peds Flashcards

1
Q

APGAR score

q

A

range 0-10, each with a possible 0-2 points
A: appearance
P: pulse
G: grimace
A: activity, tone
R: respiration

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2
Q

what score is needed to get re-checked at 10 min for the APGAR test

A

less than 7 points, needs to be rechecked at 10 min

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3
Q

what is full term

A

40 weeks

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4
Q

peds milestones

months 2-3

A
  • prone on elbows
  • can lift head in prone
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5
Q

peds milestones

months 3-4

A
  • supine to sidelying
  • crawling - army crawl
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6
Q

peds milestones

months 4-5

A
  • prone to supine
  • pull to sit without head lag
  • sitting with UE support
  • feet to mouth
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7
Q

peds milestones

months 6-7

A
  • supine to prone
  • quadruped and assumes sitting from quadruped
  • independent sitting
  • trunk rotation in sitting
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8
Q

peds milestones

months 8-9

A
  • quadruped creeping, siting better from quad
  • cruises to sideways (furniture walking)
  • can stand alone
  • improving grasping skills
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9
Q

peds milestones

month 10-15

A
  • begins to walk unassisted
  • transitions in and out of squatting
  • floor to stand
  • pincer grasp
  • stacks two cubes
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10
Q

POEM ABOUT MILESTONES

A

3 I lift my head
4 i lay to side
5 i go from prone to supine
and at 6, i sit upright

7 quadruped
and at 8 i take a cruise
i creep and stand along at 9
then walk and stack two cubes

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11
Q

early gait for babies

A

range at 10-15 months
- high gaurd position of arms
- abduction and ER
- hips and knees slightly flexed
- pronated feet (no heel strike)

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12
Q
  • pincer grasp
  • palmar grasp
  • three jaw chuck grasp
  • scissor grasp
A
  • pincer grasp
    10 months, thumb and index finger
  • palmar grasp
    6 months but integrated by 10 months (should no longer be seen)
  • three jaw chuck grasp
    10 months, like holding a pencil
  • scissor grasp
    10 months, like holding scissors
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13
Q

neonatal reflexes

flexor withdrawal

A

onset: 28 weeks gestation
integrated: 1-2 months

stimulus: noxious stimulus (pinprick) to sole of foot
response: toes extend, foot dorsiflexes, LE flexes uncontrollably

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14
Q

neonatal reflexes

flexor withdrawal

A

noxious stimulus (pin prick) to sole of foot

response: toes extend, foot DF, LE flexes uncontrollably

onset- 28weeks gestation
integrated 1-2 months

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15
Q

neonatal reflexes

crossed extension

A

onset: 28 weeks gestation
integrated: 1-2 months

stimulus: noxious stimulus to ball of foot of LE fixed in extension
responses: opposite LE flexes then addcuts and extends

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16
Q

neonatal reflexes

rooting

A

onset: 28 weeks
integrated: 3 months

stimulus: stroking the side of babys cheek
responses: head turns toward stimulus and mouth opens

17
Q

neonatal reflexes

traction

A

onset: 28 weeks
integrated: 2-5 months

stimulus: grasp forearm and pull up from supine into sitting position
responses: grasp and total flexion of the UE

18
Q

neonatal reflexes

ATNR

A

onset: 28 weeks
integrated: 4-6 months

stimulus: rotation of the head to one side
responses: flexion of skull limbs, extension of the jaw limbs

bow and arrow pose

19
Q

neonatal reflexes

palmar grasp

A

onset: birth
integrated: 4-6 months

stimulus: maintained pressure to palm of hand

20
Q

neonatal reflexes

moro reflex

A

onset: 28 weeks gestations
integrated: 5-6 months

stimulus: drop the pt backward from sitting position

response: extension, abduction of UEs, hand opening and crying followed by flexion, adduction of arms acros chest

21
Q

neonatal reflexes

symmetrical tonic labyrinthine (TLR/STLR)

A

onset: 28 weeks gestation
integrated: 5-6 months

stimulus: prone or supine position

response:
prone: increased flexor tone of all limbs (think calender baby pose)
supine: increased extensor tone of all limbs

22
Q

neonatal reflexes

positive supporting

A

onset: birth
integrated: 6 months

stimulus: contact to the ball of the foot in upright standing position

if still present after 6 months, will have difficulty walking

23
Q

neonatal reflexes

plantar grasp

A

onset: 28 weeks gestation
integrated: 9 months

stimulus: maintained pressure to ball of foot under toes

24
Q

neonatal reflexes

STNR

A

onset: 4-6 months
integrated: 8-12 months

stimulus: flexion or extension of head

response:
head flexion: flexion of UEs and extension of LEs

head extension: extension of UEs and flexion of LEs

25
Q

neonatal reflexes

startle

A

onset: birth
integrated: persists

stimulus: sudden loud or harsh noise

26
Q

spastic CP

A

velocity dependent resistance of a mm to stretch
- syngergy patterns, contractures, crouched gait, toe walking

27
Q

ataxic CP

A

disorder of coordination, force and timing, associated wit cerebellar involvement
- floppy baby/low tone, poor balance, wide BOS, nystagmus

28
Q

hypotonic/dyskinetic CP

A

disorder of the basal ganglia, charavterised by movements that are slow and writhing (athetosis)
- poor stability, intention tremor, fluctuating tone, hypo becomes hyper

29
Q

Level 1gross motor classification of CP

A

patient will walk without restrictions but will have limitations ine more advanced grossmotor skills

limited athletic skills

30
Q
A
31
Q

Level 2 gross motor classification of CP

A

patient will walk without AD with limitations in walking outdoors and in the community

32
Q

Level 3 gross motor classification of CP

A

patient will walk without AD with limitations in walking outdoors and in the community.

will ocassionaly use wheelchair

33
Q

Level 4 gross motor classification of CP

A

patient self mobility will be severly limited; children are transported or use power mobility outdoors and in the community.

may stand or take steps but primarily used wheelchair

34
Q

Level 5 gross motor classification of CP

A

patient self mobility will be severly limited; even with the use of assistive technology; requires caregiver

35
Q

difference betwen erbs and klumpke’s palsy

A