paeds (onenote/lect 1.1)

Question 1

Development is: 
\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_

Answer 1

• cephalocaudal
• proximal to distal
• gross to refined skills
• from lower to more complex stage or development tasks

Question 2

Weekly weight increase for:

• birth - 6 mths
• 6-12 mths

Answer 2

1) 140 - 200 gms

2) 85 - 140 gms

Question 3

Monthly height increase for:

• birth - 6 mths
• 6-12 mths

Answer 3

1) 2.5 cm

2) 1.25 cm

Question 4

Freud’s Psychoanalytic theory

Answer 4

psychosexual stages; focus on particular body part

Question 5

Erikson’s theory of psychosocial development

Answer 5

importance of culture & society in personality development

Question 6

At what stage/age will the child learn to control urination and defecation?

Answer 6

Anal stage

1-3 years

Question 7

At what stage/age will the child learn to be independent? ( autonomy vs shame & doubt)

Answer 7

1-3 yrs

Question 8

At what stage/age will the child learn to do things and doing things desirable? (intiative vs guilt)

Answer 8

3-6yrs

Question 9

At what stage/age will the child explore by using mouth esp tongue (oral sensory)?

Answer 9

Birth-1 yr

Question 10

At what stage/age will the child be able to pronounce ‘mama’?

Answer 10

8 months (prelinguistic)

Question 11

At what stage/age will the child be able to utter single words that represent the meaning of an entire sentence?

Answer 11

1-1.5 yrs (holophrastic)

Question 12

At what age should parents introduce finger food and offer fluid after food?

Answer 12

7-9months

Question 13

At what age should parents introduce weaning diet w/o sugar/salt?

Answer 13

4-6 months

Question 14

At what age should parents allow children to feed themselves w supervision?

Answer 14

10-12 mths

Question 15

Is phimosis normal in babies?

Answer 15

It is normal in babies but for older children, may cause UTI.

Question 16

What is craniosyntosis

Answer 16

premature fusing of the sutures; brain will not be able to expand hence growth is affected

Question 17

Some evidence of physical abuse

Answer 17

1) Neglect
- underdeveloped
- unkempt

2) Shaken baby syndrome
- vomiting
- changes in constant state

Question 18

Some evidence of sexual abuse

Answer 18

• injuries of genitalia
• anal dilation “reflex”
• behavioural changes

Question 19

Haemoglobin breaks down into ________

Answer 19

bilirubin (unconjugated)

Question 20

High levels of bilirubin can cause _____. Which may develop _________

Answer 20

kernicterus;

cerebral palsy

Question 21

Symptoms of kernicterus

Answer 21

• lethargic
• high-pitch cry
• irritability
• abnormal tone & posturing

Question 22

Serum bilirubin level should be done when TcB is at or above the readings of:

1) 0-24 hrs (days of life)
2) 25-36 hrs
3) 37- 48 hrs
4) 49- 72 hrs

Answer 22

1) 140 mmol/L
2) 160
3) 180
4) 200

Question 23

At what stage/age will the child learn sexual identity through awareness of genital area?

Answer 23

Phallic stage: 3-6 yrs

Question 24

At what stage/age will the child learn to walk while holding onto object?

Answer 24

10-12 months

Question 25

At what stage/age will the child learn to sit w/o support?

Answer 25

7-8 months

Question 26

At what stage/age will the child walk independently?

Answer 26

`12-15months

Question 27

At what age will the child begin to have primary tooth eruption (Central incisors)?

Answer 27

6 months

Question 28

At what stage/age will the child manifest “stranger anxiety”?

Answer 28

8 months

Question 29

At what stage/age will the child show emotions such as jealousy and affection?

Answer 29

12 months

Question 30

Parallel play precedes cooperative play. T/F?

Answer 30

True