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mski > PEDIALEC_S1_L1 - 4-6 > Flashcards

PEDIALEC_S1_L1 - 4-6 Flashcards

1
Q

Pink trunk & extremities: what appearance score?

A

2

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2
Q

Cyanotic/blue: what appearance score?

A

0

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3
Q

> 100 bpm, what pulse score

A

2

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4
Q

sllow < 100 bpm, what pulse score

A

1

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5
Q

Pink trunk; blue extremities, what appearance score

A

1

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6
Q

Pulseless, what pulse score

A

0

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7
Q

Cries/pulls when stimulated, what grimace score

A

2

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8
Q

Unresponsive, what grimace score

A

0

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9
Q

Feebly cry when stimulated, what grimace score

A

1

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10
Q

Flexed at arms and legs, what activity score

A

2

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11
Q

some flexion, what activity score

A

1

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12
Q

none or flaccid what activity score

A

0

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13
Q

strong cry what respiration score

A

2

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14
Q

slow/irregular/gasp: what respi score

A

1

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15
Q

if no respiration, what score

A

0

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16
Q

pink and blue extremities, 1 bpm, weakly cried, strongly cried, elbow is
the one that is flexed

A

1+1+2+1+1= 6

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17
Q

what form records apgar score in the appropriate place at a specific time intervals.

A

Expanded Apgar Score Form.

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18
Q

ETT meaning

A

endotracheal tube

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19
Q

PPV/NCPAP meaning

A

positive-pressure ventilation/nasal continuous positive airway pressure

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20
Q

Expanded Apgar Score Form is common in _

A

NICU

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21
Q

Expanded Apgar Score Form is utilized in _

A

OPD patients

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22
Q

what to ask in postnatal hx?

A

Illness/hospitalization
trauma/accident
meds taken
medical intervention/consultation
lab/examination results of the children
genetic factors
toy
growth potential
size at birth
poverty associated with ignorance and low intelligence

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23
Q

for toys, what would you check?

A

check for the presence of

phthalates & bisphenol A (BPA),
allergies to latex (gloves),
Nickel,
cobalt (toy jewelry and paint)

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24
Q

allergy can be
detected through _

A

newborn screening

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25
Q

Pt can die from what allergy

A

soy

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26
Q

normal age for “holds head”

A

4 mos

27
Q

normal age for “rolls over”

A

5-6 mos

28
Q

normal age for “transfer object”

A

6 mos

29
Q

normal age for “Sits alone”

A

6-7 mos

30
Q

normal age for “Stands alone”

A

10-11 mos

31
Q

normal age for “walks alone”

A

15 mos

32
Q

referring to age of the child
based on from DOB (date of birth)

A

Chronological age

33
Q

age based on the developmental milestones chart

A

Developmental age

34
Q

chornological age is based on the last skill that the child is able to do
even if with difficulty t or f

A

F

35
Q

case: the child can hold his head, roll over, however,
have difficulty in transferring object, cannot sit, stand, and walk alone.
what developmental age

A

6 mos

36
Q

For the age achieved, input what age the child was able to do the skill t or f

A

t

37
Q

Fine motor skills (i.e grasping) needs to be assessed to know if
pt can do activities like feeding t or f

A

t

38
Q

a simple procedure to find out if your baby has a
congenital disorder that may lead to mental retardation or even death if left untreated.

A

Newborn Screening (NBS)

39
Q

Can also determine whether the child has an allergic reaction to a substance

A

newborn screenin

40
Q

Most babies with metabolic disorders look “abnormal” at birth t or f

A

f, looks normal

41
Q

why important to do ENBS?

A

By doing ENBS, metabolic disorders may be
detected even before clinical signs and symptoms are present.

42
Q

how to NBS?

A

A few drops of blood are taken from the baby’s heel, blotted on a special absorbent filter card and then sent to Newborn Screening Center (NSC).

