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(3) Pediatric Rehabilitation > L1: History Taking in Pediatric Rehabilitation > Flashcards

L1: History Taking in Pediatric Rehabilitation Flashcards

1
Q

TRUE OR FALSE: In a 6y/o child, a PT must indicate the fraction of the month depending on what month the pt is in

A

True

Note: a PT must do so if a child is >1y/o

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2
Q

What is the age of viability?

A

more than or equal to 20 wks

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3
Q

What will be written in the subjective examination when a grandfather, who brought a child into the PT clinic, does not know the prenatal or natal history of the child and mother?

A

GP FPAL unrecalled/ unknown

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4
Q

Total number of pregnancies including the current
pregnancy

A

Gravida

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5
Q

This refers to the number of birth after 20 wks

A

Parity

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6
Q

Fill in the blanks.

The following is considered as abortion if at least 1 out of 3 conditions is met:
■ If the fetus or embryo is removed at (1)____ or less (spontaneous or intentional abortion)
■ If the fetus or embryo is less than or equal to (≤) (2)_____ of weight
■ If the fetus or embryo is less than (3)____ of length

A
  1. 20 weeks
  2. 500 grams
  3. 25 cm
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7
Q

What does APGAR stand for?

A

activity
pulse
grimace
appearance
respiration

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8
Q

How immediate should an APGAR score be given after birth?

A

It must be given on the 1st and 5th minute

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9
Q

What is the normal hours of labour

A

16 hours

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10
Q

Before proceeding to the child’s birth history, what must be first asked to the guardian?

Clue: This is part of the general information

A

Precautions instructed by MDs or possibly alerting s/sx observed by guardians

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11
Q

This pertains to the characteristics of the child when he/she
was born.

A

Age of Gestation

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12
Q

Based from the Age of Gestation, which category will 27-week baby be categorized at?

A

pre-term

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13
Q

Based from the Age of Gestation, which category will 36-week baby be categorized at?

A

pre-term

NOTE: pre-term = 20-36 weeks

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14
Q

Based from the Age of Gestation, which category will 42-week baby be categorized at?

A

post-term

NOTE: post term = >40 weeks

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15
Q

Based from the Age of Gestation, which category will 37-week baby be categorized at?

A

full term

NOTE: Full term = 37-40 weeks

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16
Q

Enumerate the 3 natures of delivery

A
  1. Natural spontaneous delivery (NSVD)
  2. Caesarean section (CS)
  3. Forceps extraction/assisted
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17
Q

Complication during delivery: a sign of fetal distress wherein babies
defecate inside the mother’s womb during prolonged
labor

A

Meconium staining

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18
Q

Complication during delivery: is when the cord is coiled around the child’s neck

A

Cord coil

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19
Q

Complication during delivery: pelvic of the mother is small relative to
the child;

A

Feto-pelvic disproportion

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20
Q

Complication during delivery: placenta comes out first before the
baby and cause oxygen deprivation to the brain, leading to developmental delay

A

Placenta previa

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21
Q

Complication during delivery: baby turns bluish in color

A

cyanotic

22
Q

What is the range of a normal APGAR score?

A

7-10

23
Q

What part of the brain is involved with cognition delays?

A

Frontal Lobe

24
Q

When your patient is a little kid, how do you communicate in their level?

A

sound or act silly

NOTE: PT must get the trust of the child before any rehabilitation may efficiently proceed

25
Q

When your patient is a teenager or young adult, how do you communicate in their level?

A

communicate with the same respect as you would use to talking to a grown up

26
Q

When you patient is a school aged kid, how do you communicate in their level?

A

Find common ground like talking about disney characters

27
Q

(1) _____ is referred to as the normal age of the child, while (2)_____ is dependent on the highest skill that the patient can do.

A
  1. Chronological age
  2. Developmental age
28
Q

TRUE OR FALSE: The chief complaint is written first in every documentation format

A

False.

NOTE: In pediatrics, it is written in the last part of the subjective together with the caregiver’s/parent’s goal

29
Q

TRUE OR FALSE: Labor is just one phase of the whole parturition process. It is the second phase.

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

C. Only the 1st statement is true

labour is the 3rd phase

30
Q

Labor dystocia arises from 3 distinct abnormalities. Enumerate all these.

A

power, passages, passenger

31
Q

What is the expected weight gain of the mother with normal weight and is expecting a single baby?

