Pediatrics Flashcards

1
Q

What is assessed during APGAR scoring

A
Appearance
Pulse
Grimace
Activity
Respiration
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2
Q

Appearance score 0, 1, 2

A
2 = no cyanosis; body & extremitiespink
1 = blue at extremities, body pink (Acrocyanosis)
0 = Blue & pale all over
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3
Q

Pulse score

A

2 = > 100

1 =

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4
Q

Grimace

A

(Reflex irritability)
2= cry or pull away when stimulated
1 = grimace/ feeble cry when stimulated
0no response to stimulation

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5
Q

Activity score

A

(Muscle Tone)
2 = flexed arms and legs that resist extension
1 = some flextime
0 = none

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6
Q

Respiration score

A

Breathing
2 = strong lusty cry
1 = weak irregular gasping
0 = absent

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7
Q

Primative reflexes

A
Moro
Galant
Fencer
Rooting
Palmar Grasp
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8
Q

2 months

A

Lift head when prone ( when on stomach)
Turn head to sound
Cooing, some focalization

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9
Q

4 months

A
Rolls front to back (four & front)
Puts support on wrists when prone
Babbles with expression
Reaches for and can hold a toy and shake it
Look for source of sound
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10
Q

6 months

A
Rolls back to front
Sits without support
Transfers objects hand to hand
Holds own bottle
Imitates speech sounds
Ready for solid food
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11
Q

9 months

A
Crawl
Babbles: MaMa & DaDa
Imitates sounds
Starts to wave bye bye
Drinks from sippy cup
Eats with fingers
Stands while holding on*
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12
Q

12 months

A

Stands alone, takes a few steps
Fine pincer grasp
Hugs stuffed animals
Says one word besides mama & dada

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13
Q

15 months

A
Walks well
Stacks 2 blocks
Scribbles
4-6 words
Adopts "no" as favorite word
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14
Q

18 months

A
Throw ball underhand
Knows 4 body parts
Points to what they want
Stacks 4 blocks
Walks up stairs *cant get back down)
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15
Q

2 yrs

A
2-4 word sentences
Follows 2 step commands
50 words
Understood 50% of time
Throws ball overhand
Jumps, begins to run
Can walk down stairs
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16
Q

3 yrs

A
3 word sentences
Can ride tricycle
Hops
Balance on 1 foot
Toilet trained
Knows 250-300 words
17
Q

4 yrs

A
Hops on one foot
Dresses self
Names some colors and numbers
Sings a song from memory
Strangers understand 90% of language
18
Q

5 years

A
Skips, swings, climbs
Ties shoes
Brushes teeth
Counts and able to recite part of alphabet
Prints name
19
Q

Circle

A

3 years

20
Q

*t

A

4 yrs

21
Q

Square

A

4.5

22
Q

Triangle

A

5 yrs

23
Q

Hep B Vaccine

A

All infants
3 doses with 1st dose before hospital discharge
Pregnancy is not a contraindication

24
Q

Contraindication for hep B vaccine

A

Bakers yeast allergy

25
Q

Minimum age of inactivated influenza vaccine

A

6m

26
Q

Minimum age of live influenza vaccine

A

2 years

27
Q

PCV13

A

All children

4 doses: 2, 4, 6, & 12 - 15

28
Q

PPSV23

A

After age 2 to certain populations

- asplenics, sickle cell, HIV, malignancy

29
Q

Pneumococcal vaccine is given to all adults over age

A

65

30
Q

H. Influenza vaccine

A

Given to all infants
Prevents meningitis epiglottis is, and pneumonia
4 doses: 2, 4, 6, and 12 - 15 m

31
Q

Poliomyelitis vaccine

A

All children
2, 4, 6, and 4 years
May need booster if traveling
Inactivated has replaced oral polio vaccine

32
Q

Tdap

A

Tetanus
Diphtheria
Pertussis
5 doses: 2, 4,6, 15-18m, and 4-6 yrs
Adults 19-64 should receive a single dose of Tdap
All women should receive dose during each pregnancy

33
Q

Hepatitis A

A

For children over 1 you, adults traveling or high risk individuals
2 doses: 6m apart
A single dose may be used as post exposure prophylaxis

34
Q

Varicella Zoster

A

2 doses: 1 yr & 5 yrs
Contraindicated in pregnancy (bc its LIVE)
A single dose of zoster vaccine recommended for all adults > 50 years of age regardless of having previous episode of herpes zoster

35
Q

MMR

A

1 year and 4-6 years (contraindicated in pregnancy)

36
Q

Human Papillomavirus

A

Most common STD/STI
Approved for girls and boys 9 - 26 yo
3 doses between age 11 - 12 then 1 - 2 months & 6 months afterwards
Not recommended in pregnancy

37
Q

Meningococcus

A

Protects against Neisseria meningitis is
High risk groups: dorm students, military
Booster needed at 16 - 18 you
*Safe in Pregnancy

38
Q

When is APGAR score assessed?

A

1, 5, and 10 minutes