39
Q

Screening for progressive subluxation of the hip in preschool and school aged children

A

Trendelenburg’s sign

40
Q

Rating use to determine sexual maturity in adolescents

A

Tanner’s ratings

41
Q

How would you ask an adolescent if they have questions after an assessment?

A

“What questions do you have” NOT “Do you have any questions?”

42
Q

urethral meatus opens to the ventral side of glans

A

Hypospadias

43
Q

Urethral meatus opens to the dorsal side of glans

A

Epispadias

44
Q

Fluid in scrotum, translumminates as a faint pink glow, disappears spontaneously

A

Hydrocele

ASSESSMENT Exam 4 (1 decks)

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