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Peds Midterm > Examination and Documentation of the Pediatric Client > Flashcards

Examination and Documentation of the Pediatric Client Flashcards

1
Q

5 parts of the Guide to PT Practice in the examination process

A
  1. Examination
  2. Evaluation
  3. Diagnosis
  4. Prognosis
  5. Intervention
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2
Q

Term: a classification system used to focus on positive patient abilities and identify patient goals in order to guide our practice

A

International Classification of Functioning, Disability and Health (ICF)

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3
Q

2 parts that the ICF organizes information into

A
  1. Functioning

2. Disability

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4
Q

Term: the process of obtaining an history, performing a systems review, and selecting and administering tests and measure to gather data about the patient/client

A

Examination

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5
Q

Term: a dynamic process in which the PT makes clinical judgments based on data gather during the examination

A

Evaluation

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6
Q

Term: both the process and the end result of evaluating examination data, which the PT organizes into defined clusters, syndromes, or categories to help determine the prognosis and the most appropriate intervention strategies

A

Diagnosis

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7
Q

Term: determination of the level of optimal improvement that may be attained through intervention and the amount of time required to reach that level; includes the plan of care

A

Prognosis

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8
Q

Term: purposeful and skill interaction of the PT with the patient/client using various PT methods and techniques to produce changes in the condition that are consistent with the diagnosis and prognosis

A

Intervention

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9
Q

ICF Category: physiologic and psychologic functions of the body

A

Body functions

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10
Q

ICF Category: organs, limbs, trunk and components

A

Body structures

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11
Q

ICF Category: performance of a task or action

A

Activity

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12
Q

ICF Category: physical, social, and environment in which people conduct their lives

A

Environmental factors

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13
Q

ICF Category: involvement in life situations- home, school, community activities and organizations, social relationships with friends

A

Participation

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14
Q

ICF Category: background of a person’s life and living that is not part of the health condition

A

Personal factors

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15
Q

Component of PT Exam: systemic gathering of data to determine why the client is seeking PT services, interview

A

History

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16
Q

Component of PT Exam: examination of the anatomical/physiological status of CV/pulm, integumentary, MS and NM systems and communication, affect, cognition, language, learning style

A

Systems review

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17
Q

Component of PT Exam: used to investigate diagnostic hypothesis generated during the history and systems review

A

Tests and measures

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18
Q

When examine the pediatric client, do we used the top-down or bottom-up approach.

A

Top-down
“Beginning with the end in mind”
Plan the intervention based on the desired outcome/goal

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19
Q

Name 3 parts of the subjective examination of the pediatric client.

A

Birth/medical history (GA at birth/birth weight, current age, medical complications, ongoing medical concerns)
Developmental history (milestones)
Social history, functional status/activity level
Communication abilities
Cognition
Home/childcare/school environment
Current complaints/concerns

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20
Q

Name 3 parts of the tests and measures that can be taken for pediatric clients.

A 
Assistive device
Orthotics
Gait/locomotion/balance/mobility
Motor function
Posture
ROM
Self-care
Ventilation/respiration
Home/school/play
Pain
Arousal, attention, cognition
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21
Q

Name 3 specific tests and measures that can be taken for pediatric clients.

A 
Anthropometrics
ADL
Strength (MMT, dynamometer, functional)
Functional ROM
Reflexes
Balance assessments
Standardized assessment
22
Q

Full-term new boss have limited hip and knee ___________ and greater ___________ when compared to adults.

A

extension

dorsiflexion

23
Q

MMT is reliable in children with ____ and Down Syndrome, but not reliable in children with ____.

A

DMD

CP

24
Q

Hand held dynamometers are reliable for ages as young as ___ years.

A

2

25
Q

Isokinetic’s are reliable for ages as young as ____ years.

A

6

26
Q

Use findings of tests and measures to determine impairments of body __________ and ___________.

A 
function
structure
27
Q

Use findings of observation, mobility assessments and/or standardized assessments to determine _________ limitations.

A

activity

28
Q

Use findings of observation and interview to determine restrictions in ____________.

A

participation

29
Q

Name 3 special considerations when examining an infant.

A 
Time of day (feeding and nap time)
Parents' schedules
Natural environment
Naturalistic observation
Examination may be in random order based on desires/needs of the infant
30
Q

Name 3 special considerations when examining a young child.

A 
Time of day (nap time)
One or both parents' schedules
Natural environment
Naturalistic observation
Comprehensive developmental assessment- cognitive, motor, social, speech-language and self-help in natural environment
31
Q

Name 3 special considerations when examining a preschooler or school-aged child.

