Peds Exam Review Flashcards
3 periods in prenatal development
Fetal
Ocular/germinal
Embryonic
T/F: the fetal period begins after 8th week following conception and ends in delivery
True
During the fetal period, what is happening?
Hair grows.
Bones and muscles form
Limb buds
Eyes form
Neural defects can present as spina bifida and anencephaly.
True
At 12 weeks of pregnancy spontaneous movement begins as well as the gut beginning to work as the baby swallows amniotic fluid.
True
Hands, feet, and fingernails develop when?
16 weeks
At what age is a baby viable in the U.S.A
22 weeks
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)
Bronchopulmonary dysplasia
Respiratory distress syndrome
Working in the NICU, you notice the baby has cardiac & gastric issues. What do you expect to be present? (Check all that apply)
GERD
Persistent fetal circulation
ALL BUT RESPIRATORY
Working w/ a preterm infant. What musculo issue do you expect?
Hypotonic
Clonus
Craniofacial
Ancephalacodic
You’re working w/a preterm infant, what neuro problems?
Intraventricular hemorrhage
Hypoxic
Ischemic
Encephalopathic
Very tender
Vision issues w/ preterm infants
Retinopathy of prematurity
Head control at 1-2 mo
45 degrees
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?
Typical
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?
Hypotonia
infant should be sitting up with a 3 pt. or propped at what months
3-6mo
At 4 months in reference to sitting the baby should be able to do it.
Pull to sit
At 5 months a baby should be doing what in reference to sitting?
Supported sitting
Sitting stable
6-8mo
Working with a 4mo baby having trouble bringing hands to midline
Holding bottle
T/F: In middle infancy babies begin to play w/ their hands and feet at 3 months old
False
T/F: In middle infancy babies begin to laugh and babble at 4-5mo?
True
What do you expect to be evident with fine motor development in newborns?
Hands fisted (to mouth and eyes
3m hands are
Relaxed
4m hands are
Midline and away
9m what is evident with fine motor and hand development?
Voluntary release
10-11 what is evident with fine motor and hand development
Inferior pincer grasp
Correct ambulation sequence in late infancy
Pulls to stand, cruises, walks with two hands held, w/ 1 handheld, then independent walking