Pediatric Physical

Question 1

newborns receive

Answer 1

Erythromycin ointment in eyes
Vit K injection to prevent bleeding
Full bath
1st hep B imm.
Hearing screen
Fever in neonate is emergency (rectal temp >100.4)

Question 2

exam sequence

Answer 2

Must be flexible!
Heart/lungs first
Save less tolerated portions for later (HEENT)

Question 3

Immumizations at 2, 4, and 6 months

Answer 3

RV, DTaP, Hib, PCV, IPV

Question 4

capput succedaneum

Answer 4

edema, crosses suture lines (CSCS)

Question 5

cephalohematome

Answer 5

hemorrhage, does not cross suture lines

Question 6

reason for otitis media in children

Answer 6

shorter, wider ear canals

Question 7

palmar grasp

Answer 7

finger in palm > grasp

B to 4m

Question 8

plantar grasp

Answer 8

touch sole at base of toes > toes curl

B to 9m

Question 9

Moro (startle)

Answer 9

abruptly lower baby > arms abduct, extend, hands open, legs flex, cry
B to 4m

Question 10

Rooting

Answer 10

stroke perioral skin > mouth opens and turns toward stimulated side
B to 3-4m

Question 11

milestones

Answer 11

social smile and coos: 2m
no head lag: 4m
pincer grasp: 8-9m (anticipatory guidance about choking hazards at 6m checkup)
speech: 2- two-word sentences, 3- speech is 3/4 understandable to stranger, 4- 100% understandable to all

Question 12

impetigo

Answer 12

Honey crusted lesions, staph infection

Rx: topical Abx