peds chapter 9

Question 1

what is a pediatrician?

Answer 1

A physician who specializes in pediatrics

Question 2

Anticipatory guidelines

Answer 2

provides parents with information to prepare them for anticipated developmental events and to assist them in promoting their child’s well-being

Question 3

Anticipatory examples

Answer 3

safety, nutrition, play, sleep, exercise, discipline

Question 4

schedule for well child exams

Answer 4

3-5 days after birth until 30 months, then yearly

Question 5

two positions for carrying infants

Answer 5

cradle and upright position

Question 6

unit for length

Answer 6

inches- nearest 1/8

Question 7

head/chest

Answer 7

cm-round to nearest 0.5

Question 8

weight

Answer 8

kg/pounds- 16 oz in 1 ib. used to determine nutritional needs/ proper dosage for medications

Question 9

what age do we start measuring height vs. length

Answer 9

24 months- or when can stand on scale

Question 10

primary use of growth charts

Answer 10

determine if growth of child is normal, identifies abnormalities, compare height/ weight with other children

Question 11

child’s head circumference

Answer 11

above eyebrows

Question 12

chest circumference

Answer 12

below nipple line

Question 13

what age does AAP recommend to start blood pressure screening annually

Answer 13

3 years old

Question 14

high blood pressure is can be caused by

Answer 14

age, height, gender

Question 15

do overweight children usually have higher or lower blood pressure than those of normal weight

Answer 15

higher

Question 16

how to determine an appropriate cuff size for patient/child

Answer 16

more than 80, no more than 100

Question 17

if cuff it too large

Answer 17

low BP reading

Question 18

cuff it too small

Answer 18

high BP reading

Question 19

factors causing a high BP in children

Answer 19

obesity, kidney disease, heart disease

Question 20

criteria used to determine if a child has high blood pressure

Answer 20

BP that is higher than 90% to 95% of most other children of the same age, height, and gender

Question 21

reason for collecting/ testing a urine one a pediatric sample

Answer 21

screen for presence of disease, assist in diagnosis, UTI- evaluate effectiveness of treatment/therapy

Question 22

IM injections

Answer 22

5/8-1’’ 22-25

Question 23

Sub-q

Answer 23

23-25

Question 24

determine what size needle to use on a patient

Answer 24

location, injection being used

Question 25

what is immunity

Answer 25

resistance of the body to the effects of harmful agents, artificial immunizations

Question 26

NCVIA requires what prior to the child receiving certain vaccines

Answer 26

Benefits and risks, adverse reactions

Question 27

NCVIA information must be recorded in the chart

Answer 27

date of administration, manufacturer and lot number, signature and title of healthcare provider who administered vaccine

Question 28

preferred site IM injections of a pediatric patient

Answer 28

vastus lateralis- this is away from major nerves and blood vessels and and is large enough for injection

Question 29

two other sites that are not preferred

Answer 29

dorsal gluteal, gluteal

Question 30

gluteal is not preferred because

Answer 30

until the child is walking, the gluteus muscle is small and not well developed, and is covered with a thick layer of fat

Question 31

dorsal gluteal not preferred because

Answer 31

may come dangerously close to the sciatic nerve

Question 32

vaccine

Answer 32

artificial immunizations

Question 33

newborn screening test

Answer 33

all states require by law that infants undergo newborn screening .

Question 34

phenylalanine hydroxylase

Answer 34

hereditary disease cause by lack a lack of the enzyme-this is needed to convert phenylalanine, an amino acid needed. without treatment can lead to mental retardation

Question 35

Diseases screened for

Answer 35

PKU

Question 36

How do you collect a newborn screening test

Answer 36

capillary puncture

Question 37

preferred site on newborn

Answer 37

fleshy part of the lateral or medial posterior curve of the plantar surface of heel

Question 38

after site is punctured what is the very next step

Answer 38

warm heel to promote bleeding

Question 39

how long does test card need to dry

Answer 39

3 hours at room temp

Question 40

card to reference lab

Answer 40

within 48 hours

Question 41

when to test newborn screening

Answer 41

1-7 days after birth

Question 42

if test comes back indicating abnormal or invalid results

Answer 42

infant needs to be retested

Question 43

toxoid

Answer 43

administered to prevent infectious disease by stimulating the production of antibodies

Question 44

preschool child

Answer 44

a child 3 to 6 years old

Question 45

school-age child

Answer 45

a child 6 to 12 years old

Question 46

toddler

Answer 46

a child 1 to 3 years old

Question 47

rapport

Answer 47

gaining trust and confidence from the child