Growth and Development Flashcards Preview

Clin Med IV - Pediatrics > Growth and Development > Flashcards

Flashcards in Growth and Development Deck (60):
1

Crossing _____ standard deviation(s) on a growth curve is concerning for a pedi pt

2 or more

2

What is considered abnormal growth for a pedi pt? Is that considered pathologic?

Outside 5th-95th percentile
Not necessarily pathologic, esp. if the pt is following their own growth curve

3

Times of well-child checks. (8) Which ones involve immunizations?

- 2 wo and/or 1mo
- 2, 4, 6mo (S)
- 9mo
- 12, 15mo (S)
- 18mo
- 2yo (S)
- Annually after 2yo
- 4 yo (S)

4

Objective measurements of physical growth in children

- Weight
- Height
- Frontal-occipital circumference (FOC) if <2yo

5

When should objective measurements of physical growth be measured?

At ALL office visits

6

If the objective measurement of physical growth is concerning, what is your next step?

Remeasure!

7

Expect up to ______ weight loss during first _____ of life

10%
3-4 days

8

Infants should regain birth weight by ______

14 days old

9

Best index of nutrition/growth in pedi pts?

Weight

10

FOC is a reliable indicator of brain growth up to _____

2yo

11

Most cranial sutures close by ____

6mo (but don't ossify until early adulthood)

12

MA Lead Law requires all children to be tested for lead at ____, ____, ____.

9-12mo
2yo
3yo

13

Screen for iron deficiency at what age?

1,2,6,4,5,6yo

14

Pediatric development consists of what 4 parts?

- Gross motor skills
- Fine motor skills
- Language
- Social responses in interactive situations

15

3 screening missteps

- Ignoring screening results
- Relying on informal methods (e.g. checklists)
- Assuming services are limited or nonexistent

16

Development of gross and fine motor skills progress most rapidly during _______.

First 3 years, esp. during 1st year

17

At what age can a pt roll from back to stomach?

4-10mo

18

At what age can a pt sit steadily without external support?

6-9mo

19

At what age can a pt pull to standing?

7-12mo

20

At what age can a pt stand alone?

9-16mo

21

At what age can a pt walk pretty well?

13mo

22

At what age can a pt stoop and recover?

15mo

23

At what age can a pt kick ball forward?

2yo

24

At what age can a pt throw a ball overhand?

3yo

25

At what age can a pt balance on one foot for 2 sec and hop?

4yo

26

At what age can a pt catch a ball?

5yo

27

At what age can a pt rake?

5-7mo

28

At what age can a pt perform radial digital grasp b/w thumb and side of index finger (i.e. lobster claw)?

8-10mo

29

At what age can a pt perfect pincer grasp b/w fingertips and thumb of index finger?

10-12mo

30

At what age can a pt scribble?

15mo

31

At what age can a pt imitate vertical or circular strokes and build a tower of 6 cubes?

24mo

32

What screening test is used in newborns/infants to measure brain response to sounds?

Auditory Brainstem Response

33

What screening test is used in newborns/infants to assess cochlear function?

Otoacoustic emissions

34

Quick hearing assessment in 0-3mo

Does baby startle to loud noises?

35

Quick hearing assessment in 4-6mo

Does baby turn eyes/head to sound of parent's voice

36

Quick hearing assessment in 7-9mo

Does baby make string of sounds like 'ba ba ba, da da da'?

37

#1 cause of speech delay

Hearing loss

38

When should you refer a child for professional speech/language assessment?

- No speech by age 2
- Unintelligable speech or no sentences by age 3
- Child is embarrassed by his/her speech at any age
- Other known disorder (e.g. hearing loss, mental retardation, autism, dysarthria, stuttering)

39

At what age is stuttering normal?

2.5-4yo

40

Assessment of vision for pedi pts include what 3 things?

- Red reflex
- Corneal light reflex (misalignment)
- Cover/uncover test (strabismus)

41

What vision milestone should full-term newborn be able to perform?

Focus on face and briefly track objects

42

What vision milestone occurs at 2mo?

- Tracks across midline
- Responsive smile
- Follows movement 6ft away

43

What vision milestone occurs at 4-5mo?

- Reaches for object 12in. away
- Notice raisin 1 foot away
- Familiar smile

44

Social skill milestone at 2mo

Social smile

45

Social skill milestone at 6mo

Reach for object

46

Social skill milestone at 9mo

- Feeds self
- Passes object hand to hand

47

Social skill milestone at 12mo

Plays appropriately with toy

48

Social skill milestone at 18mo

Drinks from cup

49

Social skill milestone at 2yo

Uses spoon

50

Social skill milestone at 4yo

Puts on T-shirt

51

Name 3 things that occur in early adolescence (age 10-13)

- Rapid physical change
- Concerned if different than peers
- Concrete thinking

52

Name 3 things that occur in middle adolescence (age 14-16)

- May be more comfortable with bodies (or not)
- Abstract thinking
- Sense of omnipotence (sex, drugs, rock n' roll)

53

Name 2 things that occur in late adolescence (age 17+)

- Less self-centered
- Abstract thinking (realistic future plans)

54

3 leading causes of death in adolescents

- Unintentional (accidents)
- Suicide
- Homicide

50% involve drugs and/or alcohol

55

PA's are mandatory reporters of ______, ______, and ______

- Self-imposed danger
- Danger to others
- Abuse (physical & sexual)

56

What is the mature minor rule?

Special law in MA instead of formal emancipation that allows minor to consent to tx (except abortion) if minor is believed to be able to and is in best interest not to notify parents

57

Can minors access family planning services?

Yes

58

Can minors seek treatment for STDs?

Yes

59

Can minors consent to substance abuse tx?

Yes (except methadone maintenance) if age 12+ and found drug-dependent by at least 2 doctors

60

Minors age _____ can consent to admission to mental health facility

16-17