Pediatrics Flashcards
What HPI components are vital for pediatric history?
Developmental prenatal and birth social history of family environmental hx immunizations hx
What are apgar scores? When do you do them?
A scoring system on a newborn’s vitals and appearance that may indicate various disease states
-at birth, then again at 5-7 mins
What is a normal apgar score?
8-10
0-2 is “like” cardiac arrest: BAD
What are the ages for development milestones in peds?
Months: at birth, 2, 4, 6, 9, 12, 15, 18, 24
Years: 3, 4, and 5
What ages are the following vitals or screens done:
Blood pressure, BMI, Cholesterol
BP: 3 y/o
BMI: 2 y/o
Cholesterol: 9-11 and 17-21
When are newborn metabolic screenings done? Tuberculosis?
NBMS: at birth and between 1-2 weeks
Tub: steadily at and after 1 year
When is vision screening done? Lead screening? Hemoglobin?
Vision: 3 years and on
Lead: 12 and 24 months (sus populations)
Hemoglobin: 12 months (or birth and 4 mo if premature()
What age should a child double their birth weight?
4-5 months
What age should a child triple their birth weight?
12 mo
What age should a child quadruple their birth weight?
2 years
What is the average length of a child at birth, 1 year. And 4 years?
Birth: 20”
1 yr: 30”
4 years: 40” (double birth)
What position should a baby sleep in?
Supine
What is the premature closing of the sutures of the cranial bones?
Craniosynostosis
At what age should a child be assessed for developmental milestones first?
2 months
What age should a child’s primitive reflexes be assessed?
3-6 months postpartum
What reflex is demonstrated by abrupt extension of the infant’s neck and symmetrical extension of the infant’s upper extremities following a loud noise?
Moro reflex
What age should a child’s moro reflex disappear?
4 months old (gradually from birth-4mo)
What can the moro reflex be used to evaluate?
CNS integrity and detection of peripheral problems (like MS abnormalities or neural plexus injuries)
What indicates unilateral weakness during a moro reflex?
Asymmetrical response
What age should a child display the asymmetric tonic neck reflex?
2-4weeks
What age should a child’s asymmetric tonic neck reflex disappear?
4-6months
What is the “fencing reflex”’s technical name?
Asymmetrical tonic neck reflex (ATNR)