Peds Exam Review Flashcards

1
Q

3 periods in prenatal development

A

Fetal
Ocular/germinal
Embryonic

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2
Q

T/F: the fetal period begins after 8th week following conception and ends in delivery

A

True

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3
Q

During the fetal period, what is happening?

A

Hair grows.
Bones and muscles form
Limb buds
Eyes form

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4
Q

Neural defects can present as spina bifida and anencephaly.

A

True

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5
Q

At 12 weeks of pregnancy spontaneous movement begins as well as the gut beginning to work as the baby swallows amniotic fluid.

A

True

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6
Q

Hands, feet, and fingernails develop when?

A

16 weeks

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7
Q

At what age is a baby viable in the U.S.A

A

22 weeks

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8
Q

Working in the NICU and you have noticed physiological immaturity in lungs. What would you expect to see w/lung function (check all that apply)

A

Bronchopulmonary dysplasia
Respiratory distress syndrome

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9
Q

Working in the NICU, you notice the baby has cardiac & gastric issues. What do you expect to be present? (Check all that apply)

A

GERD
Persistent fetal circulation
ALL BUT RESPIRATORY

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10
Q

Working w/ a preterm infant. What musculo issue do you expect?

A

Hypotonic
Clonus
Craniofacial
Ancephalacodic

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11
Q

You’re working w/a preterm infant, what neuro problems?

A

Intraventricular hemorrhage
Hypoxic
Ischemic
Encephalopathic
Very tender

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12
Q

Vision issues w/ preterm infants

A

Retinopathy of prematurity

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13
Q

Head control at 1-2 mo

A

45 degrees

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14
Q

Working in a private practice clinic and receiving a referral for a baby. Notice nystagmus and inability to cross midline visually. Is this typical or delayed development?

A

Typical

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15
Q

Ask to eval 8mo baby w/concern that the baby is not sitting up, also noted that the baby is not rolling and feels squishy. What kind of muscle tone?

A

Hypotonia

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16
Q

infant should be sitting up with a 3 pt. or propped at what months

A

3-6mo

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17
Q

At 4 months in reference to sitting the baby should be able to do it.

A

Pull to sit

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18
Q

At 5 months a baby should be doing what in reference to sitting?

A

Supported sitting

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19
Q

Sitting stable

A

6-8mo

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20
Q

Working with a 4mo baby having trouble bringing hands to midline

A

Holding bottle

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21
Q

T/F: In middle infancy babies begin to play w/ their hands and feet at 3 months old

A

False

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22
Q

T/F: In middle infancy babies begin to laugh and babble at 4-5mo?

A

True

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23
Q

What do you expect to be evident with fine motor development in newborns?

A

Hands fisted (to mouth and eyes

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24
Q

3m hands are

A

Relaxed

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25
Q

4m hands are

A

Midline and away

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26
Q

9m what is evident with fine motor and hand development?

A

Voluntary release

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27
Q

10-11 what is evident with fine motor and hand development

A

Inferior pincer grasp

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28
Q

Correct ambulation sequence in late infancy

A

Pulls to stand, cruises, walks with two hands held, w/ 1 handheld, then independent walking

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29
Q

Wide base = feet far apart, high guard = hands up. Is this typical or atypical?

A

Typical

30
Q

Object permanence

A

7-9mo

31
Q

Emotions

A

18-24mo

32
Q

Form attachments

A

8-10mo

33
Q

First words

A

11-12mo

34
Q

Stranger anxiety

A

12mo

35
Q

Munching pattern

A

7mo

36
Q

Dynamic sitter

A

7-8mo

37
Q

Eat on spoon, munching pattern, finger foods

A

7-9mo

38
Q

Can eat most foods and has rotary chew and tongue movement

A

10-12mo

39
Q

APGAR score 1 and 6 means

A

Moderately depressed

40
Q

APGAR is completed when

A

1 and 5 minutes after birth

41
Q

Runs, climbs, push cars, kick ball, up and down stairs.

A

18-24mo

42
Q

Good walker, sits in a small chair, pushes, and pulls toys

A

12-18mo

43
Q

Very good walker and runner, rides tricycle, catches a ball.

A

2-3yrs

44
Q

Confidence in motor skills, running, jumping, skipping, standing on 1 foot.

A

3-4yrs

45
Q

Over 1000 words, 3-word sentences, private talk

A

3yrs

46
Q

Assist w/dressing, hold out arms, pull off shoes and socks

A

1yr

47
Q

Remove all clothing, can put on a shirt

A

2yrs

48
Q

Puts on shirt and shoes but wrong feet (it’s okay)

A

3yrs

49
Q

Unties shoes, complete large and easy openers.

A

3yrs

50
Q

Zippers, shoes on right feet, dresses without a lot of help

A

4yrs

51
Q

Tying shoes

A

4-5yrs

52
Q

Radial palmar grasp

A

7mo

53
Q

Lateral pincer grasp

A

8-9mo

54
Q

Inferior pincer

A

10-11mo

55
Q

Pincer, pad to pad

A

11-12mo

56
Q

Tip pincer

A

12mo

57
Q

cylindrical grasp

A

1-1.5yrs

58
Q

Digital grasp

A

2-3yr

59
Q

Modified tripod

A

3.5-4yrs

60
Q

Tripod grasp

A

4.5-7yrs

61
Q

Sequence of drawing

A

Vertical, horizontal, round (circle), cross, square, triangle

62
Q

True/False: Average concentration span is calculated by the age x 2 to 5 mins

A

True

63
Q

Parallel play

A

2yrs

64
Q

Associative play

A

2.5yrs

65
Q

Constructive play

A

3-4yrs

66
Q

Cooperative play

A

4-5yrs

67
Q

Rule play

A

5-6yrs

68
Q

By 6-7 what main things are improving? (Check all that apply)

A

NOT sociological factors

69
Q

2 levels of adolescence

A

Older = 16-18
Early = 12-15

70
Q

What defines the start of adolescence?

A

Typically 12yrs, associated with puberty.

71
Q

Transition to adulthood

A

16-24yrs

72
Q

Tue/False: Spinal cord injury risk factors increase in adulthood

A

True