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GENERAL- TOP8 > PEDIATRICS > Flashcards

PEDIATRICS Flashcards

1
Q

-Measurable: Inch, Kg, lbs, cm,
-Observable

A

Quantitative: GROWTH

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2
Q

-Observable
-Maturation: Predictable
-behavioral Changes

A

Qualitative: Development

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3
Q

Best indicator of development

A

Behavioral Changes

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4
Q

start of Growth and Development

A

Start: Conception/Fertilization

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5
Q

1st human cell

A

Zygote

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6
Q

8-16 Cells that Stays 3 days in fallopian tube

A

Morula

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7
Q

8 weeks or 2 months

A

Embryo:

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8
Q

1st human cells to embryonic cell

A

O-Z-M-B-E
Ovum-Zygote- Morula- Blastocyst-Embryo

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9
Q

a complete cessation of cardiopulmonary & circulatory system and the entire brain, including the brainstem.

A

Death

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10
Q

Non-modifiable factors
-Genetics
-The study of how your behaviors and environment can cause changes that affect the way your genes work.

A

Epignetic Factor

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11
Q

Modifiable Factors
-food, air,water,
-Shelter, home

A

Mileau/ Environment:

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12
Q

Learning by doing

A

Enactive learning

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13
Q

Learning by observing

A

Vicarious learning:

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14
Q

Time: toilet training

A

18 months

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15
Q

early to achieve T.T. would lead to…?

A

Delayed Child

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16
Q

Readiness for toilet training:

A

Physiological: walk, sit, stand, squat (W-S-S-S)
Psychological: verbalize the need to T.T.
Psychosocial: Not shy & afraid

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17
Q

most important changes in readiness for toilet training:

A

Physiological:

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18
Q

Age: Bowel training: Anal phase

A

18 months- 30 months

*Bowel precedes Bladder

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19
Q

age: Bladder training: Day time bladder training

A

30 mons- 36 mons

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20
Q

age: bladder training: Night time B.T.

A

36 mons-48 mons

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21
Q

age: bladder training: Night time B.T.

A

36 mons-48 mons

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22
Q

Bed wetting

A

Enuresis:

*Should be resolved before school age

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23
Q

Bed pooping

A

Encopresis

*Should be resolved before school age

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24
Q

Discipline during Toilet Training

A

FIRM & CONSISTENT

Problem:
-Strict/rigid parents: OCPD
-Lenient/ laxity: Disorganized

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25
Q

Cheek: head will turn to side of stimulation—> sucking

A

Rooting Reflex:

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26
Q

Lips: vacuum lips

A

Sucking reflex

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27
Q

Anterior tongue (protective hindrance to complementary feeding)

A

Spitting/ Extrusion reflex:

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28
Q

Posterior tongue

A

Swallowing reflex

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29
Q

introduction of solid foods
-increase iron demand
(physiologic anemia

A

COMPLEMENTARY FEEDING

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30
Q

Best time COMPLEMENTARY FEEDING

A

6 mons

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31
Q

Earliest time: COMPLEMENTARY FEEDING

A

4 mons

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32
Q

FOODS: COMPLEMENTARY FEEDING

A

1.Cereals, Am (rice water): With iron
2.Vegetables: soft, mashed
Avoid: Chunk,Hard vegetables
3.Fruits: One at a time
4.Soft meat: well cooked (fish)
Avoid: chunky
5.Egg yolk

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33
Q

FOODS TO AVOID: COMPLEMENTARY FEEDING

A

1.Grapes, corn, popcorn, etc.,
:Aspiration
2.Egg white: Allergy
3. Honey: Botulism/ Poisoning

*Skin of fruits has latex content= high allergy
1st: Vegetable
2nd: Fruits

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34
Q

-Process of gradual decrease of breastmilk and increasr of semi-solid food.

