Other Stuff

Question 1

Gestation

EDC

Parity:

Gravidity:

Answer 1

Gestation 26-42 wks

EDC: due date (estimated date of confinement)

Parity: number of live births

Gravidity: number of pregnancies (think sperm couldn’t make it past gravity and didnt get to birth)

Question 2

Exercise during pregnancy

Answer 2

aerobic exercise fine, don’t do things in supine or risk of falls

resistive exercise: low weights with multiple repetitions, flexibility individualized

intensity: moderate exercise (3-4 METS)

duration: 45 mins max, thermoneutral environment, hydrate

frequency: 30 min/day

not the time to get fit

avoid extremes of ROM or excessive stress

Question 3

No bottles to bed:

Answer 3

No bottles to bed: ear infections because Eustachian tubes can drip and mixing of fluids

Question 4

apophysitis:

Answer 4

apophysitis: micro avulsions at bone cartilage junction

Question 5

Number of times same activity/week, per year?

Answer 5

Limit 1 activity to max of 5 day/week

At least one day off

2-3 months off/year

Question 6

Strength Training in Pediatrics

Answer 6

strength training AVOID MAXIMUM LIFTING

neural adaptations (MU activation, recruitment, coordination)

harder to hypertrophy because of circulating hormones

8-12 reps, 1-3 sets, 2-3x/week

no gender difference in response to resistance training (increases in strength, but to lesser extent)

females do not have testosterone increase after heavy resistance exercise

males 33% stronger

focus on proper technique and safety

AVOID MAXIMUM LIFTING

Question 7

CHILD ABUSE

Most common.

Answer 7

CHILD ABUSE

Abusive head trauma is leading cause of child abuse fatalities

Sentinel injury (oral): minor injury, but may lead to more injury

Bucket handle fractures: very specific to abuse

Watch out for multiplanar bruising or neck

Really worried about ten 4 (torso, ears, neck, or less than 4 months)

Congenital dermal melanocytosis: look like bruises, but is a birth mark

child most likely to be abused under age of 1

MOST COMMON IS NEGLECT, then PHYSICAL, then SEXUAL, then PSYCHOLOGICAL

Question 8

MANDATED REPORTER & EMERGENCIES

Answer 8

MANDATED REPORTER

No diagnostic test for child abuse

Emergencies

1. <2 with head trauma
2. bruises, fractures, or burns
3. suspected inflicted abdomen trauma
4. burns
5. sexual assault disclosure