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Flashcards in Neuro/developmental Deck (49)
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1

When should a term infant who is breast feeding regain weight?
Formula feeding?

Breast- 2 wks
Formula- 10 days

2

How much weight is a child excepted to gain in the first 3 months?

Length?

20-30 g/day or 1kg/mo

1.5-2.5 cm/mo for first 6 mo then 1 cm/mo for second 6 mo

3

When does child double bw? Triple?

Doubles by 5th month
Triples by 1st birthday

4

Genetic short stature

Normal in first few mo then growth percentiles decline in first 2-3 yrs

5

Signs of FTT

Subcutaneous fat loss
Muscle atrophy
Alopecia
Lagging behind norms
Lethargy

Kwashiorkor/marasmus
Infection
Dermatitis

6

2 mo

Head up prone
Social smile

7

4 mo

Rolls over
Laughs and squeals
Regards hand

8

6 mo

Sits well unsupported
Babbles
Rolls prone to supine

9

9 mo

Pincer grasp-immature
Crawls
Mama/dada or bye bye

10

12 mo

Walks with one hand held
Knows 1-3 words
Follows one step command with gesture

11

2 yrs

Walks up and down stairs
Runs
Kicks ball
2-3 word phrases
Pronouns

12

3 yrs

Copies a circle
Pedals a tricycle
Plays simple games

13

6 yrs

Draws a person with 6 parts
Ids left vs right

14

4 yrs

Hops on 1 foot
Tells. Story
Throws overhand
Can ID 4 body parts

15

5 yo

Copies triangle
Catches ball
Partially dresses self
Writes name

16

Moro reflex

Birth to 5-6 mo
Allow head to fall back and response should be symmetric extensions, addiction and then flexion of limbs

17

Startle reflex

Birth to 5-6 mo

18

Galant reflex

Birth to 2-6 mo
Stroke parameter real region of back and pelvis will move towards stimulated side

19

Sucking reflex

Becomes voluntary at 3 mo

20

Babinski reflex

Birth to 4 mo
Stroke from toes to heel
Fanning of toes

21

Tonic neck

Birth to 6-7 mo
While supine rotate head laterally
Response is extension of limbs on chin side and flexion of limbs on opposite side

22

Rooting reflex

Less prominent after 1 mo
Stroke finger from mouth to earlobe and baby will turn head toward stimulus and open mouth

23

Palmar/plantar grasp

Birth to 2-3 mo
Stimulate palm or plantar surface of foot
Palmar grasp or plantar flexion

24

Parachute reflex

Appears at 9 mo and remains throughout life
Horizontal suspension and quick thrusting movement toward surface will cause extremities to extend

25

Global developmental delay

Significant delay in 2 or more areas of development

26

What part of sleep do nightmares occur in? sleep terrors? sleep walking?

nightmares occur during REM

night terrors and sleep walking occur during non-REM

27

What sinuses are present at birth

ethmoid and maxillary

28

Meningitis tx for neonates

ampicillin and cefotaxime (or gentamicin)

29

Meningitis tx for infants up to 3 mo

ampicillin and cefotaxime (or gentamicin) w/ higher doses of cefotaxime or ceftriaxone

30

Meningitis tx for >3 mo- 55 yo

cefotaximine or ceftriaxone + vancomycin