Test 4

Question 1

when to introduce toilet training topic?

Answer 1

18 month visit

Question 2

when are children typically ready to start toilet training

Answer 2

24 months

Question 3

physical skills for toilet training readiness

Answer 3

• Has sphincter control
• stays dry for >2h and wakes up dry
• able to move appropriately and can assist with dressing self

Question 4

cognitive skills for toilet training

Answer 4

• Knows urge to go,
• Understands words and what toilet is for
• Knows dry paints and toilet connection
• Can follow directions and communicate needs

Question 5

Normal for infants to cry up to how many hours a day

Answer 5

5-6 hours

Question 6

PURPLE acronym

Answer 6

P - peak of crying (most in month 2)
U - unexpected
R - resists soothing
P - pain-like face
L - long lasting
E - evening (cry more later in day)

Question 7

physical exam of colicy baby should include

Answer 7

thorough GI and neurological assessment

Question 8

What should how water heater temperature be?

Answer 8

120 or lower

bath water should be 100

Question 9

Until what age should child remain in back seat?

Answer 9

13 years

Question 10

When should you use a booster seat

Answer 10

Booster seat used until lap belt can be worn low and flat across hips and upper thighs

AND

shoulder belt is on chest and shoulder does not face or neck

Question 11

Diagnosis of enuresis

Answer 11

minimum age of 5 years old, and one episode a month for a duration of 3 months.

Question 12

Desmopressin

Answer 12

effective in children with nocturnal polyuria and normal bladder volume, short term tx only

Question 13

Oxybutynin

Answer 13

effective in children with daytime enuresis, not recommended in children 5 and under

Question 14

CEDS - caregiver evaluation of developmental status

Answer 14

birth to 8

elicits caregivers concerns for their Childs language, motor, self-help, language, behavioral and socioemotional abilities

Question 15

PSC - pediatric symptom checklist

Answer 15

4 - 6 years

generalized cognitive, emotional, and behavioral problems

Question 16

PHQ - patient health questionnaire

Answer 16

12 years and up

depression and suicidality

Question 17

SCARED - screen for child anxiety-related disorders

Answer 17

8 - 18 years

childhood anxiety disorders

Question 18

NICHQ - Vanderbilt assessment scale

Answer 18

6 - 12 years

caregiver and teacher evaluation of inattention, hyperactivity, conduct disorders, and anxiety and depression

Question 19

6 years old physical development

Answer 19

retina fully formed

tonsils and adenoids fully developed

Question 20

8 years old

Answer 20

lungs and alveoli fully developed

Question 21

precocious puberty

Answer 21

pubic hair development before 8 years in females, and 9 years in males

Question 22

delayed puberty

Answer 22

no secondary sex development by 12 years (girls) or 14 years (boys)