PEDIALEC_S1_L1 - 4-6 Flashcards

1
Q

Pink trunk & extremities: what appearance score?

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cyanotic/blue: what appearance score?

A

0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

> 100 bpm, what pulse score

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

sllow < 100 bpm, what pulse score

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pink trunk; blue extremities, what appearance score

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Pulseless, what pulse score

A

0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cries/pulls when stimulated, what grimace score

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Unresponsive, what grimace score

A

0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Feebly cry when stimulated, what grimace score

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Flexed at arms and legs, what activity score

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

some flexion, what activity score

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

none or flaccid what activity score

A

0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

strong cry what respiration score

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

slow/irregular/gasp: what respi score

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

if no respiration, what score

A

0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

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

A

Expanded Apgar Score Form.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

ETT meaning

A

endotracheal tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

PPV/NCPAP meaning

A

positive-pressure ventilation/nasal continuous positive airway pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Expanded Apgar Score Form is common in _

A

NICU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Expanded Apgar Score Form is utilized in _

A

OPD patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

allergy can be
detected through _

A

newborn screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Pt can die from what allergy
soy
26
normal age for "holds head"
4 mos
27
normal age for "rolls over"
5-6 mos
28
normal age for "transfer object"
6 mos
29
normal age for "Sits alone"
6-7 mos
30
normal age for "Stands alone"
10-11 mos
31
normal age for "walks alone"
15 mos
32
referring to age of the child based on from DOB (date of birth)
Chronological age
33
age based on the developmental milestones chart
Developmental age
34
chornological age is based on the last skill that the child is able to do even if with difficulty t or f
F
35
case: the child can hold his head, roll over, however, have difficulty in transferring object, cannot sit, stand, and walk alone. what developmental age
6 mos
36
For the age achieved, input what age the child was able to do the skill t or f
t
37
Fine motor skills (i.e grasping) needs to be assessed to know if pt can do activities like feeding t or f
t
38
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.
Newborn Screening (NBS)
39
Can also determine whether the child has an allergic reaction to a substance
newborn screenin
40
Most babies with metabolic disorders look “abnormal” at birth t or f
f, looks normal
41
why important to do ENBS?
By doing ENBS, metabolic disorders may be detected even before clinical signs and symptoms are present.
42
how to NBS?
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
T OR F ask the c/c towards the end
f, Asked during the initial part of the interview
44
infantile reflexes (12)
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
physiologicla reflexes (4)
head righting head and body righting Protective extension or parachute reactions Equilibrium or tilting reactions
46
stimulus, response, and age of suppression for moro
stimulus: sudden neck extension response: Shoulder abd, elbow & finger ext followed by arm flex add age of suppression: 4 - 6 mos
47
stimulus, response, and age of suppression for startle
stimulus: Sudden noise response: Same as moro reflex age of suppression: 4 - 6 mos
48
stimulus, response, and age of suppression for rooting
stimulus: Stroking lips/around mouth response: Moving mouth. Head toward stimulus in search of nipple age of suppression: 4 mos
49
stimulus, response, and age of suppression for positive supporting
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
stimulus, response, and age of suppression for asymmetric tonic neck
stimulus: Head turning to side response: Extremities extend on face side, flex on occiput side age of suppression: 6 - 7 mos
51
stimulus, response, and age of suppression for symmetric tonic neck
stimulus: Neck flex/Neck ext response: Arms flex, legs extend/Arms extend, legs flex age of suppression: 6 -7 mos
52
stimulus, response, and age of suppression for palmar grasp
stimulus: Touch or pressure on palm or stretching finger flexors response: Flexion of all fingers, hand fisting age of suppression: 5 -6 mos
53
stimulus, response, and age of suppression for plantar grasp
stimulus: Pressure on sole distal to MT heads response: Flexion of all toes age of suppression: 12 - 14 mos when walking is achieved
54
stimulus, response, and age of suppression for automatic neonatal walking
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
stimulus, response, and age of suppression for placement of placing
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
stimulus, response, and age of suppression for neck righting
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
stimulus, response, and age of suppression for tonic labyrinthines
stimulus: Supine/Prone response: Predominant extensor tone/Predominant flexor tone age of suppression: 4 - 6 mos
58
stimulus, response, and age of emergence for Head righting
stimulus: Visual & vestibular response: Align face/head vertical, mouth horizontal age of suppression: Prone – 2 months // Supine – 3 to 4 months
59
stimulus, response, and age of emergence for Head and body righting
stimulus: Tactile, vestibular, proprioceptive response: Align body parts in anatomic position relative to each other and gravity age of suppression: 4 - 6 mos
60
stimulus, response, and age of emergence for Protective extension or parachute reactions
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
stimulus, response, and age of emergence for Equilibrium or tilting reactions
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
If some reflexes are suppressed, some reflexes have to emerge t or f
t
63
KEY TECHNIQUES IN PEDIATRIC REHAB INTERVIEWS
● Empathy ● Patience ● Adaptability when working with children