let 5- selected infant exam/milestones

Question 1

when is the apgar score taken

Answer 1

taken at one min and 5 mins after birth

Question 2

What are the different categories f the APGAR score

Answer 2

Appearance
Pulse
Grimace (reflex irritability)
Activity (mm tone)
Respiration

Question 3

What is the ranges for apgar score

Answer 3

7-10 is considered normal

4-7 suggests resuscitative measures may be needed

<3 suggests immediate resuscitation

Question 4

what is the sig of growth assessments

Answer 4

• reflects health status
• illness,drugs, caregiving affects growth
• sig flag for processes and nurture
• indicators for action

Question 5

birth to 1 year changes in weight + height

Answer 5

infants triple in their weight

increase in length by 50%

Question 6

by 4 months what occurs to weight

Answer 6

usually doubles

Question 7

what is the quickest time of growing in the first year

Answer 7

growth in the first 4 months

Question 8

What does it mean that the childs weight is at the 90th precentile

Answer 8

the child is heavier than 90% of others

Question 9

when are growth charts most accurate

Answer 9

6m-1year

-sensitive for detecting problems

Question 10

causes of failure to grow

Answer 10

• Inadequat intake (low food volume, consumed, vomitting)
• Malabsorbtion
• increased metabolic demand

Question 11

what is failure to thrive

Answer 11

when a childs weight loss or rate of weight gain is much lower than that of other children of similar age/gender

Question 12

when is it considered failure to thrive on growth chart

Answer 12

When a childs weight for age falls below the fifth percentile (crosses two major percentile lines)

Question 13

medical causes of failure to thrive

Answer 13

• genetic
• organ, hormone probs
• CNS disease
• heart,lung,gi probs
• anemia
• lack of digestive enzymes
• chronic infections
• low birth weight

Question 14

What are some environmental issues that cause failure to thrive

Answer 14

• no emotional bond
• poverty
• poor relation
• poor education on diet
• poor eating habits

Question 15

what is used to assess pubertal development

Answer 15

Tanner staging

Question 16

What are dysmorphic features and example

Answer 16

might represent trauma at birth, congenital deformity or lifelong genetic disability

e.g., children w downs syndrome are an example of a set of distinct dysmorphic features

Question 17

when can ear deformities usually be surgically adressed

Answer 17

2nd year of life

Question 18

what is stahls ear

Answer 18

consists of an extra cartilage fold in the scapula portion of ear making it pointy

Question 19

What is Lop ear

Answer 19

where the top rim of the ear is either folded over, wrinkled or tight

Question 20

What is cup ear

Answer 20

involves op rim of ear which is abnormally tight

Question 21

What is microtia

Answer 21

when the external ear is small and not formed properly

Question 22

What is hypo plastic ear

Answer 22

failure of development of external ear

Question 23

What is strabismus and when will u see it

Answer 23

dysconjugate eye movements

• often seen in first month (4-6weeks)
• caused by delayed coordination of CN 3,4,6

Question 24

what are eyes that splay out without moving a sign of

Answer 24

increased intracranial pressure

Question 25

How can you find internuclear ophthalmoplegia

Answer 25

‘Doll head maneuver’

-as head is moved in one direction, the eyes should stay fixed in the opposite

Question 26

What are epstein pearls

Answer 26

small harmless cycts that form in newborns mouth

Question 27

What is cleft palate

Answer 27

when the tissue that makes up the roof of mouth does not join together during preg

Question 28

What is cleft lip

Answer 28

occurs when developing facial structures in unborn boaby don’t close completely

Question 29

What is ankyloglossia

Answer 29

The lingual frenulum may be shortened or thickened, restricting movement of the tongue or it may tether the tongue too close to the tip

Question 30

What is abdominal diastasis

Answer 30

protrusion of the abdomen due to separation of the rectus abdomens mm

Question 31

What is an umbilical hernia

Answer 31

when part of intestine bulges thru opening in abdominal mm near belly button