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Nur 943 OB > Exam 3 Pediatrics Part 1 > Flashcards

Exam 3 Pediatrics Part 1 Flashcards

(85 cards)

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1
Q

Head size reflects growth of ____

A

brain

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2
Q

During 1st year of life, head circumference increases about ______cm

A

10

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3
Q

Anterior Fontanel closes at _______

A

9-18 mos

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4
Q

Sunken anterior fontanel means

A

Deyhydration

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5
Q

Bulging anterior fontanel means

A

Increased Intercranial Pressure (hydrocephalus, infection, hemorrhage, Increased PaCo2)

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6
Q

Posterior fontanel closes at

A

2-4 months

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7
Q

At 9 months, the infant head is _____% size of adult

A

50%

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8
Q

At 2 years old, head circumference increases an additional ____cm and is ___% of adult size

A

2.5cm

75%

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9
Q

Frontal sinuses develop ______ years of age

A

2-6

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10
Q

1st tooth arrives around

A

6 months old

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11
Q

Teeth are complete around

A

20 months old

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12
Q

Permanent teeth start at

A

6 years old

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13
Q

Face and base of skull develop more _____ than cranium

A

slowly

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14
Q

Failure of prenatal development of mandible (3 diseases)

A

Pierre Robin
Treacher Collins
Goldenhar Syndrome

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15
Q

1-3 years old

A

Toddler

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16
Q

Preschool

A

4-6 years old

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17
Q

Up to 4 weeks old

A

Neonate

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18
Q

4 weeks to 1 year

A

Infant

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19
Q

School Age

A

6-13 years

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20
Q

13-18 years

A

Adolescent

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21
Q

Toddler

A

1-3 years

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22
Q

4-6 years

A

Preschool

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23
Q

NPO Guidelines

Clear Liquids-

A

2 hours

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24
Q

NPO Guidelines

Breast Milk

A

4 hours

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25
NPO Guidelines | Infant Formula
6 hours
26
NPO Guidelines | Solids- Fatty or fried foods
8 hours
27
Herbal remedies are associated with
CV instability, coagulation disturbance, prolonged anesthesia, and immunosuppression
28
With these Sx, Surgery needs to be postponed 4-6 weeks for Elective Nonurgent Surgeries
``` Fever > 38.4C Malaise Productive Cough Wheezing Rhonchi ```
29
Routine Hgb and UA are _______ for most elective surgical procedures
not indicated
30
Routine CXR is
not necessary
31
Acetaminophen dose for myringotomies
10-15mg/kg
32
Acetaminophen dose for T&A
Preop 40mg/kg + 20mg rectally in 2hr
33
Total 24 hour Acetaminophen dose not to exceed
100mg/kg
34
Ofirmev: 13 years and up (>50kg) max doses
1000mg q 6 hours or 650 mg q 4 hours
35
Ofirmev max doses for 2 y/o or < 50kg
15mg/kg Q 6 hours or 12.5mg Q 4 hours
36
Peds Dosing | Glycopyrrolate
0.01 mg/kg
37
Peds Dosing | Atropine
0.01-0.02 mg/kg
38
Anticholinergics do what (3 things)
Prevent Bradycardia Minimize autonomic vagal effects Reduce Secretions
39
After age 2, the face grows _____
rapidly
40
Maxillary, sphenoidal , ethmoidal sinuses appear after age:
6
41
Teeth: 1st one around ____ Complete about ____ Permanent start at _____ of age
Teeth: 1st one around 6 mon Complete about 20 mos Permanent start at 6 years of age
42
Neonatal have a _____ epiglottis (long or short), and is what shaped?
Long and narrow (this time), Omega shaped
43
What is a normal RR (F) for a newborn
50+/-1 (Good thing I don't have a gun right now)
44
What is the normal RR for a 6 month old
30 +/- 5
45
What is the normal RR for a 12 month old - 5 years old
20-30 something upper range for younger ones, lower range for older ones
46
Normal RR for a 12 year old
18 +/- 5
47
Normal RR for Adult
12 +/- 3
48
Normal TV for Newborn
21
49
Normal TV for 6 mos
45
50
Normal TV for 12 mos
78
51
Normal TV for 3 years
112
52
Normal TV for 5 years
270
53
Normal TV for 12 years
480
54
Normal TV for Adult
575
55
Or...the easy way to figure out TV for anyone?
7mg/kg
56
VE or MV for newborn
200-260ml/kg/min
57
VE or MV for Adult
90ml/kg/min
58
Vo2 for newborn
6-8ml/kg/min
59
Vo2 for Adult
3-4ml/kg/min
60
VC for Newborn
120
61
VC for Adult
4000
62
FRC for newborn
80
63
FRC for Adult
3000
64
Ph for Newborn
7.3-7.4
65
Ph for Adult
7.35-7.45 Fuck a Duck
66
PaO2 for Newborn
60-90
67
PaO2 for Adult
80-100
68
PaCO2 for Newborn
30-35
69
PaCO2 for Adult
37-42
70
PaCo2 for 1 year old
30-40
71
Mean Heart Rate in BPM for Premature
120-170
72
Mean HR for 0-3 Months
100-150
73
Mean HR for 1-3 years
70-110
74
Mean HR for 6-12
60-95
75
Mean HR for > 12 years
55-85
76
Mean HR Newborn, 6 years, Adult
130ish 100ish 70ish
77
Mean BP for Preemie and Adult
Preemie 60/40 Adult 110/70 All other ages---somewhere in between
78
Smoking ____blood carboxyhemoglobin concentration and sputum production
increases
79
Smoking______ ciliary function, FVC, and FEV (25-75%)
decreades
80
Children exposed to second hand smoke are more likely to have
asthma, otitis media, atopic eczema, hay fever, and dental caries
81
What age? Maximum Stress for Parent Minimum Stress for infant- not old enough to be frightened of strangers
0-6months
82
``` What age? Tolerates Separation Well Understands Processes and Explanations May interpret everything Literally May fear waking up during surgery, or not waking up at all ```
8-Adolescence
83
What Age? Maximum fear of separation Not able to understand processes and explanations Significant postoperative emotional upset and behavior Begins to have MAGICAL thinking Cognitive development and increased temper tantrums
6 mos to 4 years
84
What Age? Begins to understand processes and explanations Fear of separation remains Concerned about body integrity
4-8years
85
What Age? Independent Issues regarding self-esteem and body image Dev sexual characteristics and fear of loss of dignity Fear of unknown
Adolescence

Nur 943 OB (11 decks)

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