Pedia Flashcards
Difference between cephal hematoma from caput succedaneum
limitation of swelling in the area
Alpha fetoprotein fully diagnostic of
neural tube defect
new born infant presents with skin lesions typical of erythema toxicum. You want to confirm the diagnosis by looking at the contents inside the lesion
eosinophils
You are evaluating an infant born at 39 weeks gestation weighing 2000g. Which of the following would be the appropriate classification of this infant?
A. Term birth and aga
B. Preterm aga
C. Term sga
D. Preterm sga
C. Term sga
Normal Heart Rate of an Infant
120-160
Premature except
Transparent
gelatinous skin
true of hypothermia in a newborn except:
can lead to metabolic alkalosis
a normal term new born infant should have one of the ff:
HR 100-120
Apgar score 4-0
Body temp 35.5 - 36.5
RR of 30-60
RR of 30-60
Temperature regulation of newborn involved in the following except:
Humidification
Fetal heart rate of more than 160 via fetal heart rate monitoring indicates
hypoxia
Late decelerations noted on fetal heart monitoring indicates
fetal hypoxia from utero placental insufficiency
Low MSAF except:
Neural tube defect
Quadruple test:
inhibin A
Contents inside the lesion of
erythema toxicum:
eosinophils
Useful in determining fetal viability:
fetal ultrasound
Total body water of newborn:
70%-75%
Which of the following skin findings in newborn cannot be resolved?
Port-wine stain
Thermoneutral envi. is the environmental temp. of which the neonate normal temperature retained :
Minimum oxygen consumption
Thermoneutral envi. is the environmental temp. of which the neonate normal temperature retained :
Minimum oxygen consumption
Major function of the surfactant phospholipids for lung maturity:
Decrease the work of breathing
A newborn is acrocyanotic, facial grimace on stimulation, heat rate of 120, active crying. What is the ballard scoring?
8
4 hours after birth is noted swelling of presenting part that does not cross the suture line is?:
Cephalhematoma
Sleeping in infants on the average, is how many hours?
15- 16 hrs
How many percent of newborn should have voided within 24hrs?
92%
Brown fat =
nape of neck, axilla, surrounding the kidney
Normal weightloss 4-5 days after birth =
5-10%
Sleeping position for newborns to prevent SIDS? -
lay on their back
risk factors in the antepartum period include all except:
d. Mother age between 19 and 35
The following intrapartum factors places the newborn high risk for morbidity and mortality except:
A. Premature labor
B. Abnormal presentation
C. Rupture of membrane more than 24 hours
D. Clear amniotic fluid
D. Clear amniotic fluid
All of the following are cause of low birth weight except:
A. Poor prenatal care
B. Poor nutrition
C. Mother drinking, smoking and has drug habits
D. Mother of age 19- 25
D. Mother of age 19- 25
High risk
32 weeks
Best description of apgar score:
It assess neonates to determine whether the infant needs immediate medical care
Diseases including in the screening of asian infants, except:
cystic fibrosis
.in the new born term infant which of following is NOT correct:
Single palmar crease
passage of meconium occurs w/in 12 hrs of birth. It is expected that 92% of preterm and 95% of term indants pass meconium within:
24 hrs.
Able to draw a square:
4yrs old
Developmental normal child who can unbutton clothing, put on shoes, ride a tricycle, build a tower of 10, and stands momentarily on one foot are observe at what age?
3 yo
Average head circumference of 1 y/o?
45-47
Approximate weight of a 4 year old:
age in year x 2 + 8 = 16kg
Most advanced language fxn for a 2 year old:
complete sentences
Peak growth development, decrease need for sleep?
Preschool
Characteristic of 1 month old except?
follows cooing
First deciduous teeth to appear at 8-10 months:
Central tooth
The peak of brain development appears at this time:
Infancy
All of the following primitive reflexes are normal if persists in 4 to 6 yrs except?
ROOTING REFLEX
An example of 4 year old developmental milestone?
HOPS ON ONE FOOT
In a kindergarten with 4 year Old, what can be observed:
fine movements
The most advance language function that can be expected to a 2 years old child is? :
Combine 2 different words
Cope with new awareness of vulnerability through this consoling habit:
thumbsucking
Leila is able to draw diamond, can dress up completely and can follow serial commands. Her age is approximately:
6 years old
Jose can draw a square, jump or hop and can talk in complete sentences is:
A. 2 years old
B. 3 years old
C. 4 years old
C. 4 years old
Earliest sign of puberty among boys:
Enlargement of testicles
Earliest sign of puberty among girls:
Appearance of breast buds
one of determinants of sexual maturity rating in girls:
configuration of the breast
value of sexual maturity rating
A. predictive capacity
b. predicting final size of breast, testes
c. physical and physiologic
d. sexual activity
c. physical and physiologic
Ana is in SMR 4, what changes in her body are occuring?
Breast and papilla are elevated as small mount with increase in areola diameter
Tanner stage with pubic hair :
SMR 3
The peak growth of testes and penis usually occur during this period:
SMR 4
Sperma, appearance of acne and axillary perspiration among boys usually occur during this period:
SMR 3
Normal age during peak of height velocity in girls?
12 years old
Normal sequence of events in the growth spurt?
Enlargement of hands and feet then arms and legs then trunk and chest
Papilledema:
Flame shaped hemorrhages
Bulging fontanelle:
ICP Increased
Not characteristic of fetal lung:
Not air filled alveoli
Aspirate meconium is associated w/:
fetal distress
In hx taking, the answers the question “why was the px brought to the hospital”?
Chief complaint
16 years old female with metabolic syndrome. Loss of consciousness. Obese. Fundoscopic findings?
Flame shaped
True of primitive reflex:
reflect integrity of the brainstem and spinal cord
pedia neuro case with muscle strength of grade 4:
full range of motion some resistance
Abnormalities in CN III, IV, and VI results in defect EXCEPT:
a. Eyelid
b. Eye movement
c. Palpebral fissure
d. Corneal
d. Corneal
16 yr old female who is pregnant complains of headache and has blurred of disc on fundunscopy. What is the cranial nerve affected?
OPTIC NERVE
Facial numbness on the left face, px cannot whistle or show teeth:
CN VII (facial Nerve)
Physical exam includes:
inspection, auscultation,
palpation, percussion
What is the reason of getting accurate history taking and physical examination:
to diagnose and to treat
Usually the general data of a good history includes all of the ff EXCEPT :
D. Institution of Referral
A good clinical history is one of the ff :
from the patient itself
