PEDIALEC_S1_L2 - P1-P3 Flashcards

1
Q

Increase in physical size and dimension relative to maturity

A

growth

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2
Q

increase in the quality, complexity, and functional improvement over time

A

development

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3
Q

pertains to the skills of pediatric pt

A

development

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4
Q

focuses on the physical attributes

A

growth

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5
Q

TorF: body follows a cephalocaudal development

A

T

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6
Q

TorF: head growth is fastest in infancy and adolescence

A

F, infancy lang

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7
Q

TorF: extremity growth is fastest at 1yr old

A

F, fastest in 1yr to PUBERTY

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8
Q

Growth fastest in infance

A

head growth

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9
Q

Growth fastest in infancy & adolescents

A

trunk growth

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10
Q

Growth fastes in 1yr to puberty

A

extremities

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11
Q

TorF:Newborns have relatively large head, flat abdomen, short trunk & extremities

A

F, have PROMINENT abdomen

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12
Q

TorF: Infants have poor trunk & pelvic control if they have poor head control

A

T

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13
Q

Hand placement for newborns in supine

A

One hand in occiput area, pne hand in pelvis

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14
Q

Hand placement for infants in sitting

A

One hand on pelvis & trunk

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15
Q

TorF:For pts c down syndrome, they have lax ligaments

A

T

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16
Q

TorF: obj ax for adults & pedia is the same

A

F

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17
Q

Adult Obj Ax

A

VOPARMS (VS, OI, Palpation, Anthropometric Measurement, ROM, MMT, Sensory Ax)

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18
Q

Pediatric Obj Ax unique features(3)

A

Behavior, Sensorimotor, & Sensoriperceptual ax

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19
Q

TorF: In pedia obj ax, tone is documented under palpation

A

F, under sensorimotor

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20
Q

TorF: ROM, MMT, and Tone is documented under sensorimotor

A

T

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21
Q

N temp for newborns

A

37-37.6°C

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22
Q

N temp for 3 y/o

A

36.9-37.5°C

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23
Q

N temp for 10 y/o

A

36.4-37°C

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24
Q

N temp for 16 y/o

A

36.4-37.1°C

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25
Q

N PR for newborn

A

70-190

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26
Q

N PR for 3 y/o

A

80-125

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27
Q

N PR for 10 y/o

A

70-110

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28
Q

N PR for 16y/o

A

55-100

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29
Q

N RR for newborn

A

25-50

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30
Q

N RR for 3 y/o

A

20-30

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31
Q

N RR for 10 y/o

A

16-22

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32
Q

N RR for 16 y/o

A

15-20

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33
Q

N BP for newborm

A

50/25-52/30

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34
Q

N BP for 3 y/o

A

78/46-114/78

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35
Q

N BP for 10 y/o

A

90/56-120/84

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36
Q

N BP for 16 y/o

A

104/60-120/84

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37
Q

Pulse site for pediatric pulse rate ax

A

Brachial artery

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38
Q

Formula for getting pulse rate for hyperactive kids

A

Get PR for 10 secs X 6

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39
Q

Formula for getting respiratory rate for hyperactive kids

A

Get RR for 10 secs X 6

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40
Q

Landmark for taking BP

A

upper arm brachial artery

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41
Q

Unique manner of arrival for pediatrician pts

A

Mother-borne (buhat ng mother)
Stroller-borne (pinasok sa clinic via stroller)

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42
Q

body built components

A

weight, level pf nourishment
height, level of development

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43
Q

poorly nourished

A

ectomorph

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44
Q

fairly nourished

A

mesomorph

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45
Q

well nourished

A

endomorph

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46
Q

Average weight at birth

A

3400gm - 3500 gm

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47
Q

Average weight by 5 mos

A

double the birth weight

48
Q

by 12 mos

A

triple the birth weight

49
Q

until adolescent

A

2kg annually

50
Q

Ex: JP weighs 3400gm at birth, what is his weight by 5 mos?

A

6800 gm

51
Q

Weight is affcted by?

A

genetic factirs & lifestyle (nutrition)

52
Q

Adolescent weight inc by 5kg every yr

A

F, 2kg

53
Q

Height is fixed.

A

F, can also be affected by genetic factors & lifestyle

54
Q

N height at birth

A

50 cm

55
Q

by 12 mos

A

75 cm

56
Q

by 4 yrs

A

100 cm

57
Q

Early school age to adolescence height inc by 2cm per yr

A

F, 5cm

58
Q

By 1 y/o, height inc by how many %?

A

50%

59
Q

By 4 y/o, height inc by how many %?

