Peds Flashcards

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1
Q

infant HR

A

100-160

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2
Q

infant RR

A

30-60

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3
Q

infant UO

A

1-2ml/kg/h

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4
Q

weight gain by 12months

A

tripled

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5
Q

IM injection site for infants and newborns

A

vastus lateralis

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6
Q

year of homes with lead paint

A

homes built before 1978

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7
Q

recommended BLL screening age

A

1-2 (up to age 6 if not previously screened)

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8
Q

BLL requiring follow up blood work

A

> or = to 5

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9
Q

4 defects of tetralogy of fallot

A

pulmonary stenosis
R ventricular hypertrophy
overriding aorta
VSD

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10
Q

risk for infant botulism

A

<12months

exposure to spores in honey or soil

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11
Q

age affected by separation anxiety

A

6-30months

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12
Q

stages of separation anxiety

A

protest: cries inconsolably
despair: quietly withdrawn
detachment: happy and interested in others

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13
Q

acceptable liquids for first 6months of life

A

breastmilk

formula

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14
Q

age of mature minors & what they can consent for

A

14-18

substance abuse
psych disorders
pregnancy care
contraception 
family planning
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15
Q

emancipated minors

A
  • parents
  • married
  • military
  • financially independent (not living at home)
  • high school graduates
  • homeless
  • court approved emancipation
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16
Q

age for rear facing car seat

A

0-2 yrs

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17
Q

age for forward facing car seat

A

2-7 yrs

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18
Q

age for booster seat

A

4-12 yrs

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19
Q

age for seatbelt

A

8 yrs and up

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20
Q

age to sit in front seat

A

> 13 yrs

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21
Q

closure of posterior fontanel

A

2-3months

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22
Q

closure of anterior fontanel

A

12-18months

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23
Q

able to roll over from front to back

A

6 months

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24
Q

development of palmar grasp

A

6 months

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25
Q

brings objects to mouth

A

4 months

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26
Q

able to say 3 words other than mama & dada

A

11-18 months

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27
Q

able to walk well

A

11-15months

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28
Q

uses pincer grasp

A

12 months

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29
Q

crawls upstairs

A

12 months

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30
Q

walks up and down stairs with help

A

18 months

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31
Q

throws ball overhead & jumps in place

A

18 months

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32
Q

builds tower of 3 or 4 blocks

A

18 months

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33
Q

turns 2-3 pages of a book at a time

A

18 months

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34
Q

scribbles

A

18 months

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35
Q

uses a cup and spoon

A

18 months

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36
Q

imitates other

A

18 months

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37
Q

walks up and down stairs alone (1 step at a time)

A

2yrs

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38
Q

runs without falling

A

2 yrs

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39
Q

kicks a ball

A

2 yrs

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40
Q

turns pages of a book 1 at a time

A

2 yrs

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41
Q

walks up stairs with alternating feet

A

3 yrs

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42
Q

rides a tricycle

A

3 yrs

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43
Q

draws a circle

A

3 yrs

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44
Q

feeds self without help

A

3 yrs

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45
Q

asks why questions

A

3 yrs

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46
Q

states own age

A

3 yrs

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47
Q

toilet trained

A

3 yrs

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48
Q

can form sentences of 3-4 words

A

3 yrs

49
Q

draws a line

A

2 yrs

50
Q

states own name

A

2 yrs

51
Q

uses doorknob to open doors

A

2 yrs

52
Q

walks downstairs with alternating feet

A

4 yrs

53
Q

balances on one foot

A

4 yrs

54
Q

catches a ball

A

4 yrs

55
Q

draws a square

A

4 yrs

56
Q

uses a spoon and fork

A

4 yrs

57
Q

can use scissors

A

4 yrs

58
Q

ties a simple knot

A

4 yrs

59
Q

names more than 2 colors

A

4 yrs

60
Q

enjoys telling stories

A

4 yrs

61
Q

skips

A

5 yrs

62
Q

walks backwards

A

5 yrs

63
Q

uses a jump rope

A

5 yrs

64
Q

ties shoelaces

A

5 yrs

65
Q

prints letters, numbers, or words

A

5 yrs

66
Q

counts to 10

A

5 yrs

67
Q

speaks full sentences

A

5 yrs

68
Q

names coins and days of the week

A

5 yrs

69
Q

independently dresses and bathes

A

5 yrs

70
Q

can identify real from pretend

A

5 yrs

71
Q

neonatal sleep requirements

A

16-18h/day

72
Q

infant sleep requirements

A

14-15h/day

73
Q

toddler sleep requirements

A

12-14h/day

74
Q

preschool sleep requirements

A

11-13h/day

75
Q

solitary play

A

<12 months

76
Q

parallel play

A

12-36months

1-3yrs

77
Q

associative play

A

3-5yrs

78
Q

cooperative play

A

6-10 yrs

79
Q

sensorimotor cognitive developmental stage

age: ?
characteristics: ?

