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Nurp 500: Health Assessment > Week 2: Developing Child > Flashcards

Week 2: Developing Child Flashcards

1
Q

Asymmetrical tonic fencing appears when and disappears when in the newborn?

A

Appears: birth
Disappears: 4-9 months

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2
Q

The Moro (startle) reflex appears when and disappears when?

A

Appears: birth
Disappears: 4 months

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3
Q

Palmar grasp appears when and disappears when?

A

Appears: birth
Disappears: 4-6 months

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4
Q

Plantar grasp appears when and disappears when?

A

Appears: birth
Disappears: 9 months

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5
Q

Stepping reflex begins when and disappears when?

A

Appears: birth
Disappears: 4-8 weeks

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6
Q

Placing reflex appears when and disappears when?

A

Appears: birth
Disappears: 2 months

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7
Q

Rooting reflex appears when and disappears when?

A

Appears: birth
Disappears: 3 months

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8
Q

Sucking reflex appears when and disappears when?

A

Appears: birth
Disappears: 2-5 months

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9
Q

Parachute reflex appears when and disappears when?

A

Appears: 8-9 months
Disappears: persists throughout life

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10
Q

Truncal incurvation/galant’s reflex appears when and disappears when?

A

Appears: birth
Disappears: 1-2 months

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11
Q

Plantar reflex(babinski) appears and disappears when?

A

Appears: birth
Disappears: 12-24 months

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12
Q

When can a child transfer an object between hands?

A

7 months

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13
Q

When does the fine pincer grasp develop?

A

10-11 months

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14
Q

Head control starts when and is established when?

A

Starts: 2 months
Established: 4-6 months

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15
Q

When does a child roll from abdomen to back:

A

5 months

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16
Q

When does a child roll back to abdomen?

A

6 months

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17
Q

When does a child sit without support?

A

8 months

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18
Q

When does a child go from prone to sitting?

A

10 months

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19
Q

Crawling age:

A

6-7 months

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20
Q

Creeping age:

A

9 months

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21
Q

Stands alone at what age?

A

10 months

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22
Q

Age when a child walks independently:

A

12-15 months

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23
Q

After what age should an infant with a head lag be evaluated?

A

6 months

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24
Q

When should a child be evaluated when they cannot pull to a standing position?

A

11-12 months should be evaluated for hip dysplasia

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25
Q

When does object permanence develop?

A

6-8 months

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26
Q

When should an infant smile at themselves in a mirror?

A

9 months

27
Q

When does an infant smile in response to stimuli?

A

6-8 weeks

28
Q

Why does a breastfed infant need iron supplementation at 6 months?

A

There is very little in breast milk and infant has depleted iron stores by that time.

29
Q

Most common infant allergens?

A

Eggs, cow milk, and citrus

30
Q

How to determine number of teeth an infant should have?

A

Age of child in months - 6= number of teeth

31
Q

When is voluntary control of elimination possible?

A

Sphincter control happens at 18-24 months

32
Q

When does a toddler walk well?

A

15 months

33
Q

When can a child stand on one foot, walk on tiptoe, and climb with alternating feet?

A

3 years

34
Q

When can a child throw a ball overhand?

A

18 months

35
Q

When can a child draw circles?

A

3 years

36
Q

When can a child build towers?

A

2 years

37
Q

When does a child start using scissors, laces shoes, copies a square, and draws a 3 part stick figure?

A

4 years

38
Q

When does a child tie shoes, uses a pencil well, prints a few letters, and draws a 9 part stick figure?

A

5 years

39
Q

Prepubescence is defined as:

A

2 years preceding puberty and ends with 13th bday.

40
Q

Average age of puberty in males and females:

A

Females- 12

Males- 14

41
Q

Puberty is defined as:

A

Development of secondary sex characteristics

42
Q

Post-pubescence is defined as:

A

1-2 years after puberty; skeletal growth is complete; reproductive functions matured.

43
Q

Thelarche is:

A

Appearance of breast buds and girls will typically get period 2 years after this.

44
Q

Adrenarche is:

A

Growth of pubic hair on mons pubis 2-6 months after thelarche

45
Q

When should you not place a TB skin test?

A

If previous history of positive test.

If live vaccines or Ig one month before

46
Q

Live vaccines can be given on the same day/ or same time as a TB skin test? T or F

A

True

47
Q

What are the live vaccines?

A

MMR, varicella, MMRV, yellow fever, zoster

48
Q

How to read a PPD?

A

Read across the arm, never up and down.

Measure induration not erythema.

Measured and recorded in mm not just positive or negative.

49
Q

Interpretation of PPD:

A

Greater than 15 mm: positive in everyone

Greater than 10 mm: positive in children less than 4, people with other medical conditions, frequent exposure/travel to high prevalence areas

50
Q

Scarlet fever is caused by:

A

Group A beta-hemolytic strep

51
Q

Scarlet fever is transmitted from:

A

Direct contact with infected person or droplet spread, indirectly by contact with contaminated articles or ingestion of contaminated food.

52
Q

Treatment of scarlet fever:

A

Antibiotics (PCN, erythro, cephalosporin)

Supportive care

53
Q

Abrupt high fever, pulse increased out of proportion to fever, vomiting, ha, chills, malaise, abdomen pain, and halitosis are symptoms of what stage of scarlet fever?

A

Prodromal stage

54
Q

Enanthema is the stage of Scarlett fever when:

A

Eruption on mucous membranes during first few days

STRAWBERRY TONGUE

55
Q

Exanthema is the stage of Scarlett fever when:

A

Eruption occurs on skin

Rash appears 12 hours after prodromal signs

56
Q

Erythema infectiousum is:

A

Fifth disease

57
Q

Erythema infectiosum is caused by:

A

Human parvovirus B19

58
Q

Erythema infectiosum is transmitted through:

A

Respiratory secretions and blood/blood products

59
Q

Management of erythema infectiosum:

A

Supportive antipyretics and analgesics

Avoid pregnant women (teratogenic for fetus)

Children may return to school once rash appears

60
Q

How erythema infectiosum occurs:

A

Fever, malaise, ha followed by a lacy rash 1 week later

61
Q

Protection produced by the persons own immune system, often lifetime:

A

Active immunity

62
Q

Protection transferred from another animal or human, effective protection that wanes over time:

A

Passive immunity

63
Q

A live or inactivated substance capable of producing an immune response:

A

Antigen

64
Q

Protein molecules (immunoglobulins) produced by B lymphocytes to help eliminate an antigen:

A

Antibody

Nurp 500: Health Assessment (11 decks)

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