PEDIAAAAAA 🫶🏼 Flashcards
When do you call a child full term?
37-42 weeks
How to measure growth in a child?
By: WEIGHT and HEIGHT
What is the most sensitive indicator of a child?
Weight
When does a child double in size?
Early Double: 4 months
Average Double: 6 months
When does a child triple in size?
12 months or 1 year
When does a child quadraple in size?
2 - 2 1/2 years old
At the end of the year whos more mabigat?
1 year old Male = 10kg or 22lbs
1 year old Female = 9.5kg or 21lbs
First 2 words
“Mama and Papa”
9 - 10 months
3 to 5 words
15 months
300 words
2 years old
900 words
3 years old
1,500 words
4 years old
2,100 words
5 years old
Varies word
6 years old
Head lag
Midline vision
1 MONTH
Cooing
Posterior fontanelle closes
Social smile
2 MONTHS
Babbles
Brings hand to mouth
Peripheral vision
3 MONTHS
Able to lift head and chest of the floor
Reaches for objects
4 MONTHS
Roll over
Smiles at self in mirror
5 MONTHS
Sits with support
Able to hold bottle
Mixed feeding can eat solid food
6 MONTHS
Sits without support
Transfer object from hand to hand
7 MONTHS
Sits without support
Close-open fist upon command
8 MONTHS
Creep and crawl
Pincer grasp
9 MONTHS
Starts to stand
Object permanence
Waves hands for “Bye”
10 MONTHS
Cruising
11 MONTHS
Walks with support
Able to drink from cup
12 MONTHS
Closes anterior fontanelle
12-18 MONTHS
PERMANENT TEETH
“Mama Is In Pain, Papa Can Make Medicine”
1st Molar
1st Incisor
2nd Incisor
1st Pre-molar
2nd Pre-molar
Curpids
2nd Molar
3rd Molar
ANTHROPROMETRIC MEASUREMENTS:
Weight:
Length:
Head Circumference:
Abdominal Circumference:
ANTHROPROMETRIC MEASUREMENTS:
Weight: 2,500g - 4,500g
Length: 45 - 55cm
Head Circumference: 33 - 35cm
Abdominal Circumference: 31-33cm
GROWTH TABLE (Weight&Height)
Double:
Triple:
Quadriple:
GROWTH TABLE (Weight&Height)
Double: 6mos ; 4 yrs
Triple: 1 yr ; 13 yrs
Quadriple: 2 years
Establishing Breastfeaading (how long) after delivery:
90 minutes
LEGAL BASIS:
Milk Code = Breastmilk
EO 51
LEGAL BASIS:
Rooming in and Breastfeeding Act
RA 7600
LEGAL BASIS:
Expanded Breastfeeding Act
RA 10028
What is the purpose of Erythromycin?
-Crede’s Prophylaxis
To prevent OPTHALMIA NEONATORUM
ESSENTIAL INTRAPARTAL AND NB CARE (EINC)
When is Unang Yakap Protocol launched?
December 25, 2009
ESSENTIAL INTRAPARTAL AND NB CARE (EINC)
The legal basis of Unang Yakap Protocol:
AO 0025 section 2009/AO 2009-0025
ESSENTIAL INTRAPARTAL AND NB CARE (EINC)
What are the 2 MDG’s of Unang Yakap Protocol?
- MDG 4 (Reduce Child Mortality)
- MDG 5 (Improve Maternal Health)
What does NORMAL FLORA do?
Normal flora has microorganisms that serves protection of the Neonate’s body
Why is it important to massage the fundus?
To prevent uterine atony and uterine bleeding
Normal DR temp:
25 - 28 degrees celcius
Dry the newborn for at least:
30 seconds
If child is not warmed, it may lead to:
Neonatal Hypothermia (Cold Stress)
Normal cry of Newborn:
Lound and Lusty
Never administer Oxygen greater than 40% because it may lead to:
Retrorental Fibroplacia
Increase oxygen»_space; Increase pressure»_space; rupture of capillaries»_space; may result to:
BLINDNESS
Sucking disappears at:
4 MONTHS
Rooting disappears at:
4 MONTHS
Step/Loose Disappears at:
4 MONTHS
Moro/Startle Reflex Disappears at:
4 MONTHS
Tonic-Neck Reflex Disappears at:
4 - 5 MONTHS
Extrusion reflex Disappears at:
6 MONTHS
Babinski Reflex Disappears at:
12 MONTHS
1st set of teeth:
DECIDUOUS TEETH (Milk Teeth)
Growing of Lower Central Incisors:
6 MONTHS
Growing of Upper Central Incisors:
7 MONTHS
Growing of Upper Lateral Incisors:
9 MONTHS
Growing of Lower lateral incisors:
11 MONTHS
Complete set of milk teeth:
2 1/2 years old
Solitary Play
Infancy
Toys:
*0-3 mos: colorful, soft, sound producing
*4-6 mos: squeeze toys and busy box
*7-12 mos: building box, balls, bath toys
INFANCY
FEAR: Stranger Anxiety
INFANCY
NUTRITION: Breastmilk
INFANCY
CONCEPTH OF DEATH: None
INFANCY
RISKS AND SAFETY:
*Falls
*Aspiration
*SIDS
INFANCY
PLAY: Parallel Play
TODDLERHOOD
TOYS:
*Push and pull toys
*Boards and mallets
*Stuffed animals
*Toy phone
*Story books with pictures
TODDLERHOOD
Negativistic behavior: “NO!”
