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Peds Exam 1 > Growth > Flashcards

Growth Flashcards

1
Q

Growth meaning

A

Refers more to size & is fairly predictable.

You stop growing around 20 yrs old

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2
Q

Development meaning

A

This has more to do with increased skills and complex tasks.
Will be predicatbale.
Continues throughoutlife

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3
Q

Cephalocaudal

A

head to tail

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4
Q

Proximodistal

A

midline to outside

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5
Q

first 6 months infant growth

A

1.5 ibs

1 inch

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6
Q

last 6 months infant growth

A

3/4 ibs

0.5 inch

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7
Q

Birthweight trend at 6 months

A

doubled

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8
Q

Birthweight trend at 1 year

A

tripled

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9
Q

Infant’s posterior fontanel size & when it closed

A

small

occiptal closed by two months

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10
Q

infant’s anterior fontanel size & closing

A

diamond shape but large

closes at 12-18 months

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11
Q

For how long do we measure an infants head circumference

A

Until they’re 2 yrs old

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12
Q

5 month milestone

A

head lag is gone

rolling from abdomen to back

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13
Q

6 month milestone

A

sits with support and rolls from back to abdomen

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14
Q

7 months milestone

A

sits alone, leans forward on handd

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15
Q

8 month milestone

A

sits without any support

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16
Q

10 mo milestone

A

can move from prone to sitting & creep pulls to stand

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17
Q

9 month milestone

A

crawls

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18
Q

11 month milestone

A

cruises or walks while holding onto something

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19
Q

12 month milestone

A

first steps

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20
Q

explain trust vs mistrust

A

This is time from birth to 12 months where they see if they can trust you.
The baby has a relationship w the one who meets their basic needs or is their caregiver.
Consistency matters here.

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21
Q

Is it more imprtant for a child to be right on the dot w a trend or does it matter more about the sequence

A

Sequence but if the sequence is off too and the timing i way behind, need to investigate.

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22
Q

What if head growth isnt a good trend?

A

Reason for concern then bc it is substantial

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23
Q

Why are milestones important

A

Can help parent understand what to expect. and even help w safety

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24
Q

What is the temper the product of

A

It can be inborn or be nurtured

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25
Q

How should we handle temperment?

A

We need to accept it honestly and try to wokr with it

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26
Q

When is senosirmotor?

A

Birth to 18 months where the reflexes will become voluntary.
They begin to learn cause & effect as well.
They also know that they are seperate from the parent

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27
Q

Is anxiety around a stranger good or bad?

A

Good! it is a sign they have developed trust in you! 6 months

“IDK you soo are you going to hurt me?”

28
Q

When is object permanence developed

A

9-10 months

means if they can’t see you, they still know you exist

29
Q

Should you allow an infant to cry if they are being needy?

A

Sometimes. Can help the infant learn how to self soothe

30
Q

Does everyone need to breast feed

A

no. but if you do breast feed, should do that and only that for first 6 months

31
Q

Can an infant drink cows milk?

A

no they can’t process it for at least 12 months

32
Q

what is good about whole milk once they can drnk it

A

helps with myelinization of nervous system

33
Q

weaning

A

from bottle to cup

34
Q

introducing food

A

do it one food at time for allergies

35
Q

can you use an infafeeder

A

no don’t.

keeps them from developing to be able to swallow with the tongue.

36
Q

you try to give your baby solid food & they just wont swallow. is this bad?

A

not necessarily . just wait and try again in another week or so

37
Q

can you give honey to an infant?

A

NOOO due to botulism

38
Q

high allergen foods

A

eggs
peanuts

docs recommend giving in small amounts

39
Q

when to wheen baby from pacifier

A

6 months due to it being a self soothing mechanism

40
Q

what is tummy time for

A

develops trunk muscles & control extremeties

41
Q

Can you place a baby in a walker?

A

Not if younger than 7 months - they dont have the support they need for their head

but above all , no wheels

42
Q

safety concerns for baby

A

choking!!
burns
falls

43
Q

which way should car seat face

A

rear facing
around no airbags so middle seat if able

make sure its tight

also becareful with grocery carts

44
Q

birth weight trend by 2.5 years

A

quadrupled

height is 50% of adult age by 2 at least

45
Q

1-3 years mindset of toddler : shame and doubt

A

They can be very selfish.
negative.
clumsy.
multiword sentences that wont make sense

46
Q

positive resolution for 1-3 yrs old

A

Self control but resolve issue without loss of self esteem

47
Q

transductive reasoning: preoperations

A

a dog has 4 legs so all animals w 4 legs are dogs

all men are ddad

48
Q

animism: preopertions

A

fantasy that objects are alive

49
Q

when caring for toddler, is it ok if they’re alone?

A

no need to be w parent for exam. its just better and calms them

50
Q

how to handle toddler care if they’re being a pain?

A

just go with it.

51
Q

can toddlers be violent

A

absafuckinglutely

they will protect themselves :)

so approach slow and at their level

52
Q

how to toilet train

A

help them understand what you’re asking them to do.

make sure they’re wearing appropriate clothing

let them use whichever bathroom

positive reinforcement only

53
Q

toddler discipline

A

set limits - don’t change your mind

- but can use variety of techniques

54
Q

preschool initiative vs guilt

3-5 yrs old

A

Need to achieve something & trying is everything

wont realize everyone is a stranger

help them develop conscience & how they affect others

55
Q

how do preschoolers talk

A

Proficient but literal

don’t care who is listening

asks why a lot bc theyre curious

rapid growing vocab and stutters happen if they can’t quite figure it out

56
Q

preschooler logic

A

they sound logical but are they?? more pre-logical here lol

imaginary friends, animism, no facts

57
Q

how preschoolers are with health providers

A

Want to be helpful but cant always do it

don’t make them feel bad

needle phobia is big. limit viewing time

prepare and come ready w distractions

58
Q

will preschoolers procrastinate

prescoolers and seperation

choices

A

yes.

can become stressed

let them help make choices!

59
Q

childseat rulees

A

under 4 and 40 ibs , need a seat

60
Q

booster seat rule

A

4-8 years
less than 80 ibs
smaller than 4’9

61
Q

industry vs inferiority 6-12 yrs old

A

succeeding in school is priority
very competitive
peers are important but parents are too still

need to develop a sense of competence and perseverance

62
Q

will school aged children be selifh?

how do they deal

how to deal with school aged kids in care

A

not usually.

deal best with stuff they have experience in

and they wanna help themselves

let them be involved
explain everything
access to the phone

63
Q

stage 1 of puberty female

A

no signs of breast changes or pubic hair

64
Q

stage 2 of puberty female

A

increase breast size and areola darkens

hair is present

65
Q

stage 3 of puberty female

A

increase of breast and areola areas

pubic hair is coarse

66
Q

stage 4 of puberty femlae

A

secondary mounded occurs at breast near areola

pubic hair is adult like

67
Q

stage 5 of puberty female

A

breast buds now mature

pubic hair is adult like

Peds Exam 1 (6 decks)

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