A

Weaning

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35
Q

Best time: Weaning

A

6 months

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36
Q

Earliest: Weaning

A

4 months

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37
Q

feeling sensation
-supine w/ head slighlty elevated—>
-Elevated & down—.>
-Embracing
Startle:

A

Moro:

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38
Q

Nagulat/ shookt
-loud noise, jarring of crib
-quick extension of extremities

A

Startle

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39
Q

Disappearance: Moro/startle

A

4-6 months

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40
Q

Permanent & Absent startle/moro

A

Permanent: CNS lesions/scars
Brain cancer

Absent: Brain damage
Cerebral palsy
PKU (phenylketonuria)
Spinal Cord Injury
***PKU low IQ/Blue eyes

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41
Q

Disappearance: Tonic-Neck/Boxing/ Fencing

A

4 months

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42
Q

Baby can turn to side:
Tonic-Neck/Boxing/ Fencing

A

4 months

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43
Q

Absent: Dancing/Stepping reflex

A

sciatic nerve injury
EINC:Right leg: Hepa b inject.
Left leg: Vit. k

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44
Q

Dissapearance:
Dancing/Stepping reflex

A

4 months

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45
Q

Darwin/ palmar grasp: Start to assess

A

2 mons (Open hand)
1 mon (Fisted hand)

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46
Q

Disappearance: Darwin/ palmar grasp

A

4-5 months

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47
Q

Touch the sole= curling of toes

A

Plantar Grasp:

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48
Q

Disappreance: plantar Grasp:

A

8-10 months

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49
Q

stroke the sole inverted “j” = fanning of toes.

A

Babinski

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50
Q

Disappearance: babinski

A

0-12 months

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51
Q

-Test for Spinal Cord Injury

A

Galant Reflex

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52
Q

Disappearance:Galant Reflex

A

9-10 months

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53
Q

Foot; motor coordination

A

Cross-extension reflex

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54
Q

Disappearance:Cross-extension reflex

A

12 months

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55
Q

-Prone
-Falling sensation–> opening/extension of extrimities

A

Parachute reflex

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56
Q

Disappearance: OF PARACHUTE REFLEX

A

18 months

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57
Q

Aka “superman reflex

A

Landau reflex

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58
Q

Disappearance: OF LANDAU REFLEX

A

2 years old

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59
Q

what is the most important neuro relfex?

A

MORO/STARTLE REFLEX

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60
Q

PERMANENT/ PROTECTIVE REFLEXES
aspiration
-touch uvula (posterior position)

A

Gag reflex

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61
Q

PERMANENT/ PROTECTIVE REFLEXES
-protection: Pneumonia

A

Coughing & sneezing

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62
Q

PERMANENT/ PROTECTIVE REFLEXES: Protection: Hypoxia

A

Yawning

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63
Q

Controlled CNS (trigimenalPERMANENT/ PROTECTIVE REFLEXES)

A

Blinking

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64
Q

Inflammation of corneal:

A

keratitis

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65
Q

new EINC

A

ENC

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66
Q

WHO GOAL FOR ENC

A

↓ NMR ( 28 days) & ↓ MMR

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67
Q

Before ENC/EINC:

A

increase number of neonatal death in the first 7 hours.

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68
Q

2009: EINC IN PH

A

Adopted by the DOH: EINC/Unang Yakap

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69
Q

TIME BOUND INTERVENTIONS:
Birth-90 Mins: (1.5 hours)

               30 seconds
A

1.Dry the baby
Immediate: 30 seconds
Thorough: Face, Head, Body, Extremity

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70
Q

Purpose: Dry the baby

A

-Stimulation: crying
-Prevents hypothermia: Evaporation

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71
Q

TIME BOUND INTERVENTIONS:
Birth-90 Mins: (1.5 hours)

next 30 secs; within 1 minute

A

SKIN-TO-SKIN CONTACT
-Prone with head turned to side to the mother’s chest/abdomen.

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72
Q

Crawling of the baby to breast.

A

Nudging:

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73
Q

produces oil: pheromones in mother’s breast

A

Montgomery’s:

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74
Q

delays crede’s prophylaxis until baby finds breast >1hr.

A

Vision (10 in)

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75
Q

Purpose: of skin to skin

A

-promotes bonding, B.F., Baby’s sucking reflex.
-Prevents hypothermia, hypoglycemia, infection

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76
Q

TIME BOUND INTERVENTIONS:
Birth-90 Mins: (1.5 hours)

         Time: 1-3 minutes
A

DELAYED/PROPERLY TIMED CORD CLAMPING & CUTTING

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77
Q

Best time: DELAYED/PROPERLY TIMED CORD CLAMPING & CUTTING

A

when the pulsation stops
-Prevents ANEMIA

Observe aseptic technique.
-Breech: Tetanus Neonatorum
No milking of the cord
-Can cause intracerebral hemorrhage
Observe: A-V-A
-Lacking: complication
-Heart defects
-Renal agenesis: Dysfunctional kidneys
-Down syndrome: Trisomy 21 (translocation)

