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Path 2 exam 2 > Pediatric Exam - Dow > Flashcards

Pediatric Exam - Dow Flashcards

1
Q

What are newborns given shortly after delivery?

A

erythromycin ointment in eyes to prevent infection
Vitamin K injection to prevent bleeding
Full bath

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2
Q

What are newborns given prior to discharge?

A

First hepatitis B immunization

Hearing screening

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3
Q

What is always considered an emergency in a neonate?

A

Fever (rectal temp over 100.4)

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4
Q

What MUST you be in a pediatric PE?

A

Flexible; do heart and lungs first before child is upset

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5
Q

What is obstipation?

A

infrequent poops but they are soft.

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6
Q

What are the 3Cs of a neonate?

A

constipation, colic, congestion (small nasal passages)

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7
Q

early fusing of the sutures

A

craniosynostosis

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8
Q

Which fontanelle closes first?

A

Posterior (1-2months)

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9
Q

When does the anterior fontanelle close?

A

12-18 months

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10
Q

What normal deformity of neonate head crosses suture lines?

A

caput succedaneum

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11
Q

what swelling of the neonate’s head does not cross suture lines

A

cephalohematoma

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12
Q

seborrheic dermatitis

A

cradle cap

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13
Q

alopecia areata

A

autoimmune loss of hair

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14
Q

tinea capitis

A

fungal infection of the head

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15
Q

furry, white lining the ear with small black specks

A

Aspergillus infection in the ear

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16
Q

yellow discharge possibly with foul odor of the ear

A

pseudomonas

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17
Q

otitis externa d/t

A

aspergillus, pseudomonas

18
Q

otitis interna d/t

A

viral or bacterioal (S. pneumoniae, H. influenza, M. catarrhalis)

19
Q

Why are children predisposed to otitis media?

A

Children have wider shorter Eustachian tubes compared to adults

20
Q

tympanosclerosis

A

hard, dense, sclerotic tissue on eardrum, may be associated with decreased hearing.

21
Q

nose with pale boggy mucosa

A

allergic rhinitis

22
Q

Epstein pearls

A

mucous cysts on hard palate of infants

23
Q

What does HEADS stand for?

A 
Home
education
eating
activities
drugs
safety 
sex
suicidal/mental status
24
Q

Vaccines recommended from birth to 6 months

A

RV (rotavirus), DTaP (diptheria, tetnus, pertusis), Hib (H flu B), PCV (pneumococcal), IPV (polio)

25
Q

neonate vital signs

A

R: 40-60 breaths per minute
P: 120-160 bpm

26
Q

What is a positive Galeazzi sign?

A

When knees flexed to 90 degrees 1 is shorter than the other

27
Q

what is Ortolani testing for?

A

posterior dislocation of the hip

28
Q

What is Barlow testing for?

A

ability to sublux or dislocate intact but unstable hip

29
Q

Palmar grasp reflex

A

place finger in hand and press against palmar surface -> grasp finger

30
Q

Plantar grasp reflex

A

touch sole at base toes -> toes curl

31
Q

Moro (startle reflex)

A

hold supine, support head, back, legs; abruptly lower 2 feet –> arms abduct & extend, hands open & legs flex

32
Q

Rooting

A

stroke perioral skin at corner mouth -> mouth opens and turns head toward side stimulated

33
Q

At what age does an infant social smile and coo?

A

2 months

imitates sounds 3-6 mo

34
Q

At what age does an infant have no head lag with pulling infant to sitting position

A

4 months

35
Q

At what age does the pincer grasp develop and what do you need to watch for?

A

8-9 months; anticipatory guidance about choking hazards at 6 mo check up. Keep small objects away from infant

36
Q

What are the speech milestones?

A

Age 2: two word sentences
Age 3: speech is 3/4 understandable to a stranger
Age 4: 100% understandable to all

37
Q

Baby with diaper rash with red satellite lesions has

A

candida

38
Q

honey crusted lesions

A

impetigo

39
Q

red, crusting, dried pus or discharge, or oozing patches

A

impetigo

40
Q

imetigo is d/t

A

staph infections

Path 2 exam 2 (6 decks)

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