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OB/Peds > Final(ly) > Flashcards

Final(ly) Flashcards

1
Q

Congenital malformations, neural tube, heart defects, absent of ears, and renal agenesis etc. are commonly due to?

A

glycemic control and diabetes

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2
Q

Consumption of artificial sweeteners during pregnancy are associated with…?

A

preterm labor, asthma and allergies, metabolic syndrome (all of the above)

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3
Q

Which is associated with macrosomia

A

maternal diabetes

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4
Q

When performing second part of Websters find the trigger point on the round ligament by?

A

Inferior medial and inferior lateral

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5
Q

Changes in pregnancy are associated with?

A

hand and arm weakness, pain that wraps around the chest in a band like pattern, pain that radiates from lumbar spine and radiates down leg, disordered movement of facial muscles (all of the above)

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6
Q

Which is true regarding fundal height?

A

measuring from upper part of pubic symphysis to superior fundus

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7
Q

Performing leopold’s you determine which part is lying above the inlet?

A 
third (make sure you know the sequence of leopold's because she will change it)
part 1 head
part 2 back
part 3 pelvic inlet
part 4 flex, deflexed, extension
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8
Q

Why use screening tools?

A
  1. state the norms explicitly
  2. reminder to observe development
  3. efficient way to record observation
  4. help identify more children with delays –> ** shown to be more accurate estimates of development than observation
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9
Q

Are parents a good judge of development?

A

YES

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10
Q

T/F Parents raise valid concerns in detection of developmental and behavioral problems from an early age.

A

true

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11
Q

How old should a baby be rolling in a “corkscrew” fashion from back to front?

A

6 months

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12
Q

How old should a baby be when able to sit without support?

A

7 months

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13
Q

How old should a baby be when they can stand alone briefly and go from sitting to crawling?

A

12 months

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14
Q

Inattentiveness, over-activity, impulsivity or a combination is what disorder?

A

ADHD (must be out of normal range for a child’s age and development)

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15
Q

What is the most commonly diagnosed behavior disorder in childhood? (3-5% of school aged children)

A

ADHD

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16
Q

Is ADHD more common in boys or girls?

A

boys

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17
Q

What is the major difference of children with Asperger’s and children with Autism?

A

language

  • children with Autism have a hard time learning language
  • children with Asperger’s learn language quite quickly
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18
Q

A scientifically validated tool for screening children 16-30 months to assess risk of autism spectrum disorder (ASD)

A

M-CHAT

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19
Q

What ages are recommended for all children to have autism screening?

A

18 and 24 months

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20
Q

When children with autism are resistant to change, what is the best solution?

A

create a routine and be patient

21
Q

List the benefits of a fever…yes, list them all.

A
  1. decrease growth and reproduction of bacteria and viruses
  2. increase neutrophil production and T-lymphocyte proliferation
  3. aid’s in bodies acute-phase reaction
  4. helps body recover more quickly from viral infections
22
Q

T/F there is no clearly established evidence between high fevers, seizures, brain damage or death?

A

true

23
Q

Who are the children we should be worried about with a fever?

A

underlying chronic conditions-they may not be able to handle the increase of metabolic demands

24
Q

How high is the temperature for those who have had febrile seizures?

A

> 102

25
Q

Common and normal physiologic response

A

fever

26
Q

rare and pathophysiologic response, failure of normal homeostasis?

A

hyperthermia >106 degrees shit starts to go wrong

27
Q

Gimme all the things you need to do to assess a febrile child…and….go…

A
  1. quality of cry
  2. reaction to parent stimulation
  3. state variation
  4. color
  5. hydration
  6. response to social overtures
  7. a score of >12 should be referred for evaluation
28
Q

What reduces the risk factor of earache?

A

breastfeeding (for a minimum of 6 months), if bottle fed-avoid supine feeding, reduce of eliminate pacifier use by >6months, daycare-increase incidence of URTI, and tobacco smoke

29
Q

Intestinal microflora may play a role in atopic diseases by modulating what in a developing child?

A

the immune system

30
Q

Atopic children more frequently colonized with?

A

staph aureus and clostridia

31
Q

What can help prevent atopic disease?

A

probiotics (lactobacillus GG)

32
Q

Explain the atopic march in infancy?

A

food allergy-associated GI disorders and dermatitis

33
Q

Explain the atopic march in earl childhood?

A

allergic rhino conjunctivitis and asthma

34
Q

Explain the recommended management for colic.

A

low allergen diet (breastfeed), hypoallergenic formulas, herbal tea, probiotics (relieve symptoms within 1 week)

35
Q

Gastroesophageal reflux affects what percent of full term, healthy babies?

A

50% but disappears by 6-12 months

36
Q

What position is good for GERD?

A

completely upright and prone, seated should be minimized in infants

37
Q

Allergies to cow’s milk present similar to what?

A

GER

38
Q

2 week trial of what may help cow’s milk allergy?

A

casein hydrolysate

39
Q

Infant death that cannot be explained?

A

SIDS

40
Q

When is SIDS prevalent? When is it rare?

A

rare in the first month

peaks at 2-3 months

41
Q

What are the risk factors for SIDS?

A

prone sleeping, MALES, maternal smoking during pregnancy, overheating, late or no prenatal care, young maternal age, preterm birth/ low birth weight

42
Q

Level A recommendations to reduce risk of SIDS are?

A

regular prenatal care, avoid smoke exposure during and after birth, avoid alcohol and drug use during and after birth, breastfeed, pacifier at nap and bedtime

43
Q

What is suggested NOT to use for a strategy to reduce the risk of SIDS?

A

at home cardiorespiratory monitors

44
Q

Know the steps of webster technique.

A

also know that it is NOT used as a treatment for a condition-even though it is claimed to be sometimes

45
Q

Increased resistance on the right (in Webster’s technique) indicated what listing?

A

P-R sacrum

46
Q

What is the preferred mode of adjusting with Webster’s technique?

A

Prone, P-A drop technique with low force

47
Q

In a Thompson leg check, the right leg raises higher, what is your listing?

A

SAR

48
Q

External movement of the fetus (EVC) can cause what to happen?

A

active labor, ruptured membranes, c-section from fetal compromise

OB/Peds (2 decks)

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