PEDIALEC_S1_L2 - P1-P3 Flashcards
1
Q
Increase in physical size and dimension relative to maturity
A
growth
2
Q
increase in the quality, complexity, and functional improvement over time
A
development
3
Q
pertains to the skills of pediatric pt
A
development
4
Q
focuses on the physical attributes
A
growth
5
Q
TorF: body follows a cephalocaudal development
A
T
6
Q
TorF: head growth is fastest in infancy and adolescence
A
F, infancy lang
7
Q
TorF: extremity growth is fastest at 1yr old
A
F, fastest in 1yr to PUBERTY
8
Q
Growth fastest in infance
A
head growth
9
Q
Growth fastest in infancy & adolescents
A
trunk growth
10
Q
Growth fastes in 1yr to puberty
A
extremities
11
Q
TorF:Newborns have relatively large head, flat abdomen, short trunk & extremities
A
F, have PROMINENT abdomen
12
Q
TorF: Infants have poor trunk & pelvic control if they have poor head control
A
T
13
Q
Hand placement for newborns in supine
A
One hand in occiput area, pne hand in pelvis
14
Q
Hand placement for infants in sitting
A
One hand on pelvis & trunk
15
Q
TorF:For pts c down syndrome, they have lax ligaments
A
T
16
Q
TorF: obj ax for adults & pedia is the same
A
F
17
Q
Adult Obj Ax
A
VOPARMS (VS, OI, Palpation, Anthropometric Measurement, ROM, MMT, Sensory Ax)
18
Q
Pediatric Obj Ax unique features(3)
A
Behavior, Sensorimotor, & Sensoriperceptual ax
19
Q
TorF: In pedia obj ax, tone is documented under palpation
A
F, under sensorimotor
20
Q
TorF: ROM, MMT, and Tone is documented under sensorimotor
A
T
21
Q
N temp for newborns
A
37-37.6°C
22
Q
N temp for 3 y/o
A
36.9-37.5°C
23
Q
N temp for 10 y/o
A
36.4-37°C
24
Q
N temp for 16 y/o
A
36.4-37.1°C
25
N PR for newborn
70-190
26
N PR for 3 y/o
80-125
27
N PR for 10 y/o
70-110
28
N PR for 16y/o
55-100
29
N RR for newborn
25-50
30
N RR for 3 y/o
20-30
31
N RR for 10 y/o
16-22
32
N RR for 16 y/o
15-20
33
N BP for newborm
50/25-52/30
34
N BP for 3 y/o
78/46-114/78
35
N BP for 10 y/o
90/56-120/84
36
N BP for 16 y/o
104/60-120/84
37
Pulse site for pediatric pulse rate ax
Brachial artery
38
Formula for getting pulse rate for hyperactive kids
Get PR for 10 secs X 6
39
Formula for getting respiratory rate for hyperactive kids
Get RR for 10 secs X 6
40
Landmark for taking BP
upper arm brachial artery
41
Unique manner of arrival for pediatrician pts
Mother-borne (buhat ng mother)
Stroller-borne (pinasok sa clinic via stroller)
42
body built components
weight, level pf nourishment
height, level of development
43
poorly nourished
ectomorph
44
fairly nourished
mesomorph
45
well nourished
endomorph
46
Average weight at birth
3400gm - 3500 gm
47
Average weight by 5 mos
double the birth weight
48
by 12 mos
triple the birth weight
49
until adolescent
2kg annually
50
Ex: JP weighs 3400gm at birth, what is his weight by 5 mos?
6800 gm
51
Weight is affcted by?
genetic factirs & lifestyle (nutrition)
52
Adolescent weight inc by 5kg every yr
F, 2kg
53
Height is fixed.
F, can also be affected by genetic factors & lifestyle
54
N height at birth
50 cm
55
by 12 mos
75 cm
56
by 4 yrs
100 cm
57
Early school age to adolescence height inc by 2cm per yr
F, 5cm
58
By 1 y/o, height inc by how many %?
50%
59
By 4 y/o, height inc by how many %?
