peds: assesment slides 50+ Flashcards

1
Q

cryptochordism usually resolves by when?

A

aka tests failure of descent -one year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Bowlegged growth to age ___ months is normal

A

18 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ortolani and barlow tests

A

Look for dislocations of hips:
Ortolani test for posterior dislocation (adducts, posterior force)
Barlow tests for ability to sublux or dislocate an intact but unstable hip. (abducts, anterior force )

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is a bad sign from the ortolani/barlow test?

A
  • BAD if it can pop out and in … if it can, you need to assess and txt for hip dysplasia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

babinski of newborn- positive or negative?

A

positive - stroke OUTER sole - toes splay out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

infant reflex: Triceps, brachioradialis, and abdominal reflexes present starting at age _____

A

6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

red flags in infant exam (5)

A
Bulging fontanel
Fever in baby less than 3 months
Increased work of breathing
Stridor
Going backwards in development
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

early childhood:Gain ___ kg and grow approximately ___ cm per year.

A

2-3 kg, 5cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what age do babys begin to walk?

A

about 15 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

4 stages of language development: 18mo, 2yo, 3yo, 4yo

A

18 months- 10 words
2yo- 2- 3 word sentences
3yo- can converse (?)
4yo- form complex sentences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

middle childhood: 5-10 years- what is their “thinking” ?

A

capable of limited logical thinking and increasingly complicated learning. (start to try to reason things out)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

at what age do you Need to make sure to support positive self-image as guilt and poor self-esteem can appear?

A

middle childhood: 5-10 yo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

middle childhood: cognitive

A

focus on short term goals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

BMI underweight, at risk, and overweight

A

Underweight <5th percentile
At risk for overweight 85-95th percentile
Overweight > 95th percentile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

BP normal, preHTN, HTN

A

Normal <90th percentile
Prehypertensive 90th-95th percentile
Hypertensive > 95th percentile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

__% of U.S. children have a BMI greater than the 85th percentile
___% have a BMI in the 95th percentile

A

32%, 17%

17
Q

at what ages are maxillary, sphenoid and frontal sinuses apparent?

A

Maxillary: 4

sphenoid: 6-8
frontal: 6-7

18
Q

Knock-knees from ___months to ____years of age (max at age ___)

A

18 mo - 9/10 yo

max around 4 yo

19
Q

when do you start checking for scoliosis?

A

if they can stand

20
Q

when does puberty start for boys and girls?

A

boys: 11-16
girls: 10-14

21
Q

early adolescence: 10-14yo - what is the “thinking” ?

A

concrete to operational thinking:
Can reason logically and abstractly
Can consider future implications from actions

22
Q

middle adolescence: 15-16yo : social development: identity vs independence

A

Identity- Who am I? Introspection; global issues
Independence- Limit testing; experimental behaviors;
dating

23
Q

late adolescence: 17-20: what is the “thinking” ?

A

formal operational

24
Q

late adolescence: social: identity vs independence

A

Identity- their role with respect to others; sexuality and their future
Independence- separation from family and friends; Independence!

25
Q

what age: Growth of breasts + pubic hair

A

7-13 (typically progression through Tanner stages occurs over 4 years)

26
Q

body growth for females: what ages?

A

9.5-14.5

27
Q

first period: what age?

A

10-16

28
Q

acne + underarm hair for females: what ages?

A

2 years after pubic hair

29
Q

boys: Growth of testicles and scrotal sac + pubic hair- what age?

A

10-13.5

30
Q

boy- body growth- what ages?

A

10.5-16.5

31
Q

growth of penis + voice change: what ages?

A

11-14.5

32
Q

boys: facial + underarm hair + acne start at what age?

A

2 years after pubic hair appears

33
Q

boys complete change in puberty takes how many years?

A

about 3

34
Q

how many tanner stages for breasts vs pubic hair?

A

both - 5

start with nothing- end at full growth