Infant Health

Question 1

______ _____ _______

a) Promotes health and positive development outcomes
b) Proactive screening
c) Promotion strategies, specific screening and anticipatory guidance

Answer 1

Child Health Supervision

Question 2

Proactive screening in children is known as?

Answer 2

Well Child Check (WCC)

Question 3

The newborn period is ____ months

Answer 3

1 to 2 months

Question 4

The newborn period is ____months

Answer 4

1 to 12 months

Question 5

The physical focus should look at

a) Gross motor or (________)
b) Fine motor (_____>______) development

Answer 5

a) cephalocaudal

b) proximal > distal

Question 6

Focus on cognitive with infant health focuses on?

Answer 6

Sensorimotor

Question 7

Focus on Psychosocial known as?

Answer 7

Developing test

Question 8

According to Bright Futures guidelines, the schedule for an infant from age two weeks to one year is at two weeks followed by 2, ___, 6, 9, and 12 months.

Answer 8

2

Question 9

If discharged from the hospital prior to ___ hours, the first visit should be within three to five days.

Answer 9

48 hours

Question 10

Stage Appropriate Screening:
1) _______ data
2) Objective data
a) physical examination
3) Streening
a) TB screening not universally done; based on risk
b) Development screening [ Denver Developmental
Screening Test, second education (Denver II) or
the equivalent for children < or equal 6 years of age
4) Laboratory
a) Bilirubin if indicated
b) Hematocrit

Answer 10

1) Subjective data

Question 11

Hematocrit between __, 9, and 12 months, unless otherwise indicated

Answer 11

6

Question 12

Head circumference in Infant Is collected until what age?

Answer 12

Up to two years

Question 13

Physical examination: Necessary elements include what?

1) Length
2) Weight
3) Head circumference
4) Serial measurements recorded with standardized charting
5) dental development
6) ____ _____
7) head size, shape, and fontanels
8) head control by 4 months
9) no lag when pulled to sitting
10) assess for neck masses
11) close inspection of the head for evidence of syndromes previously presented
12) skin variations
13) assess for periorbital edema
14) flattened or flaring nose
15) nasal discharge
16) mouth/ throat exam
17) voice
18) chest/ lung exam

Answer 13

6) vital signs

Question 14

Head circumference is up to how many years?

Answer 14

2 years

Question 15

Head control by ____ months?

Answer 15

4 months

Question 16

No lag when pulled to sitting at ___ months; lag may be the first sign of palsy

Answer 16

6 months

Question 17

Mouth/throat exam: History may indicate abnormalities

a) too little/ too much _____
b) sleeping with a bottle
c) unusual tooth eruption sequence
d) fissures at lip corners: vitamin deficiency
e) asymmetrically enlarged tonsils

Answer 17

fluoride

Question 18

Fissures at lip corners from vitamin defficiency AKA?

Answer 18

Cheilosis

Question 19

Asymmetric enlargement tonsils may suggest what?

Answer 19

Tonsillar lymphoma

Question 20

Shrill, high pitch voice in the infant may indicate?

Answer 20

increased intracranial pressure (ICP)

Question 21

Chest/lung exam in an infant:

a) diaphragmatic breathers
b) Pectus carinatum (pigeon chest)
c) Pectus excavatum
d) gynecomastia/ galactorrhea up to ___ months of age

Answer 21

3 months

Question 22

Pectus carinatum also called?

Answer 22

pigeon chest

Question 23

This is a sunken chest; the most common congenital deformity of the anterior wall of the chest

Answer 23

Pectus excavatum

Question 24

Abdomen in an infant is:

a) prominent
b) liver edges palpable ____ cm below right costal margin
c) diastasis recti

Answer 24

b) 1 to 2 cm

Question 25

Separation of the rectus abdominis muscle

Answer 25

Diastasis recti

Question 26

Unable to fully retract the foreskin in an infant?

Answer 26

Phimosis

Question 27

Testes fully developed by ___ months of age?

