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
Wide base = feet far apart, high guard = hands up. Is this typical or atypical?
Typical
Object permanence
7-9mo
Emotions
18-24mo
Form attachments
8-10mo
First words
11-12mo
Stranger anxiety
12mo
Munching pattern
7mo
Dynamic sitter
7-8mo
Eat on spoon, munching pattern, finger foods
7-9mo
Can eat most foods and has rotary chew and tongue movement
10-12mo
APGAR score 1 and 6 means
Moderately depressed
APGAR is completed when
1 and 5 minutes after birth
Runs, climbs, push cars, kick ball, up and down stairs.
18-24mo
Good walker, sits in a small chair, pushes, and pulls toys
12-18mo
Very good walker and runner, rides tricycle, catches a ball.
2-3yrs
Confidence in motor skills, running, jumping, skipping, standing on 1 foot.
3-4yrs
Over 1000 words, 3-word sentences, private talk
3yrs
Assist w/dressing, hold out arms, pull off shoes and socks
1yr
Remove all clothing, can put on a shirt
2yrs
Puts on shirt and shoes but wrong feet (it’s okay)
3yrs
Unties shoes, complete large and easy openers.
3yrs
Zippers, shoes on right feet, dresses without a lot of help
4yrs
Tying shoes
4-5yrs
Radial palmar grasp
7mo
Lateral pincer grasp
8-9mo
Inferior pincer
10-11mo
Pincer, pad to pad
11-12mo
Tip pincer
12mo
cylindrical grasp
1-1.5yrs
Digital grasp
2-3yr
Modified tripod
3.5-4yrs
Tripod grasp
4.5-7yrs
Sequence of drawing
Vertical, horizontal, round (circle), cross, square, triangle
True/False: Average concentration span is calculated by the age x 2 to 5 mins
True
Parallel play
2yrs
Associative play
2.5yrs
Constructive play
3-4yrs
Cooperative play
4-5yrs
Rule play
5-6yrs
By 6-7 what main things are improving? (Check all that apply)
NOT sociological factors
2 levels of adolescence
Older = 16-18
Early = 12-15
What defines the start of adolescence?
Typically 12yrs, associated with puberty.
Transition to adulthood
16-24yrs
Tue/False: Spinal cord injury risk factors increase in adulthood
True