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78
Q

Distance of Clamp in cutting of cord

A

Umbilicus –2cm—C1–3cm–C2
-5cm from umbilicus to c2
-cut near clamp 1

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79
Q

After cord clamping & cutting

A

-give 10 u of oxytocin (IM)
-To stimulate uterine contraction

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80
Q

TIME BOUND INTERVENTIONS:
Birth-90 Mins: (1.5 hours)

       90 mins (1 1/2 hrs)
A

Nonseparation:

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81
Q

TIME BOUND INTERVENTIONS:
Birth-90 Mins: (1.5 hours)

    start within 60 minutes
A

Breastfeeding:

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82
Q

duration of breastfeeding

A

Duration: 20 minutes;
10 mins & 10 mins
1st :10 minutes: nourishment
2nd: 10 minutes: sucking pleasure

***5 mins per breast
Interval: B.F. per demand/ 2-4 hrs

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83
Q

Feeding cues:

A

-Opening mouth -Licking
-Rooting -tonguing
-Crying: late sign of hunger.

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84
Q

late sign of hunger of newborn

A

crying

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85
Q

EYE OINTMENT: DELAYED IN 1 HOUR

A

CREDE’S PROPHYLAXIS
DRUG: Antibiotic (erythromycin)

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86
Q

Manner of applying crede’s prophylaxis

A

1-2 cm; inner to outer canthus

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87
Q

crede’s prophylaxis prevents:

A

Opthalmia Neonatorum
Chlamydial conjuctivitis
Gonorrheal conjuctivitis
Newborn Blindness.

88
Q

Causes of opthalmia Neonatorum:

A

-Gonorrhea: Neisseira Gonorrhea
-Chlamydia:Treponema Pallidum

89
Q

TIME BOUND INTERVENTIONS:
Birth-90 Mins: (1.5 hours)

90 MINUTES- 6 HOURS

A

vaccine administration
2 Vaccines: BCG & HEP B
and Vit. k

90
Q

BCG:

A

ID; Right deltoid; 0.05 ml; TB

91
Q

HEP B:

A

IM; Right Vasus Lateralis muscle (outer middle aspect of thigh); 0.5ml

92
Q

VIT K.

A

(Phytomenadione/ Aquamephyton): Left Vastus Lateralis; MI; 0.1ml

93
Q

ANTHROPOMETRICS:
Height

A

Normal:
18-22 inches; Ave: 20 in
45-55cm/ ave: 50cm

94
Q

Height gain:

A

1 mon-6 mon: 1inch/month
6mon-12mon: 1.5 inch/month

95
Q

ANTHROPOMETRICS:
Weight

A

Normal:
2,500-4,000 grams
2.5-4 kg; 5.5-8.8 lbs

96
Q

weight loss newborn

A

*1st 10 days/ within 10 days
Weight loss (10% max wt loss)
Physiologic weight loss: extrauterine life
After 10 days- Progressive weight gain

97
Q

weight gain of baby

A

Doubles (2x) 6 months
Triples (3x) 12 months
Quadruople (4x) 24 months

98
Q

Head Circumference

A

13-14 inches; 33-35 cm

99
Q

Chest circumference

A

12-13 inches; 31-33 cm

100
Q

Abdominal Circumference

A

12-13 inches/ 31-33 cm

101
Q

circumference: if HC is < CC

A

Abnormal microcephaly (Low IQ, M.R.)
Cause:
-Hereditry
-Viral infection: Zika, Rubella (Forchheimer’s spot)

102
Q

ENC: 6 HOURS AFTER

A

Bathe the baby
-Bathe 1 part at a time
-test & feel temperature of water (use elbow)
-never remove vernix caseosa
-For insulation & Infection
Prevention
-Craddle cap/Seborrhea
-Remove by bathing
WOF: hypothermia

103
Q

PREVENT HEAT LOSS
-Contact with Cold object/Surface.
-Touching wall, Weigh scale w/o cloth

A

Conduction

104
Q

PREVENT HEAT LOSS:
-proximity/near cold object;
-Near wall

A

Radiation:

105
Q

PREVENT HEAT LOSS: Wet body parts

A

Evaporation:

106
Q

PREVENT HEAT LOSS:
-Room air drafts (Window doors)
-Thermostat
Ideal room tempt: 25-28 C

A

Convection:

107
Q

WITHIN 24-72 HOURS (1-3 DAYS

A

NEWBORN SCREENING
-Heel prick blood
-Med tech: Collect specimen
Trained RN
-diagnose metabolic congenital diseases
Basic Newborn screening
-6 diseases
Expanded/ Advance N.S.
-28 diseases
-results are available in 1 week