A 
Schedule
Natural environment
Naturalistic observation
Team approach
Comprehensive developmental assessment- cognitive, motor, social, speech-language and self-help in natural environment
32
Q

Name 4 components that should be included in goals/outcomes.

A

Determined in collaboration with the child, parent, teacher, and/or other team members
Related to functional skills
Focused on participation and activities
Realistic and achievable
Easily understood and free of professional jargon
Goals not intervention
Statement of the behavior to be achieved
When and under what conditions the behavior will be achieved
Measurement criteria used to determine achievement

33
Q

What does the SMART acronym for goals/objectives stand for?

A 
Specific
Measurable
Attainable
Routine-based
Tied to a functional priority
34
Q

What does the ROUTINE acronym for goal strategies stand for?

A 
Routine-based
Outcome-related
Understandable
Transdisciplinary
Implemented by teacher/family
Non-judgmental
Evidence-based
35
Q

A premature birth is less than ____ weeks GA.

A

37

36
Q

A low birth weight (LBW) is less than _____ grams.
A very low birth weight (VLBW) is less than _____ grams.
An extremely low birth weight (ELBW) is less than _____ grams.
Small for gestational age (SGA) is less than the ____ percentile.

A

2500
1500
1000
10th

37
Q

What are 2 reasons why an infant from the NICU would receive a PT referral?

A

Infants who show signs of CNS impairment
Specific neuromuscular or orthopedic problems
Multiple medicinal or genetic problems
Other symptoms that put infant at risk for developmental problems

38
Q

Name 2 purposes of the examination/evaluation.

A

Identify participation restrictions, particularly barriers to normal development
Identify activity limitations, particularly in terms of parent-child interaction
Identify body structure/function impairments that require intervention
Identify methods of positioning and handling and ways to adapt the environment to optimize development

39
Q

What does the APGAR score stand for?

A 
Activity
Pulse
Grimace
Appearance
Respirations
40
Q

A HR of 90 ppm would be scored as a ___ on the APGAR scale.

A

1

41
Q

A respiration description of good, crying would be scored as a ___ on the APGAR scale.

A

2

42
Q

A muscle tone description of limp would be scored as a ___ on the APGAR scale, while some flexion would be scored as a ___.

A

0

1

43
Q

A grimace description of cough or sneeze would be scored as a ___ on the APGAR scale, while no response would be scored as a ___.

A

2

0

44
Q

A color description of blue, pale would be scored as a ___ on the APGAR scale, while body pink, extremities blue would be scored as a ___.

A

0

1

45
Q

The APGAR scores are done at 1 min and 5 min after birth. A score of ___ to ___ at 1 minute is normal. A score of ___ to ___ at 1 and 5 minutes indicates risk of neonatal death.

A

8 to 10

0 to 3

46
Q

Name 5 complications of prematurity.

A 
Compromised respiration (respiratory distress syndrome)
Bronchopulmonary Dysplasia
Chronic lung disease
Feeding problems
Seizures
Amniotic band syndrome
Myelomeningocele
Microcephaly
Intraventricular hemorrhage (IVH)
Periventricular Leukomalacia (PVL)
47
Q

Name 2 test and measures done in the NICU.

A 
Active movements and posture
Muscle tone
Reflexes
Feeding
Standardized assessments
48
Q

The following test are done for the ___________ infant:

  • Neurobehavioral Assessment of Premature Infants (NAPI)
  • Test of Infant Motor Performance (TIMP)
  • Neonatal Neurobehavioral Examination (NNE)
  • Neonatal Behavioral Assessment Scale (NBAS)
  • Preemie-Neuro
A

premature

49
Q

Name 3 neonatal signs of physiological stress.

A 
Increased/decreased HR
Deceased RR
Increased BP
Decreased O2 sat
Apnea
Bradycardia
Skin color change
50
Q

Name 3 neonatal signs of behavioral stress.

A 
Gaze aversion
Finger spays
Trunk extension
Facial grimace
Leg extension
Drowsiness
Hyper alertness
51
Q

Name 3 self-calming neonatal coping methods.

A 
Hand to mouth
Sucking
Flexed posture
Hands/feet to midline
Closing eyes/gaze aversions
Drowsy state
52
Q

Name 3 assisted calming neonatal coping methods.

A 
Nestling, positioning in flexion
Holding in flexion
Rocking
Swaddling
Quiet voice

Peds Midterm (8 decks)

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