A

100%

60
Q

poorly developed

A

didnt achieve devt milestone at right age

61
Q

fairly developed

A

achieved devt milestone, but didnt master

62
Q

well developed

A

devt milestone is at par c age

63
Q

Head circumferencd average for newborn

A

34-35cm

64
Q

Average weight for newborn

A

3400-3500 gm

65
Q

head corcumfernce measurement landmarks

A

glabella and supraorbital ridges anterioly, occipital protuberance posteriorly

66
Q

macrocephalic

A

> 35 cm

67
Q

normocephalic

A

35cm

68
Q

microcephalic

A

< 35cm

69
Q

N birth head circumference

A

34-35cm

70
Q

by 4 mos

A

41 cm (add 6)

71
Q

by 12 mos

A

47 cm (add 6)

72
Q

maturity

A

57 cm (add 10)

73
Q

macrocephaly can be d/t what conditiom?

A

hydrocephalus

74
Q

fontanelle that closes first

A

posterior fontanelle

75
Q

by what month doesmthe posterior fomtanelle close?

A

4-6 mos

76
Q

anterior fontanelle closure

A

9-12 mos

77
Q

thumb imside fist

A

cortical thumb

78
Q

deviation to one side

A

listing

79
Q

seen in pts c athetosis or CP

A

hand spooning (di q alam ano to)

80
Q

seen in pts c down syndrome

A

simian crease

81
Q

LLD

A

Leg length discrepancy

82
Q

BODY PROPORTION OF NEWBORN INFANT

A

● Head relatively larger
● Rounder face & smaller mandible
● Rounder chest
● Prominent abdomen
● Shorter extremities

83
Q

last ones to fuse
and is expected to fuse by 18 mos

A

Anterior fontanelle

84
Q

expected to fuse
by 1⁄2 month

A

Posterior fontanelle

85
Q

If the fontanelles appears soft beyond the
expected timeline, this may be indicative of __

A

hydrocephalus

86
Q

PALPATION (8)

A

Patency of fontanelles (ant. and post.)
Subluxation/dislocation
● Nodules
● Edema
● MS spasm
● Crepitations
● MS guarding
● Tenderness

87
Q

Anterior neuropore failure to close

A

anencephaly

88
Q

Posterior neuropore failure to close

A

spina bifida

89
Q

mother is given what to prevent spina bifida

A

folic acid

90
Q

BEHAVIOR

A

play behavior
general behavior
eye contact
response to strangers
stereotypic/autistic like behavior
attention span
concentration span
frustration tolerance
impulse control

91
Q

Solitary, dual, group

A

PLAY BEHAVIOR

92
Q

The most important objective assessment is gross motor skills t or f

A

f, behavior

93
Q

Observing play or observation of the child during an
activity is a crucial part in the _

A

development

94
Q

Attentive, cooperative, cries, passive, hyperactive, manipulative
(cries all the time), % of time and/or activities

A

GENERAL BEHAVIOR

95
Q

whenever you make a sound, child will
react to a stimulus, this is for toddlers t or f

A

f, for newborns

96
Q

whenever you call the child’s name, check
for response, this is for toddlers t or f

A

t

97
Q

what characteristic is it when a child cries all the time

A

Hyperactive/manipulative children will cry all the time

98
Q

t or f general behvaior can be noted accdg to percents

A

t

99
Q

t or f do not make estimate of the time the pt
was responsive or indicate approximate percentage of child’s attention bc this is innacurate

A

f

100
Q

eye contact can be:

A

Duration, meaningful, non-meaningful, fleeting

101
Q

what you measure to check if pt has good focus

A

eye contact

102
Q

/when a child is fleeting what does it mean

A

child is easily distracted

103
Q

RESPONSE TO STRANGERS:

A

poisitve or negative separation anxiety

104
Q

Self injurious

A

STEREOTYPIC/AUTISTIC-LIKE BEHAVIOR

105
Q

Amount of time a patient can sustain an activity (time-based)

A

ATTENTION SPAN

106
Q

Good duration based on age if 18-23 mos:

A

1min&20secs

107
Q

Good duration based on age if 2-3 yo:

A

3 mins

108
Q

Good duration based on age if 9-10 yo:

A

45 - 60 mins

109
Q

Good duration based on age if adults:

A

1hr 30mins

110
Q

Lesser than the suggested time frame indicates a _ attention span

A

poor

111
Q

t or f attention span is observed during the objective assessment

A

f, Observed during the entirety of an activity

112
Q

Amount of time that the patient can do the activity w/o being distracted

A

CONCENTRATION SPAN

113
Q

CONCENTRATION SPAN grade: Unable to return to task even c prompting

A

poor

114
Q

CONCENTRATION SPAN grade: Not distracted or can easily return to task s prompting

A

good

115
Q

CONCENTRATION SPAN grade: able to return to task c prompting

A

fair

116
Q

t or f concentration is Relative to a _

A

specific part of the evaluation

117
Q

t or f For younger pts, it is better to not prolong the tx too much d/t their attention span

A

t