PEDIALEC_S1_L1 - 4-6 Flashcards
Pink trunk & extremities: what appearance score?
2
Cyanotic/blue: what appearance score?
0
> 100 bpm, what pulse score
2
sllow < 100 bpm, what pulse score
1
Pink trunk; blue extremities, what appearance score
1
Pulseless, what pulse score
0
Cries/pulls when stimulated, what grimace score
2
Unresponsive, what grimace score
0
Feebly cry when stimulated, what grimace score
1
Flexed at arms and legs, what activity score
2
some flexion, what activity score
1
none or flaccid what activity score
0
strong cry what respiration score
2
slow/irregular/gasp: what respi score
1
if no respiration, what score
0
pink and blue extremities, 1 bpm, weakly cried, strongly cried, elbow is
the one that is flexed
1+1+2+1+1= 6
what form records apgar score in the appropriate place at a specific time intervals.
Expanded Apgar Score Form.
ETT meaning
endotracheal tube
PPV/NCPAP meaning
positive-pressure ventilation/nasal continuous positive airway pressure
Expanded Apgar Score Form is common in _
NICU
Expanded Apgar Score Form is utilized in _
OPD patients
what to ask in postnatal hx?
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
for toys, what would you check?
check for the presence of
phthalates & bisphenol A (BPA),
allergies to latex (gloves),
Nickel,
cobalt (toy jewelry and paint)
allergy can be
detected through _
newborn screening
Pt can die from what allergy
soy
normal age for “holds head”
4 mos
normal age for “rolls over”
5-6 mos
normal age for “transfer object”
6 mos
normal age for “Sits alone”
6-7 mos
normal age for “Stands alone”
10-11 mos
normal age for “walks alone”
15 mos
referring to age of the child
based on from DOB (date of birth)
Chronological age
age based on the developmental milestones chart
Developmental age
chornological age is based on the last skill that the child is able to do
even if with difficulty t or f
F
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
For the age achieved, input what age the child was able to do the skill t or f
t
Fine motor skills (i.e grasping) needs to be assessed to know if
pt can do activities like feeding t or f
t
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)
Can also determine whether the child has an allergic reaction to a substance
newborn screenin
Most babies with metabolic disorders look “abnormal” at birth t or f
f, looks normal
why important to do ENBS?
By doing ENBS, metabolic disorders may be
detected even before clinical signs and symptoms are present.
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).
T OR F ask the c/c towards the end
f, Asked during the initial part of the interview
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
physiologicla reflexes (4)
head righting
head and body righting
Protective extension or parachute reactions
Equilibrium or tilting reactions
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
stimulus, response, and age of suppression for startle
stimulus: Sudden noise
response: Same as moro reflex
age of suppression: 4 - 6 mos
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
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
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
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
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
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
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
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
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
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
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
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
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
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
If some reflexes are suppressed, some reflexes
have to emerge t or f
t
KEY TECHNIQUES IN PEDIATRIC REHAB INTERVIEWS
● Empathy
● Patience
● Adaptability when working with children