Answer 27

3 months

Question 28

Developmental hip dysplasia: 1) Barlow's and ______ sign 2) Alli's sign 3) Galeazzi Sign 4) Skinfold thickness asymmetry

Answer 28

1) Ortolani's

Question 29

Unequal leg length

Answer 29

Alli's sign

Question 30

Unequal knee height

Answer 30

Galeazzi sign

Question 31

________ nodes require aggressive investigation

Answer 31

Supraclavicular

Question 32

Standards test for an infant's development are? a) ______ II b) Bayley Behavioral Assessment Scale (BSID-II) c) Newborn Behavioral Assessment Scale (NBAS) d) Bayley Infant Neurodevelopment Screener (BINS) e) Ages and Stages Questionnaire (ASQ)

Answer 32

Denver

Question 33

Survival reflexes are a) _______ b) temperature control c) feeding

Answer 33

a) breathing

Question 34

Visual acuity assessed with: a) _____ reflex b) pupil constriction indicated newborn vision

Answer 34

a) blink

Question 35

Sensorimotor development a) adaptation of reflexes to environment b) simple problem-solving without _____ and error

Answer 35

trial

Question 36

``` Psychosocial development Differentiation of temperament a) _____ b) slow to warm c) difficult/ cyclic ```

Answer 36

easy

Question 37

Development of fears in infants to strangers is?

Answer 37

by 6 months

Question 38

Developmental of separation fear is by?

Answer 38

8 months

Question 39

Attachment: Affective bond that develops over the ___ year and will differentiate into other emotions later.

Answer 39

first

Question 40

Two types of attachment in infants are?

Answer 40

secure and insecure

Question 41

The infant has an insecure attachment that will show what? a) avoidance b) ________ c) Disorganization

Answer 41

b) anxiety

Question 42

Cleaning schedule ( first dental visit by ___ years of age)

Answer 42

1 year

Question 43

Supplements for infant related to nutritions are: 1) Iron 2) ______ 3) Flouride

Answer 43

2) vitamin D

Question 44

Sleep for infants 2 months to 1 year is how many hours per night?

Answer 44

8 to 12 hours per night

Question 45

How many naps per day for infant?

Answer 45

2 to three

Question 46

Avoid ___ with the infant

Answer 46

sleeping

Question 47

After night feeds end, ____ ___ picks up the baby during the night?

Answer 47

do not

Question 48

Developmental delay is seen when? a) Apparent visual delay b) Does not raise head when lying on the stomach by ___ months c) does not try to pick up a toy by 6 months d) no reaction to noise/ voice e) does not laugh f) does not seek interpersonal contact g) does not sit up

Answer 48

b) 3 months

Question 49

The rectal temperature in an infant is ____?

Answer 49

> or equal to 100.4 or 38 degrees celcius

Question 50

In the very young infant, the temperature can be ____ with infection as they are unable to thermoregulate.

Answer 50

subnormal

Question 51

Fever in early infancy (the first ___ months of Life)

Answer 51

2 months

Question 52

Temperature higher than ____ suggest a serious bacterial infection

Answer 52

101.8 (38.9)

Question 53

___% of fevers occur in infants less than 4 weeks of age

Answer 53

40%

Question 54

____ % of fever is viral

Answer 54

40%

Question 55

Bacterial infections, common organisms a) First month: Group ____ _______ (GBS) and gram-negative enteric organisms b) Second month: S. Pneuomoniae and H. Influenza

Answer 55

Group B Streptococcus (GBS)

Question 56

______ infants appear alert and active, smile, and feed well

Answer 56

Mildly ill

Question 57

_______ infants may be fussy or irritable but continue to feed, are consolable and may smile; these infants may have otitis media.

Answer 57

Moderate ill

Question 58

________ infants [ temperature of 104 (40) or higher] appear listless, cannot be consoled, feed poorly, or not at all; hospital admission is recommended

Answer 58

Severely ill

Question 59

When a local site of infection cannot be found, consider the diagnosis of ______

Answer 59

Urinary tract infection (UTI)

Question 60

Most commonly used drug is: a) Acetaminophen b) ____________

Answer 60

Ibuprophen

Question 61

Acetaminophen: First line of therapy, ____ mg/kg every 4 to 6 hours

Answer 61

10- 15

Question 62

Ibuprofen (approved after 6 months of age); ___ mg/kg every 6 hours

Answer 62

10 mg/kg