4th Objectives - Peds

Question 1

Role of health care provider in assessing health risk behaviors in the pediatric patient

Answer 1

• looked to as an expert by society
• unique position in a family’s life
• first line of defense

Question 2

Normal Behavior

Age 1-3 Years

Answer 2

• very active, loves exploring
• increase in cognitive awareness but slower increase in language
• more defiant (testing boundaries)
• imitate expressions
• separation anxiety
• increase in fears and slight phobias
• aware of gender differences
• distinguishes more who is in primary circle and who is not

Question 3

Abnormal Behavior

Age 1-3 Years

Answer 3

• separation anxiety but doesn’t calm after 3-4 weeks in new environment
• tantrums/meltdowns with significant frequency, intensity, duration
• physical aggression
• sexual acting out

Question 4

Normal Behavior

Age 3-6 Years

Answer 4

• capacity for social contribution/involvement
• develops independence
• begins development of gender and ethnic identities
• learning difference between reality and make believe
• occasional lying
• love stories about when they were a baby
• tantrums occur less frequent

Question 5

Abnormal Behavior

Age 3-6 Years

Answer 5

• chronic tantrums
• physical aggression
• sexual acting out
• severely controlling behavior
• physical tics/compulsions/habits
• fears and phobias that become fixations

Question 6

Normal Behavior

Age 6-9 Years

Answer 6

• concrete thinking moves into abstract thinking
• responsibility increases
• learning curve regarding social awareness/participation is happening

Question 7

Abnormal Behavior

Age 6-9 Years

Answer 7

• social interaction vs. isolative behavior
• physical tics/compulsions/habits
• fears and phobias that become fixations

Question 8

Normal Behavior

Age 9-12 Years

Answer 8

• able to think abstractly
• pre-occupied with appearance
• puberty begins
• increase defiance and independence
• increase social media use
• not emotionally stable
• less focus on family and more on friends

Question 9

Abnormal Behavior

Age 9-12 Years

Answer 9

• anxiety symptoms
• depressive symptoms
• self-harming behavior
• eating/food issues
• body image issues
• *all of these are somewhat normal during these years**

Question 10

Secure Attachment

Answer 10

• uses caregiver as “secure base”
• will explore environment when caregiver is present
• shows distress when caregiver is not present
• easily consoled when caregiver returns

Question 11

Insecure/Avoidant Attachment

Answer 11

• ignores caregiver
• low affect
• doesn’t explore room
• emotional expression is stunted regardless of who is around
• avoids caregiver upon re-entry
• although infant appeared to be unfazed by caregiver’s presence or absence their monitored heart rate revealed significant distress

Question 12

Insecure/Ambivalent Attachment

Answer 12

• infants are clingy to caregiver even prior to separation
• crying before and during separation
• not easily consoled when caregiver returns
• sometimes they act out (hitting or not wanting caregiver’s comfort)

Question 13

Screening tool used to assess a child of trauma

Answer 13

UCLA Trauma Screen and ACEs

Question 14

How would trauma in children present?

Answer 14

Listen for

• break in primary caregivers relationship
• death in family or friend circle
• domestic violence
• neighborhood violence
• trauma or extreme stress in parents
• possible sexual, physical or emotional abuse

Question 15

What happens to children’s brain when exposed early to trauma?

Answer 15

cortisol is toxic to development of gray matter