pediatric assessment

Question 1

palmar grasp reflex

Answer 1

newborn-5-6 months

-object placed in palm fingers will tighten around it

Question 2

babinski reflex

Answer 2

newborn through adulthood

• babies until 24 months-toes fan out (normal)
• adults-downward response (normal)

Question 3

moro reflex

Answer 3

newborn until 4-5 months

• sudden loss of support
• arms flail with crying

Question 4

parachute reflex

Answer 4

newborn until 3-4 months

when falling forward will place hands out to break fall

Question 5

tonic neck reflex

Answer 5

arm and leg bent on same side

newborn- 6 mo

Question 6

stepping reflex

Answer 6

newborn-2 months

baby will attempt to walk when placing hand at bottom of feet

Question 7

suck reflex

Answer 7

newborn-4 months

stimulate roof of month baby will latch and suck

Question 8

rooting reflex

Answer 8

newborn-4 months

touch baby’s cheek and head turned with mouth opened

Question 9

tanner scale

Answer 9

scale based on sexual characteristics (breast, genitalia, etc)
-scale can be used to determine treatment regimen

Question 10

tanner scale phases

male genitals

Answer 10

I: 14 ya, test vol.>20 ml, penis length 15 cm

Question 11

tanner scale

female breasts

Answer 11

I: 15 ya, full size breasts, areola returns to contour of breast with projecting central papilla

Question 12

tanner scale

pubic hair

Answer 12

I: 15, hair extends to medial surface

Question 13

ages for developmental stages

Answer 13

newborn: infant-12 months
toddler: 12-36 months
preschool: 3-5 ya
school age: 5-12
adolescent: 12-18
young adult: 18-30
adult: 30+

Question 14

parachute reflex

Answer 14

newborn until 3-4 months

when falling forward will place hands out to break fall

Question 15

tonic neck reflex

Answer 15

arm and leg bent on same side

newborn- 6 mo

Question 16

2 month denver scale

Answer 16

gross: lift head, head up 45
language: vocalize
fine motor: follow past midline
personal/social: smile spontaneously

Question 17

4 month denver scale

Answer 17

gross: sit head steady, roll over, pull to sit without head lag
language: turn to sound/voice
fine: follow 180
personal/social: regard own hand

Question 18

6 month denver scale

Answer 18

gross: sit no support
language: single syllables, imitate sounds
fine: reaches, rake raisin, pass cube
personal: work for toy, feed self

Question 19

9 month denver scale

Answer 19

gross: stand while holding on, pull to stand, get to sitting
language: dada/mama specific, jabbers, combines syllables
fine: thumb finger grasp, bangs 2cubes together
personal: wave bye, indicates wants, plays patty cake

Question 20

12 months denver scale

Answer 20

gross: stand alone, stoop and recover, walk
language: 1-2 words
fine: put block in cup
personal: drink from cup, play ball, imitate activities

Question 21

18 months denver scale

Answer 21

gross: walk up steps, run, kick ball
language: 6+ words, combine words, point 2 pictures
fine: scribble, tower of 4 cubes
personal: use spoon or fork, feed doll, help in house, remove clothes

Question 22

24 months denver scale

Answer 22

gross: jump, throw ball overhand
language: speech half understandable, name 6 body parts
fine: tower 6 cubes
personal: put on clothes, brush teeth with help, wash and dry hands

Question 23

3 years denver scale

Answer 23

gross: broad jump, balance each foot 1 second
language: speech understandable, know 2 adjectives, know 1 color, 2 actions, use of 2 objects
fine: imitate vertical line, tower of 8 cubes, thumb wiggle
personal: play board game, get dressed without help, brush teeth no help

Question 24

4 years denver scale

Answer 24

gross: balance 1 foot 4-5 seconds, hop
language: define 4 words, name 4 colors, know 3 adjectives
fine: pick longer line, draw person, copy circle
personal: same as 3