TODDLERHOOD
Ritualistic Behavior: Food Jags
TODDLERHOOD
Temper Tantrums: bcuz of lack of communication skills
TODDLERHOOD
FEAR: Separation Anxiety
TODDLERHOOD
3 STAGES OF FEAR IN TODDLERHOOD:
PRO - Protest (Temper Tantrums)
DES - Despair (Withdrawn)
DEN - Denial (Ignore)
PLAY: Associative Play/Cooperative Play
PRE-SCHOOLER
Most Imaginative Stage:
*Imaginary friends
*Bedtime stories
*Hero worship
PRE-SCHOOLER
FEAR: Mutilation
PRE-SCHOOLER
CONCEPT OF DEATH:
Sleeping (reversible)
PRE-SCHOOLER
PLAY: Competitive Play/Corporative Play
*Sports
SCHOOLER
TOYS:
*Board games
*Collecting and classifying toys
*Card games
*Puzzles
*Hobbies/Video games
SCHOOLER
FEAR: Loss of Control/Losing
SCHOOLER
PLAY: Social Play
ADOLESCENCE
Most improtant people here is Peers
ADOLESCENCE
FEAR: Body Image Disturbance
ADOLESCENCE
CONCEPT OF DEATH:
Permanent (irreversible)
ADOLESCENCE
Explains how LIBIDO propels and drives the psychologic development of a child
PSYCHOSEXUAL THEORY by Sigmund Freud
Failure to satisfy is called:
FIXATION
Explains interaction with the society and affects the behavior of the child.
2 conflicting tasks for ends level
GOAL: Balance
PSYCHOSOCIAL THEORY by Erik Erikson’s
Changes in thinking and learning
Apply on real world situation
COGNITIVE THEORY by Jean Piaget’s
Changes the perception of what is right and wrong
MORAL DEVELOPMENT THEORY by Lawrence Kohlberg’s
What age mabilis ang reproductive system?
Adolescence and Puberty
What age is the adult size brain?
At 5 years old or Pre-school
What age is the adult size tonsils?
At 5 years old or Pre-school
Important indicator of development:
BEHAVIOR
When mabilis and development ng Neurologic System?
During INFANCY Stage
What test differentiates the fetal blood from maternal blood?
KLEIHAUER - BETKE’S TEST
4 PROCESSES OF HEAT LOSS:
- Conduction
- Convection
- Evaporation
- Radiation
With body contact
Example: cool weighing scale, cool cribs
CONDUCTION
Cool air currents
Example: Aircon»_space; if on room temp of 25-28 degrees celcius
Convection
Water to vapor
Example: NB wet»_space; heat loss»_space; dry baby
Evaporation
Without body contact
Example: Crib near the wall
Radiation
EFFECTS OF COLD STRESS:
- Hypoglycemia
- Metabolic acidosis
AKA Flea bite rash
Due to reaction of eosinophils to Air
Erythema Toxicum
Mottling of the skin (colors: yellow, blue, red, white of the skin)
Cutis Marmorata
White pin-pant spots at nose bridge and cheeks
Immature sebaceous glands
Looks like white heads
Milia
The bluish gray discoloration of buttocks (parang nabugbog)
Due to accumulation of melanocytes
Disappears by 1y/o and school age
Mongolian Spots
Scalp edema or fluid under the scalp
Crosses the suture line
Appears immediately after birth
Resolves after 3 days
CAPPUT SUCCEDANEUM
Pooling of blood under the scalp
Does not cross suture line
Appears after 23 hours
Resolves after 3-6 weeks
CEPHAL HEMATOMA
Blue sclera
Osteogenesis Imperfecta
Pink Iris
Albinism
(Not long life span compared to normal adults)
First Milk Teeth
2 lower incisors
(Right then Left)
Last Milk Teeth
Posterior Molars
First Permanent Tooth
1st molar
Last permanent Tooth
Wisdom Tooth
Total absence of extremities
AMELIA
Absence of proximal extremities, hands and feet diretcly attached.
