pæds practical

Question 1

Order to check Lymph Nodes

Answer 1

Occipital, Retro-auricular, Submandibular, Mental, Cervical, Supraclavicular, Infraclavicular, Anterior and Posterior to SCM, Axillary, Inguinal Region Lymph Nodes

Question 2

Normal Temperature via Rectum

Answer 2

36.6 - 38.0

Question 3

Normal Temperature via Ear

Answer 3

35.8 - 38

Question 4

Normal Temperature via Mouth

Answer 4

35.5 - 37.5

Question 5

Normal Temperature via Axillary

Answer 5

36.5 - 37.5

Question 6

How to determine expected Body Weight for those aged 1- 10 years

Answer 6

(age + 4) x 2

Question 7

Where do you do the Tugor test

Answer 7

Infant - stomach, chest

Child - back of hand

Question 8

Normal Anterior Fontanelle

Answer 8

• Rhombus shaped
• 3-4 cm long, 2-3 cm broad
• Closure at 12-18 months

Question 9

Normal Posterior Fontanelle

Answer 9

• Triangle shape
• Closure by the end of the first month

Question 10

Normal Head Circumference at birth

Answer 10

At birth: 34-35 cm

Question 11

Normal Head Circumference months 1-3

Answer 11

In months 1-3 increases by 2 cm/month

Question 12

Normal Head Circumference months 6 - 12

Answer 12

Months 6-12 increases by 0,5 cm/month

Question 13

Normal Head Circumference at 1 year old

Answer 13

At 1 year old = 46 cm

Question 14

What is the Barlow Maneuver

Answer 14

with hand on bent knee and hip flexed, adduct the hip and apply backward pressure to dislocate the femoral head from the acetabulum

There will be a palpable “clunk” caused by hip dislocation when the hip is flexed and adducted with downward pressure

Question 15

Normal Head Circumference at 5 years

Answer 15

At 5 years old = cc 50 cm

Question 16

What is the Ortolani Maneuver

Answer 16

after the Barlow maneuver, gently abduct the leg to reduce the posterior dislocation; as the femoral head reenters the acetabulum, a “clunk” is heard
A Palpable “clunk” caused by hip reduction when the hip is flexed and abducted while applying upwards pressure

Question 17

Normal Respiration Rate Infant

Answer 17

30 - 53

Question 18

Normal Respiration Rate Toddler (1 - 2yr)

Answer 18

22 - 37

Question 19

Normal Respiration Rate (3-5)

Answer 19

20 - 28

Question 20

Normal Respiration Rate 6 -11

Answer 20

18. • 25

Question 21

Normal Respiration Rate 12 - 15

Answer 21

12 - 20