A

25-35 pounds

32
Q

This is a condition where there is a sudden spike in blood pressure common at 20 wks of gestation or 6 wks after delivery

A

preeclampsia

33
Q

TRUE OR FALSE: A PT may play with the pediatric patient during
examination or while interviewing the parent

A

True

34
Q

In the Philippines, for every ___ PWD, 1 of them is a child with disability or 5.1 M (UNICEF, 2017)

A

7

35
Q

Determine in which part of the subjective heading will the following be seen.

  1. GPFPAL
  2. APGAR Score
  3. age of the mother

A. Maternal history
B. Birth history
C. Prenatal history
D. Perinatal history
E. Postnatal history
F. Developmental Milestones

A
  1. B
  2. D
  3. B
36
Q

Determine in which part of the subjective heading will the following be seen.

  1. (+) smoker c hx of 2 pack years
  2. age of gestation
  3. turns head to side when in prone

A. Maternal history
B. Birth history
C. Prenatal history
D. Perinatal history
E. Postnatal history
F. Developmental Milestones

A
  1. A
  2. B
  3. F
37
Q

When a baby is born on the 35th week of gestation, he is considered what?

A

pre-term baby

NOTE: Pre-mature babies range from 20-36 weeks

38
Q

A mother got pregnant 5 times. The eldest were twins and were born full term. The next two pregnancies were unsuccessful – one only reached 12 weeks while the
other only reached 24 weeks. The 4th pregnancy was successful though the child was born at 7 months. The youngest was born healthy and at 41 weeks. How do you document the GPFPAL?

A

G5P4 (2,2,1,4)

NOTE: GP FPA = twins and triplets are considered as one. L = each person is counted individually.

39
Q

This term refers to the normal childbirth when the head comes first.

A

Cephalic delivery

40
Q

When the head doesn’t appear first in a child delivery, it’s called _____

A

“breech position.”

41
Q

TRUE OR FALSE: Twins are counted as one in parity

A

True

42
Q

TRUE OR FALSE: A PT does not need to consider the births after your patient. Only the mother’s GPFPAL when your patient was born is required to be asked.

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

A. Both statements are true

43
Q

Identify 2 incorrect documentation formatting or writing from the sample below:

This is the case of Lia Lu, a 2 y/o, F, born @ 32 weeks to a 17-y/o G1P1(0,1,0,1) in breech presentation @ USTH assisted by MD

A
  1. Name must be written using initials only
  2. Age must be in fraction if more than one year old to correspond the months
  3. Missing nature of delivery (NSVD or spontaneous)
44
Q

TRUE OR FALSE: A hx of being diabetic, hypertensive, smoker, alcoholic beverage drinker is written under “lifestyle” subheading.

A

False, it is under maternal hx.

45
Q
  1. intake of folic acid
  2. exposure to X-Ray
  3. Mother’s ankle sprain on (L)

A. Maternal history
B. Birth history
C. Prenatal history
D. Perinatal history
E. Postnatal history
F. Developmental Milestones

A

1-3. C

46
Q
  1. placenta previa
  2. medical interventions done
  3. OB visits

A. Maternal history
B. Birth history
C. Prenatal history
D. Perinatal history
E. Postnatal history
F. Developmental Milestones

A
  1. D
  2. E
  3. C
47
Q

TRUE OR FALSE: There is no way to ask whether a child was unwanted. Therefore, a PT must just ask directly.

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

B. Both statements are false

48
Q

Determine the Apgar Score and answer whether the pt needs immediate resuscitative measures.

● pulse: <100
● Flexed at arms & legs
● Weak, irregular, gasp
● No Grimace
● Blue all over

A

4
No, it is not needed

Score Correspondent: 1 + 2 + 1 + 0 + 0

49
Q

Determine the Apgar Score and answer whether the pt needs immediate resuscitative measures.

● Strong cry
● No cyanosis
● Some flexion
● Feebly cry when stimulated
● >100

A

8
No, it is not needed

Score Correspondent: 2 + 2 + 1 + 1+ 2

50
Q

Determine the Apgar Score and answer whether the pt needs immediate resuscitative measures.

● No muscle tone
● No reflex irritability
● < 100
● Blue extremities
● Weak, irregular, gasp

A

3
Yes, the baby needs immediate resuscitative measures.

Score Correspondent: 0 + 0 + 1 + 1 + 1

(3) Pediatric Rehabilitation (13 decks)

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