108
Q

NO in ENC

A

-Bathing within 6 hours
-no foot printing
-slapping, spanking, turning upside down,
-application of anything in cord stump

109
Q

Frequence of APGAR scoring

A

-Conduct twice
1st: within 1 minute
-Determine the need for resuscitation
2nd: 5 minutes
-check for the adaptation to extrauterine life
-Basis for FDAR

110
Q

APGAR SCORE: SEVERLY DEPRESSED

A

SEVERELY DEPRESSED: 0-3
Management:
-Cpr
-Intubation
-Mechanical Ventilator
-Manual ventilation (ambubag)
-Treat the cause

111
Q

APGAR SCORE: FAIR/GUARDED

A

4-6
Management:
-Suction: withdrawal; 10 secs max
-Hyperoxygenation before & after intermittent
-Gentle and rotating motion
O2: high flow
WOF: Retrolental Fibroplasia
-Blindness caused by ↑ o2
-Drop light
EXTENDED SKIN-TO-SKIN CONTACT:
KMC (Kangaroo-mother-care)
-can be done by father, grandmother, relatives.

112
Q

APGAR SCORE: GOOD

A

7-10: GOOD
-Routine Newborn care

113
Q

HR:

A

120-160 bpm

114
Q

RR:

A

30-60 cpm

115
Q

BP:

A

Sytole: 60-80 mmhg
Diastole: 40-50 mmhg

116
Q

Temperature:

A

36-5- 37.2 C
-1st rectal: imperforated anus
-2nd axillary

117
Q

SaO2:

A

> 95%

118
Q

HEAD/FONTANELS
B-A-D

A

Bregma-Anterior-Diamond

Size: 3x4
Closure: 12-18 months

119
Q

HEAD/FONTANELS
L-P-T

A

Lambda-Posterior-Traingle
Size: 1x1
Closure: 2-3 months

120
Q

Swelling made of fluids

A

CAPPUT SUCCEEDANEUM

121
Q

Well outlined swelling
:doesn’t cross the suture line

A

CEPHALHEMATOMA

122
Q

Swelling made of blood

A

CEPHALHEMATOMA

123
Q

Vaguely outlined
:crosses suture line

A

CAPPUT SUCCEEDANEUM

124
Q

Disappearance CAPPUT SUCCEEDANEUM

A

1 week

125
Q

Disappears: CEPHALHEMATOMA

A

weeks- months

126
Q

Causes Jaundice

A

CEPHALHEMATOMA

127
Q

Both are normal

A

CAPPUT SUCCEEDANEUM

CEPHALHEMATOMA

128
Q

Sunken/Depressed

A

-Dehydration (↑BP,↓ HR& ↓RR)

129
Q

Bulging/Swelling

A

-↑ ICP
-Narrow pulse pressure <30 mmhg
-Cushing Triad (Hyper, Brady, Brady)

130
Q

normal ICP pressure

A

(N: 0-15 mmhg)

131
Q

-protusion of sac in occipital area that contains CSF & Meninge
-1-10 weeks of life: occurrence

A

ENECEPHALOCELE (back)

132
Q

-Absence of cranial bone
-Brain is visible = death
-breech presentation : ↓ head
weight= cannot move

A

ANENCEPHALY

133
Q

-Abnormal early closure of suture line= can’t moulding

A

CRANIOSYNOSTOSIS

134
Q

-closure of nasal passage
Both nostrils: Immediate cyanosis after birth

A

Choanal Atresia

135
Q

how to assess Choanal Atresia

A

Alternately Pinching/occluding each nostrils that leads to cyanosis

136
Q

Mngmnt: of choanal atresia

A

Surgery

137
Q

Flat nasal bridge

A

Down syndrome (Trisomy 21)

138
Q

EAR: ABNORMAL
Hearing loss:

A

No startle Reflex

139
Q

EAR: ABNORMAL
Low set ears:

A

Down syndrome

140
Q

NECK: ABNORMAL
Short neck:

A

down syndrome

141
Q

NECK: ABNORMAL
-Overstreched fascia
-missing x chromosomes (23rd)

A

Webbed neck/Turner Syndrome:

142
Q

NECK: ABNORMAL
-weakness of SCM
-Breasfeeding baby should lean on affected side; to exercise

A

Torticollis (Wry neck)

143
Q

↑Estrogen & ↑Prolactin :Normal

A

Witch milk:

144
Q

Abnormal
-Protusion & displacement of sternum
-Seen in pt with Marfan syndrome

A

Pigeon’s chest:

145
Q

-See-saw respiration (in-in)
-Sign of respiratory distress

A

Chest indrawing/ Chest retraction

146
Q

-necrotizing enterocolitis: inflammed large & small intestines

A

↑abdominal diameter

147
Q

closure of membrane

A

7-10 weeks:

148
Q

Management: for (-) sac : raw intestine

A

Complications: Gastroschisis
NPO, No BF, IV, Moist Pnss

149
Q

(+) sac:

A

Small <4cm
Large >4cm

150
Q

Small <4cm

A

Umbilical hernia
Management:
-allow breastfeeding
-Moist: PNSS

151
Q

Large >4cm

A

-Stomach, liver, intestines
-Omphalocele
MANAGEMENT:
-NPO
-No breastfeeding
-Moist: PNSS

152
Q

divided spine

A

Spina Bifida

153
Q

“dumpling”; lumbar sacral
-common in 1 out of 20

A

Occulta

154
Q

-protusion: sac of
Meninges + CSF

A

Meningocele

155
Q

-Protusion: sac of
Meninges +CSF+ Spinal cord
-Incontinence & paralysis
-Position: Side lying

A

Myelomeningocele

156
Q

absence of extremity

A

Amelia:

157
Q

Incomplete extremity

A

Phocomelia:

158
Q

Small extremity

A

Micromelia:

159
Q

what medication during pregnancy can cause incomplete/absence of extremity

A

halidomide (thalomid)

160
Q

fusion of digits

A

Syndactyly:

161
Q

Excess digits

A

Polydactyly:

162
Q

Talipes Disorders: abnormal flexion of foot (plantar flexion)

A

Clubfoot

163
Q

Turned inward: Talipes Disorders: Foot

A

Varus deviation:

164
Q

Turned outward: Talipes Disorders: Foot

A

Valgus deviation:

165
Q

Talipes Disorders: Forefoot (toes) lower than the heel

A

Equinus/horse foot:

166
Q

Talipes Disorders: Heel first

A

Calcaneus:

167
Q

Management: Talipes Disorders: Foot

A

Casting
Corrective Boots

Danger:
-Always check toes
-Neurovascular compromised

168
Q

-Exposure to maternal hormones
-↑ Estrogen & Progesterone

A

Pseudomenstruation: Normal
Pseudohermaphroditism: Abnormal

169
Q

-Undescended testis
-Expected in premature baby

A

Cryptorchidism

170
Q

DOC:Cryptorchidism

A

HCG Hormone

171
Q

unretracted foreskin/prepuce

A

Phimosis

172
Q

Mngmnt: phimosis

A

Circumcision at birth

173
Q

Urethral opening : Upper/Dorsal aspect
EpPerDor

A

Epispadias
***doesnt necessarily need surgery: angle when urination

174
Q

Urethral opening: Lower/Ventral aspect
HyVenLow

A

Hypospadias

175
Q

MNGMNT: hypospadias

A

Hooding (Surgery)

176
Q

NEWBORN SCREENING

A

G-O-C-C-P-M

177
Q

-Glucose 6 phosphate dehydrogenase
-RBC health/life

Problem:Hemolytic Anemia: Oddly shaped RBC

A

G6PD Deficiency

178
Q

Triggers:G6PD Deficiency

A

Hemolytic Anemia
Drugs: Aspirin, Chloramphenicol, quinine, quinidine, chloroquine, sulfa drugs, cotrimoxazole.
Foods: Ampalaya, Soya, Nuts, Beans, Mints
Substance: Mentol, Naphthalene (moth balls)

***Put in a medic ALERT DRUGS

179
Q

MANAGEMENT: during hemolysis G6PD

A

RBC transfusion: Chronic
Risk for: Iron Toxicity
-First sign: Iron fist Sign or Pain on knuckles
-Liver Damage (LFT check)
7-56 u/l : SGPT (ALT)
10-50 u/l : SGOT (AST)
-Abdominal pain

180
Q

S/sx: G6PD

A

V-A-N-D-A

181
Q

Antidote: G6PD

A

Chelation Therapy: removal of excess minerals

182
Q

Agent/Management: G6PD

A

-Deferoxamine (Desferral)
-Urination
-CI: kidney failure
-Agent:Deferasirox
-feces
-Last resort: Surgery (Spleenectomy)

