psychosocial

Question 1

age to expect full bladder and bowel control

Answer 1

36 months

Question 2

when can you diagnose primary nocturnal enuresis

Answer 2

after age 5

Question 3

best intervention for enuresis

Answer 3

enuresis alarms

behavioral modifications: limiting fluids, fairy products, double voiding

Question 4

DDAVP for nocturnal enuresis?

Answer 4

don’t use intranasal form - risk of hyponatremia and seizures
- can use in tablet for 6 months and then stop for 2 weeks to see if resolved

Question 5

how long does it take for child to recover from significant stressor

Answer 5

2-3 years (for 75% of children) in absence of other stressor

Question 6

long term relationship problems for children of divorce

Answer 6

• more probs with intimate relationships

- increased workplace conflict

Question 7

protective factors for siblings of children with chronic disabilities

Answer 7

• larger family
• younger or male sibling
• financial resources
• intact family

Question 8

harmful effects of TV

Answer 8

• trivializing violence
• blurring distinction between reality and fantasy
• encouraging passitivity
• increasing aggressive behavior
• influences product choices

Question 9

at what age should infants be able to establish day/night schedule

Answer 9

2 months

Question 10

when should infant sleep through the night

Answer 10

4 months

Question 11

how much sleep for 1 yr old

Answer 11

13-14 hours per day

Question 12

when to start sleep training

Answer 12

4-6 months

Question 13

night terrors

Answer 13

• first 1/3 of night
• family history
• deep breathing, dilated pupils, sweating
• no recall
• pre-waking child before time of night terror breaks cycle; do not intervene during

Question 14

PCP role in international adoption

Answer 14

• review medical records
• anticipatory guidance
• hearing and vision screen at 1st visit
• developmental assessment q3-4mos
• verigy imms
• routine blood tests
• TB testing