Pediatric Assessment

Question 1

facilitating examination of toddlers: examine what at the end?

Answer 1

ears, eyes, mouth

Question 2

Young children sequence of examination

Answer 2

foot to head sequences

Question 3

Length measurements

Answer 3

measuring board up to 24 months

Measure top of head to heal of foot

Question 4

Measuring head circumference

Answer 4

measure twice
up to 2 years of age
around suborbital & occipital prominences

Question 5

Microcephaly

Macro

Answer 5

<5% for head circumference

Question 6

formed @ intersection of these sutures where bone has not yet formed

Answer 6

Fontanelles

Question 7

Posterior fontanelles close

Answer 7

between 2-3 months

Question 8

anterior fontanelles usually closes

Answer 8

between 12-18 months

Question 9

EOMs in newborns

Answer 9

might not be symmetric

Question 10

visual acuity @

Answer 10

> 3 years old

Question 11

What should be present in infants

Answer 11

ref reflex

Corneal light reflex should be symmetric

Question 12

Tympanic membrane normal

Answer 12

pearly gray

light reflex should be visible around 5/7 o clock position

Question 13

Concerning @ what age if they child does not turn head for whisper?

Answer 13

4 months

Question 14

breast development

Answer 14

8-10 yrs of age

puberty: about 5 years (if don’t see anything around 13–refer)

Question 15

Enlarged testicles

Answer 15

9-10 yrs of age

ending puberty around 15 years of age

Question 16

2 mo of age:

Answer 16

tract to midline

Question 17

4 mo of age:

Answer 17

should be able to tract past midline

Question 18

⮚ Elicited when the newborn is supine and the head is turned to one side
⮚ In response, the extremities on the same side straighten, whereas on the opposite side they flex

Answer 18

Tonic neck reflex

persists until 3/4 month

Question 19

⮚ Elicited by stimulating the newborn’s palm with a finger or an object
⮚ The newborn grasps and holds the object or finger firmly enough to be lifted momentarily from the crib

Answer 19

palmar grasp

until 4 months

Question 20

⮚ Elicited when the newborn is startled by a loud noise

⮚ Newborn straightens arms and hands outward while the knees flex

Answer 20

moro reflex

Question 21

⮚ Elicited when the side of the newborn’s mouth or cheek is touched
⮚ In response, the newborn turns toward that side and opens the lips to suck (if not fed recently)

Answer 21

rooting reflex

Question 22

When should babinski go away

Answer 22

1 year of age