183
Q

-Lactose intolerance
-Dissacharide (glucose +galactose)

A

GALACTOSEMIA

184
Q

Problem:GALACTOSEMIA

A

GI symptoms
-Diarrhea & vomiting
-Liver damage

***cataract: only seen on pt with galactasemia

185
Q

MANAGEMENT: GALACTOSEMIA

A

No breastfeeding
Formula milk —> Lactose free
NEUTRAMIGEN

186
Q

Milk for galactosemia

A

NEUTRAMIGEN

187
Q

Problem:
Reflective Adrenal Cortex
↓Sugar(Cortisol)
↓Aldosterone (Hypovolemia)
N: Testosterone

A

CAH : CONGENITAL ADRENAL HYPERPLASIA

188
Q

APG: ↑ ACTH
(Adrenocorticotropic Hormones)
↓
Stimulates Adrenal Cortex =Hyperplasia
↓
↑sex

A

CAH : CONGENITAL ADRENAL HYPERPLASIA

189
Q

CAH Mortality

A

Increase mortality in first 7 hours because of ;
1st: shock,
2nd: Hypoglycemia,
3rd: Hypovolemia.

190
Q

S/sx: CAH (MALE)

A

-early puberty
-enlarged penis, masculine voice, pubic hair
-4ft .

191
Q

S/sx: CAH (FEMALE)

A

-no menarche
-virilisation (loss of feminity)
-deep voice
-hirsutism
-flat chested
-enlarged clitoris

192
Q

MANAGEMENT: CAH

A

Hydrocortisone: synthetic cortisol
Medication is effective when:
-↑ Breastfeeding time
-↓ engorgement breast of mother

Fuducortisone: Synthetic aldosterone
-Effective: Weight Gain

193
Q

Etiology:
Mother has Hyperthyroidism
-Common In girls

A

CONGENITAL HYPOTHYROIDISM

194
Q

Birth
-Hypothermia/Hypoglycemia
-Bradycardia, Apnea
-WOF: SIDS

A

CONGENITAL HYPOTHYROIDISM

195
Q

child with CONGENITAL HYPOTHYROIDISM

A

Cretinism (Child)
-physically & mentally challenged

196
Q

MANAGEMENT: congenital hypothyroidism

A

Within 10 days give Levothyroxine (synthroid, levothroid)
Mix with milk

197
Q

inability to metabolize protein
Phenylalamine
↓
Precursor: Melanin (skin
Thyroxine (heat; t4)
Epinephrine (Fight-Flight)
Toxic: Brain= brain damage
(Pround) M.R.

A

PKU (Phenylketonuria)

198
Q

Phenylalanine Free milk for PKU

A

LOFENALAC

199
Q

Management for PKU:

A

Phenylalanine Free milk:
LOFENALAC
Diet: low animal protein
↑fruits & Vegetables

200
Q

-inability to metabolize protein
-Valine
-isoleucia
-leucin

A

MSUD (Maple Syrup Urine Disease)

201
Q

Complications: MSUD

A

Brain damage & Kidney failure
Hallmark sign: Maple syrup urine odor

202
Q

MANAGEMENT: MSUD

A

↓ animal protein
B-complex (IM)(IV)

203
Q

First 12 weeks pus in BCG what will the nurse do?

A

do not report; MOTHER SHOULD WIPE

204
Q

Antidote of warfarin

A

Vitamin K or Aquamephyton:

205
Q

90 mins- 6 hour: Before Separation make sure you put ID band that contains?

A

-Hospital number
-Complete mother’s name
-Date & time of birth

206
Q

Newborns are obligatory_____breathers

A

nose

207
Q

Manner of suctioning

A

MoSe: 1st MOUTH & 2nd NOSE:

208
Q

All fontanels will close at what time:

A

18 months

209
Q

B9/folic acid dose:

A

400mcg/day

210
Q

B9/folic acid source:

A

Green leafy vegetables

211
Q

B12 source:

A

meat

212
Q

s/e loss of extremities during pregnancy to newborn.

A

Thalidomide/Anti-emetic

213
Q

LITHIUM TOXICITY: s/sx

A

V-A-N-D-A

214
Q

Autosomal Recessive disease

A

G6PD, O, Galactosemia:

215
Q

 Not Autosomal recessive

A

Congenital hypothyroidism:

216
Q

management for Sep-Anx:

A

-Temper tantrums
-Give security object
-give promise
-1 firm goodbye

GENERAL- TOP8 (25 decks)

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