Peds Flashcards
when does the anterior fontanelle usually close?
10-26 mo
when does the posterior fontanelle usually close?
1-3 mo
when is a third fontanelle sometimes seen?
in trisomy 21
what is caput succedaneum?
birth trauma related fluid accumulation under the scalp. crosses the midline
Hypospadia
abnormal urethral placement (proximal and ventral)
Epispadia
dorsal displacement
No stool > 48 hours after birth (meconium ileum)
List 3 differentials
Hirschsprung disease
Cystic fibrosis
Imperforate anus
suckling reflex
instinctive sucking of anything that touches the roof of their mouth
rooting reflex
Newborn will turn its head towards anything that strokes his cheek or mouth
moro reflex
Shoulder abduction with spreading an extension of the fingers followed by the opposite (abduction and flexion)
palmar grasp
Fingers will close when an object is placed in the infants hand in their palm is stroked
babinksi
upgoing plantar reflex - dorsiflexion of the foot (angles toward the shin) and big toe extension (curls upward)
At what age is the moro reflex expected
peaks in the first month of
disappears 2-4 mo of age
At what age is the palmar grasp reflex expected
seen at birth
disappears around 5-6 mo
At what age is a positive babinski normal?
up to 2 years of age
