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Flashcards in Paeds Deck (107)
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1

What gross and fine motor skills should a child of 6 months be able to achieve?

Pushes up on arms in prone, can roll from front to back / transfers objects using palmar grasp

2

A weight on what centile corresponds to a child being obese?

98th centile

3

Which formula is best- whey or casein based?

Whey

4

What gross and fine motor skills should a child of 18 months be able to achieve?

Runs, climbs onto adult chair / builds tower of 3-4 blocks, develops hand preference

5

Other than general inspection, what should you do during assessement of the back and CNS in a newborn examination?

Palpate down the spine

Listen to the mid-scapular area

Check the anus is patent

Check the Moro and grasp reflexes

6

What defines precocious puberty in girls and boys?

< 8 years in girls, < 9 years in boys

7

What are some potential underlying causes of a delay in social skills?

Autism

Secondary to abuse or neglect

8

Other than general inspection, what additional test should you do during assessment of the legs and hips in a newborn examination?

Barlow and Ortolani's test

9

What are some good ways to tell that a baby is taking enough milk during feeds?

They are gaining weight

They are having 6 wet nappies per day

They are passing 2 yellow stools per day

10

When is calculation of a child's BMI required?

If the weight is above the 75th centile or if the weight and height centiles differ

11

What social skills should a child of 9 months be able to achieve?

Anxious around strangers

12

From 4 years to puberty, how much should a child's height increase by each year?

5cm

13

What extra things should you always enquire about in a paediatric history?

Birth history, growth and developmental history, vaccination history

14

Explain how the grimace in response to plantar stimulation section of APGAR is scored?

Absent = 0

Grimace/feeble cry = 1

Strong cry/pull away when stimulated = 2

15

What language skills should a child of 24 months be able to achieve?

Joins two words together, follows simple instructions

16

What are some potential underlying causes of a fine motor/visual delay?

Squint

Refractory error

Cataract

Glaucoma

17

What happens to a baby's weight in the first week after birth?

What is the reason for this?

The baby will lose 5-10% of its birthweight

Loss of extracellular fluid

18

What social skills should a child of 12 months be able to achieve?

Waves bye-bye, drinks from a cup

19

By what age should the majority of children have achieved day and night time continence?

3-4 years

20

What are some specific symptoms to ask about in a paediatrics systemic enquiry?

Cough/cold symptoms/difficulty breathing, vomiting, rashes, fever, any evidence of pain

21

When should routine examination of the newborn take place?

Ideally within 24 hours of birth, must be within 72 hours

22

What growth variables are plotted in children aged < 2 years?

Head circumference, length and weight

23

At what ages are childhood vaccinations usually given?

2, 3 and 4 months

12-13 months

3 years 4 months

24

What are some risk factors for child abuse that you should try to address in a history where this is suspected?

Was the child premature or does it have any physical/mental disability?

Are there any mental health or substance misuse issues with the parents?

Is there domestic violence or social deprivation?

25

Exclusive breastfeeding is recommended for how long?

6 months

26

A weight on what centile corresponds to a child being overweight?

91st centile

27

What social skills should a child of 6 months be able to achieve?

Friendly with strangers, plays with their feet

28

Explain how the activity (tone) section of APGAR is scored?

Absent = 0

Some flexion = 1

Flexed arms and legs that resist extension = 2

29

Explain how the pulse section of APGAR is scored?

No pulse = 0

< 100 = 1

> 100 = 2

30

What gross and fine motor skills should a child of 12 months be able to achieve?

Cruising, walking / bangs toys together