PEDS EXAM 1 Flashcards

1
Q

Infant: 2 days- 1 yr

vital signs

A

Vitals:
99.9 (37.7) temp, 80-180 HR, 30-35 RR, 65-80/40-50 BP

Fontanels:
Flat, soft
Posterior closes 6-8 weeks
Anterior closes 12-18 months

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2
Q

Infant: 2 days- 1 yr

teeth & reflexes

A
6-8 teeth by 1 year
Typically erupt between 6 – 10 months
 	Reflexes!
Moro: birth to 4 months
Tonic Neck: birth and 3-4 months
Babinski: birth – 1 year
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3
Q

Infant: 2 days- 1 yr

Weight & Height

A
Weight & Height
6 months- doubles
12 months- tripled
1 inch per month for 6 months
12 months length increases by 50%
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4
Q

Infant: 2 days- 1 yr

Fine and Gross motor skills

A

Fine and Gross motor skills
3 months old should have slight head lag
4 months roll back to side
5 months old roll front to back
6 months roll back to front and hold a bottle
7 months move an object from one hand to the other
8 months sit unsupported
9 months crude pincer grasp
10 months prone to sitting and grasp rattle
11 months put object in container and neat pincer grasp
12 try to build 2 block towers without success

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5
Q

Infant: 2 days- 1 yr

Sensory motor stage

A
Sensory motor stage
Object permanence at 9 months 
Say 3 -5 words by 1 and understand NO
 	Trust vs. Mistrust
Infant age
Separation anxiety at 4 -8 months
Stranger fear 6-8 months
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6
Q

Infant: 2 days- 1 yr

Activities

A

Rattles
Blocks
Bright toys
Pat-a-cake

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7
Q

Infant: 2 days- 1 yr

Immunizations

A

Immunizations
Hep B at birth
2 months: Hep B, IPV, RV, CPV, DTap, and Hib
4 months: Same as 2 but not hep B
6 months: same as 2 months, Flu shot as well

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8
Q

Infant: 2 days- 1 yr

A

Nutrition
Iron fortified rice cereal at 6 months
Breast milk up to 6 months
Solid foods start with veggies, try different every 4-6 days

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9
Q

Toddlers: 1-3yr

Height & Weight

A

Weight and Height
Quadruple weight at 2 ½ years old
Grow 3 inches per year
Head and chest are equal in size

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10
Q

Toddlers: 1-3yr

Gross and Fine skills

A

Gross and Fine skills
15 months walk without help & build a tower of 2 blocks
18 months throw a ball over hand
2 years walk up and down the stairs with both feet & a tower of 6-7 blocks
2 ½ years can jump with both feet and draw circles

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11
Q

Toddlers: 1-3yr

Language / Autonomy vs. Shame

A
Language
1-year use one term sentences 
2 years they use multiword sentences
 	Autonomy vs Shame
Independence
Express by saying no
Thrive on RITUALISM
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12
Q

Toddlers: 1-3yr

Activities

A
Activities:
Play with blocks
Push pull toys
Large puzzles
Thick crayons
 Toilet training:
Recognize sensation
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13
Q

Toddlers: 1-3yr

Vaccines

A

Vaccines
12 months: IPV, RV, MMR, Varicella & Hib
12-23 months: Hep A

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14
Q

Toddlers: 1-3yr

Nutrition

A
Nutrition
1-2 whole milk
2 transitions to low fat milk
Juice only 4-6 oz a day
Choking hazard: Nuts, grapes, hot dogs, peanut butter, carrots, tough meat, and popcorn.
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15
Q

pre-schoolers 3-6:

Weight and height

A

Weight and height
Wt. 4-7 lbs a year
2.5-3.5 inches per year

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16
Q

pre-schoolers 3-6:

Gross and Fine Skills

A

Gross and Fine Skills
3 years: can ride a tricycle & jump off the bottom step
4 years: hop / skip & can throw a ball over head
5 years: can jump rope

17
Q

pre-schoolers 3-6:

Preconceptual to Intuitive thought

A
Preconceptual to Intuitive thought
Magical thinking: Something they did can control a different event
Animism: inanimate objects are realistic
 	Initiative vs guilt
Can regress due to stress
18
Q

pre-schoolers 3-6:

Activities:

A
Activities:
Playing ball
Puzzles
Tricycle
Dress up & role play
19
Q

pre-schoolers 3-6:

Immunizations

A

Immunizations

4-6 years: Dtap, MMR, IPV, & Influenza

20
Q

School aged 6-12:

Weight and Height

A
Weight and Height
Gain 4.4-6.6 lbs a year
Grow 2 inches per year
 	Teeth
Permanent teeth start to come in
 	Concrete operations phase
21
Q

School aged 6-12:

Concrete operations phase

A
Concrete operations phase
See perspective of others instead of just self
 	Industry vs Inferiority
Make meaningful contributions
Cooperate and compete
Friend groups are very important!
22
Q

School aged 6-12:

Activities:

A
Activities:
Board games
Hop scotch
Jump rope
Bike riding
Organized sports
23
Q

School aged 6-12:

Immunizations:

A

Immunizations:

11-12: HPV (3 shot series) and Dtap.

24
Q

Adolescents 12-20:

Girls

A
Girls
Stop growing 2-2 ½ years after their first period
First get breast development
Pubic hair
Axillary hair
Menstruation
25
Q

Adolescents 12-20:

Boys

A
Boys
Stop growing at about 18 – 20 years of age
Testicles enlarged
Pubic hair
Facial Hair
Voice changes
26
Q

Adolescents 12-20:
Formal operations
Identity vs role confusion

A

Formal operations
Identity vs role confusion
Figure out who they are
What they want to do

27
Q

Adolescents 12-20:

Activities:

A
Activities:
Video games
Music
Sports
Pets
Reading
28
Q

Adolescents 12-20:

Immunizations

A

Immunizations

Flu vaccine & meningitis vaccine