A

age: birth-2
characteristics: learning by sense, movement, and exploration

80
Q

preoperational cognitive developmental stage

age: ?
characteristics: ?

A

age: 2-7
characteristics: egocentrism, magical thinking, understand future and past, learn through play

81
Q

concrete operational cognitive developmental stage

age: ?
characteristics: ?

A

age: 7-11
characteristics: rule-oriented, able to reason

82
Q

formal operational cognitive developmental stage

age: ?
characteristics: ?

A

age: 11 +
characteristics: attracted to thinking and reasoning (teach like they are adults)

83
Q

chest circumference exceeds abdominal circumference

A

after 2 yrs

84
Q

Babinski reflex

A

up to 1-2yrs

85
Q

rooting reflex

A

up to 4 months

86
Q

moro reflex

A

up to 2 months

87
Q

palmar reflex

A

up to 5-6 months

88
Q

epiglottitis classic s/s

A

dysphonia
dysphagia
drooling
distressed resp effort

89
Q

preschool HR

A

80-120

90
Q

preschool RR

A

20-30

91
Q

preschool BP

A

95-65

92
Q

young pt assessment order

A

least invasive –> most invasive

93
Q

snellen visual acuity testing

age:?
ft from chart for children:?
identify to pass the line:?
when to seek referral:?

A
  • age: 6 and up
  • ft from chart for children: 10
  • identify to pass the line: 4-6 letters
  • when to seek referral: 20/30 vision
94
Q

Tx for high BLL

A

chelation therapy

95
Q

cariostatic foods (help decrease dental caries)

A
dairy
whole grains
fruits
veggies
sugar fee gum with xylitol
96
Q

Tx for tinea capitis

A

ringworm of the scalp

1% selenium sulfide shampoo + antifungal med (griseofulvin)

97
Q

sits unsupported

A

6-8 months

98
Q

begins to laugh

A

4-5 months

99
Q

holds rattle when placed in hadn

A

2-3 months

100
Q

appropriate toys for toddlers (1-3)

A

soap bubbles
stacking and nesting toys
stacking blocks

101
Q

appropriate toys for preschoolers (3-5)

A
medical play
crayons
drawing
fingerpaints
puppets
puzzles w/ large pieces
102
Q

appropriate toys for school age children (6-12)

A

board games

puzzles

103
Q

pain scale used for nonverbal children

A

FLACC scale

Faces
Legs
Activity
Cry
Consolability
104
Q

key s/s of Duchenne muscular dystrophy

A

gowers sign

105
Q

components of a myelomeningocele

A

nerves
meninges
spinal fluid

106
Q

components of a meningocele

A

meninges

spinal fluid

107
Q

cyanotic congenital heart defects

A

R –> L shunt

tetralogy of fallot
transposition of the great vessels

108
Q

acyanotic congenital heart defects

A

L –> R shunting

PDA
ASD
VSD

109
Q

SVT Tx

A

HR of 200-300 consistently

stable –> vagal maneuvers

unstable –> adenosine & synchronized cardioversion

110
Q

hemorrhage of chest tubes –> output amount

A

> 3ml/kg/h for 3h
or
5-10ml/kg/h for 1h

111
Q

diaper dermatitis Tx w/ and w/out candida

A

w/out candida: zinc oxide

w/candida: topical antifungal

112
Q

percentile indicating FTT

A

weight below 3-5th percentile

113
Q

when to start introducing solid foods in the diet

A

6 months

114
Q

introduction of whole milk

A

12 months

115
Q

diet for PKU

A

reduce meat, eggs, and milk

replace with fruits/veggies

116
Q

gain of urethral and anal sphincter control

A

18-24 months

start assessing for readiness to toilet train

117
Q

important consideration for children w/ mono

A

avoid contact sports that may irritate splenomegaly or hepatomegaly

118
Q

conditions that require sealing unwastable items in bags for extended periods of time

A
scabies
pediculosis capitis (head lice)