PHOCOMELIA
Surfactant is formed at:
6 - 7 months
Can be heard by:
- Doppler:
- Fetoscope:
- Stethoscope:
Can be heard by:
- Doppler: 12 weeks AOG
- Fetoscope: 16 weeks AOG
- Stethoscope: 20 weeks AOG
Gender via outward appearance:
Gender via UTZ:
Gender via outward appearance:
~12 weeks
Gender via UTZ:
~16 weeks
Oxygen Saturation (Normal Values)
Neonate:
Adult:
Oxygen Saturation (Normal Values)
Neonate: 80%
Adult: 90-100%
Hemoglobin (Normal Values)
Neonate:
Adult:
Hemoglobin (Normal Values)
Neonate: 17.1 g/dL
Adult: 12-16 g/dL
Hematocrit (Normal Values)
Neonate:
Adult:
Hematocrit (Normal Values)
Neonate: 53%
Adult: 36 - 46%
Urine is formed:
Urine excretion:
Urine is formed: 12 weeks
Urine excretion: 16 weeks
Lanugo is formed:
Vernix caseosa is formed:
Subcutaneous fats ia formed:
Lanugo is formed: 16 weeks
Vernix caseosa is formed: 20 weeks
Subcutaneous fats ia formed: 8 months
Quickening
- fetal movement felt by mother. (When?)
20 weeks
“Duling”
Normal until 4mos due to weak extraocular muscles
Strabismus
Normal until 2-3mos due to immature lacrimal gland
Tearless cry
Extra Digits
Polydactyly
Lacking digits
Oligodactyly
Fused digits
Syndactyly
Starts with Ovulation and Ends with Fertilization
OVUM
Fertilization to implantation
Duration: Good for 2 weeks
ZYGOTE
Starts in 3weeks to 8weeks after implantation (approximately 2 months)
EMBRYO
9 weeks (2mos and 1week) until Birth
FETUS
When do you called a child full term?
37 weeks to 42 weeks
- Increase in physical size of a child
- Pertains to Quantitative Change (involves numbers)
GROWTH
- Increase in skills and functions
- Qualitative Change (words)
DEVELOPMENT
How to measure Developmental Changes?
- Direct Observation
- Note the parent’s description
- Assessment tool: DDST (Denver Devt Screening Test) - International tool Reco by WHO
1st exam:
2nd exam:
3rd exam:
1st exam: @ 3mos old
2nd exam: @ 10mos old
3rd exam: @ 3 y/o
4 areas assessed by DDST
- Language - ability of the child to communicate @ 2y/o
- Play Social - ability of the child to interact @ 2y/o
- Fine Motor Skills (aka Pre-Hensile Ability) - ability to use fingers; pincer grasp; ability to pick up small things
- Gross Motor - ability to use large body muscles
3 Gem Layers
Ectoderm - Outer layer
Mesoderm - Middle layer
Ento/Endo - Inner layer
Brain
CNS
Skin
5 Senses
Hair
Anus
Mouth
Nails
ECTODERM
Heart
Reproductive
Musculoskeletal
Kidneys
MESODERM
Thyroid
Thymus
Liver
GI Lining
ENTO/ENDODERM
Organ formation
Critical in the first trimester due to presence of teratogens
FETAL ORGANOGENESIS
Can lead to cleft lip/palate
STEROIDS
Staining of teeth to child
@ 6mos brownish teeth discoloration
TETRACYCLINE
Damages the fetal CN8: Acoustic/Vestibulocochlear
Can lead to deafness
QUININE/STREPTOMYCIN
Child can experience Amelia or Hocomelia
THALIDOMIDES
Quickening: fetal movt felt by mother
- Multigravida:
- Primigravida:
Quickening: fetal movt felt by mother
- Multigravida: @ 16-18 weeks
- Primigravida: @ 18-20 weeks
INDICATIONS FOR UTZ:
- to confirm pregnancy
- determine AOG
- determine site of implantation
- determine if there are Multiple Fetus
1ST TRIMESTER
INDICATIONS FOR UTZ:
- determine gender
- determime placental location
2ND TRIMESTER
INDICATIONS FOR UTZ:
- determine fetal size and position
3RD TRIMESTER
These are usually done Near term/Delivery
Known as Fetal APGAR
BIOPHYSICAL PROFILE SCORING