43
Q

T OR F ask the c/c towards the end

A

f, Asked during the initial part of the interview

44
Q

infantile reflexes (12)

A

moro
startle
rooting
positive supporoting
asymmetric tonic neck
symmetric tonic neck
palmar grasp
plantar grasp
automatic neonatal walking
placement of placing
neck righting or body derotational
tonic labyrinthine

45
Q

physiologicla reflexes (4)

A

head righting
head and body righting
Protective extension or parachute reactions
Equilibrium or tilting reactions

46
Q

stimulus, response, and age of suppression for moro

A

stimulus: sudden neck extension
response: Shoulder abd, elbow & finger ext followed by arm flex add
age of suppression: 4 - 6 mos

47
Q

stimulus, response, and age of suppression for startle

A

stimulus: Sudden noise
response: Same as moro reflex
age of suppression: 4 - 6 mos

48
Q

stimulus, response, and age of suppression for rooting

A

stimulus: Stroking lips/around mouth
response: Moving mouth. Head toward stimulus in search of nipple
age of suppression: 4 mos

49
Q

stimulus, response, and age of suppression for positive supporting

A

stimulus: Light pressure or WB on plantar surface
response: Legs extend for partial support of body weight
age of suppression: 3 -5 mos replaced by volitional weight bearing c support

50
Q

stimulus, response, and age of suppression for asymmetric tonic neck

A

stimulus: Head turning to side
response: Extremities extend on face side, flex on occiput side
age of suppression: 6 - 7 mos

51
Q

stimulus, response, and age of suppression for symmetric tonic neck

A

stimulus: Neck flex/Neck ext
response: Arms flex, legs extend/Arms extend, legs flex
age of suppression: 6 -7 mos

52
Q

stimulus, response, and age of suppression for palmar grasp

A

stimulus: Touch or pressure on palm or stretching finger flexors
response: Flexion of all fingers, hand fisting
age of suppression: 5 -6 mos

53
Q

stimulus, response, and age of suppression for plantar grasp

A

stimulus: Pressure on sole distal to MT heads
response: Flexion of all toes
age of suppression: 12 - 14 mos when walking is achieved

54
Q

stimulus, response, and age of suppression for automatic neonatal walking

A

stimulus: On vertical support plantar contact and passive tilting of body forward and side to side
response: Alternating automatic steps with support
age of suppression: 3 - 4 mos

55
Q

stimulus, response, and age of suppression for placement of placing

A

stimulus: Tactile contact on dorsum of foot or hand
response: Extremity flexion to place hand or foot over an obstacle
age of suppression: Before end of first year

56
Q

stimulus, response, and age of suppression for neck righting

A

stimulus: Neck rotation in supine
response: Sequential body rotation from shoulder to pelvis toward direction of face
age of suppression: 4 mos replaced by volitional rolling

57
Q

stimulus, response, and age of suppression for tonic labyrinthines

A

stimulus: Supine/Prone
response: Predominant extensor tone/Predominant flexor tone
age of suppression: 4 - 6 mos

58
Q

stimulus, response, and age of emergence for Head righting

A

stimulus: Visual & vestibular
response: Align face/head vertical, mouth horizontal
age of suppression: Prone – 2 months // Supine – 3 to 4 months

59
Q

stimulus, response, and age of emergence for Head and body righting

A

stimulus: Tactile, vestibular, proprioceptive
response: Align body parts in anatomic position relative to each other and gravity
age of suppression: 4 - 6 mos

60
Q

stimulus, response, and age of emergence for Protective extension or
parachute reactions

A

stimulus: Displacement of COG outside supporting base in sitting, standing
response: Extension/abd uction of lateral extremity toward displacement to prevent falling
age of suppression:

Sitting ant – 5 to 7 months
Lateral – 6 to 8 months
Posterior – 7 to 8 months

61
Q

stimulus, response, and age of emergence for Equilibrium or tilting reactions

A

stimulus: Displacement of COG
response: Adjustment of tone and posture of trunk to maintain balance
age of suppression:

Sitting – 6 to 8 months
Standing – 12 to 14 months

62
Q

If some reflexes are suppressed, some reflexes
have to emerge t or f

A

t

63
Q

KEY TECHNIQUES IN PEDIATRIC REHAB INTERVIEWS

A

● Empathy
● Patience
● Adaptability when working with children

mski (28 decks)

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