pediatrics

Question 1

steps to measure head circumference

Answer 1

1. position patient (supine or sitting based on age)
2. have parent handle child
3. wrap tape measure around widest part of infant’s head (above eyebrows/ears)
4. record number to the nearest 1/4 inch or 0.5 cm on disposable liner

Question 2

steps to measure length of baby

Answer 2

1. place infant’s head against headboard + ensure knees are straight and toes pointed up
2. measure length by rounding to nearest 1/8th inch

Question 3

most common immunization administration site

Answer 3

• anterolateral area of thigh (intramuscular)
• lateral side of mid-arm (subcutaneous)

Question 4

what are the areas of pediatric development?

Answer 4

• motor (reflexes/gross/fine)
• sensory (vision)
• language

Question 5

pain assessment

Answer 5

• CRIES pain scale
• FLACC
• FACES (drawings)
• Oucher (pictures)

Question 6

normal heart rate by age

Answer 6

• neonate (<28 d): 120-165
• infants (<1): 80-140
• toddler (1-2): 80-130
• preschool (3-5): 80-120
• school age (6-15): 70-100
• adolescent (15+): 60-100

Question 8

trust vs. mistrust

Answer 8

• stage 1 of development
• infancy (from birth –> 18 months)

Question 9

autonomy vs. shame + doubt

Answer 9

• stage 2 of development
• toddler years (18 months –> 3 yrs)

Question 10

initiative vs. guilt

Answer 10

• stage 3 of development
• preschool years (3-5 yrs)

Question 11

industry vs. inferiority

Answer 11

• stage 4 of development
• middle school yrs (6-11)

Question 12

identity vs. confusion

Answer 12

• stage 5 of development
• teen yrs (12-18)

Question 13

intimacy vs. isolation

Answer 13

• stage 6 of development
• young adult yrs (18-40)

Question 14

generativity vs. stagnation

Answer 14

• stage 7 of development
• middle age (40-65)

Question 15

integrity vs. despair

Answer 15

• stage 8 of development
• older adulthood (65-death)