100%
60
poorly developed
didnt achieve devt milestone at right age
61
fairly developed
achieved devt milestone, but didnt master
62
well developed
devt milestone is at par c age
63
Head circumferencd average for newborn
34-35cm
64
Average weight for newborn
3400-3500 gm
65
head corcumfernce measurement landmarks
glabella and supraorbital ridges anterioly, occipital protuberance posteriorly
66
macrocephalic
> 35 cm
67
normocephalic
35cm
68
microcephalic
< 35cm
69
N birth head circumference
34-35cm
70
by 4 mos
41 cm (add 6)
71
by 12 mos
47 cm (add 6)
72
maturity
57 cm (add 10)
73
macrocephaly can be d/t what conditiom?
hydrocephalus
74
fontanelle that closes first
posterior fontanelle
75
by what month doesmthe posterior fomtanelle close?
4-6 mos
76
anterior fontanelle closure
9-12 mos
77
thumb imside fist
cortical thumb
78
deviation to one side
listing
79
seen in pts c athetosis or CP
hand spooning (di q alam ano to)
80
seen in pts c down syndrome
simian crease
81
LLD
Leg length discrepancy
82
BODY PROPORTION OF NEWBORN INFANT
● Head relatively larger
● Rounder face & smaller mandible
● Rounder chest
● Prominent abdomen
● Shorter extremities
83
last ones to fuse
and is expected to fuse by 18 mos
Anterior fontanelle
84
expected to fuse
by 1⁄2 month
Posterior fontanelle
85
If the fontanelles appears soft beyond the
expected timeline, this may be indicative of __
hydrocephalus
86
PALPATION (8)
Patency of fontanelles (ant. and post.)
Subluxation/dislocation
● Nodules
● Edema
● MS spasm
● Crepitations
● MS guarding
● Tenderness
87
Anterior neuropore failure to close
anencephaly
88
Posterior neuropore failure to close
spina bifida
89
mother is given what to prevent spina bifida
folic acid
90
BEHAVIOR
play behavior
general behavior
eye contact
response to strangers
stereotypic/autistic like behavior
attention span
concentration span
frustration tolerance
impulse control
91
Solitary, dual, group
PLAY BEHAVIOR
92
The most important objective assessment is gross motor skills t or f
f, behavior
93
Observing play or observation of the child during an
activity is a crucial part in the _
development
94
Attentive, cooperative, cries, passive, hyperactive, manipulative
(cries all the time), % of time and/or activities
GENERAL BEHAVIOR
95
whenever you make a sound, child will
react to a stimulus, this is for toddlers t or f
f, for newborns
96
whenever you call the child’s name, check
for response, this is for toddlers t or f
t
97
what characteristic is it when a child cries all the time
Hyperactive/manipulative children will cry all the time
98
t or f general behvaior can be noted accdg to percents
t
99
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
f
100
eye contact can be:
Duration, meaningful, non-meaningful, fleeting
101
what you measure to check if pt has good focus
eye contact
102
/when a child is fleeting what does it mean
child is easily distracted
103
RESPONSE TO STRANGERS:
poisitve or negative separation anxiety
104
Self injurious
STEREOTYPIC/AUTISTIC-LIKE BEHAVIOR
105
Amount of time a patient can sustain an activity (time-based)
ATTENTION SPAN
106
Good duration based on age if 18-23 mos:
1min&20secs
107
Good duration based on age if 2-3 yo:
3 mins
108
Good duration based on age if 9-10 yo:
45 - 60 mins
109
Good duration based on age if adults:
1hr 30mins
110
Lesser than the suggested time frame indicates a _ attention span
poor
111
t or f attention span is observed during the objective assessment
f, Observed during the entirety of an activity
112
Amount of time that the patient can do the activity w/o being distracted
CONCENTRATION SPAN
113
CONCENTRATION SPAN grade: Unable to return to task even c prompting
poor
114
CONCENTRATION SPAN grade: Not distracted or can easily return to task s prompting
good
115
CONCENTRATION SPAN grade: able to return to task c prompting
fair
116
t or f concentration is Relative to a _
specific part of the evaluation
117
t or f For younger pts, it is better to not prolong the tx too much d/t their attention span
t
