Pediatrics

Question 1

What is assessed during APGAR scoring

Answer 1

Appearance
Pulse
Grimace
Activity
Respiration

Question 2

Appearance score 0, 1, 2

Answer 2

2 = no cyanosis; body & extremitiespink
1 = blue at extremities, body pink (Acrocyanosis)
0 = Blue & pale all over

Question 3

Pulse score

Answer 3

2 = > 100

1 =

Question 4

Grimace

Answer 4

(Reflex irritability)
2= cry or pull away when stimulated
1 = grimace/ feeble cry when stimulated
0no response to stimulation

Question 5

Activity score

Answer 5

(Muscle Tone)
2 = flexed arms and legs that resist extension
1 = some flextime
0 = none

Question 6

Respiration score

Answer 6

Breathing
2 = strong lusty cry
1 = weak irregular gasping
0 = absent

Question 7

Primative reflexes

Answer 7

Moro
Galant
Fencer
Rooting
Palmar Grasp

Question 8

2 months

Answer 8

Lift head when prone ( when on stomach)
Turn head to sound
Cooing, some focalization

Question 9

4 months

Answer 9

Rolls front to back (four & front)
Puts support on wrists when prone
Babbles with expression
Reaches for and can hold a toy and shake it
Look for source of sound

Question 10

6 months

Answer 10

Rolls back to front
Sits without support
Transfers objects hand to hand
Holds own bottle
Imitates speech sounds
Ready for solid food

Question 11

9 months

Answer 11

Crawl
Babbles: MaMa & DaDa
Imitates sounds
Starts to wave bye bye
Drinks from sippy cup
Eats with fingers
Stands while holding on*

Question 12

12 months

Answer 12

Stands alone, takes a few steps
Fine pincer grasp
Hugs stuffed animals
Says one word besides mama & dada

Question 13

15 months

Answer 13

Walks well
Stacks 2 blocks
Scribbles
4-6 words
Adopts "no" as favorite word

Question 14

18 months

Answer 14

Throw ball underhand
Knows 4 body parts
Points to what they want
Stacks 4 blocks
Walks up stairs *cant get back down)

Question 15

2 yrs

Answer 15

2-4 word sentences
Follows 2 step commands
50 words
Understood 50% of time
Throws ball overhand
Jumps, begins to run
Can walk down stairs

Question 16

3 yrs

Answer 16

3 word sentences
Can ride tricycle
Hops
Balance on 1 foot
Toilet trained
Knows 250-300 words

Question 17

4 yrs

Answer 17

Hops on one foot
Dresses self
Names some colors and numbers
Sings a song from memory
Strangers understand 90% of language

Question 18

5 years

Answer 18

Skips, swings, climbs
Ties shoes
Brushes teeth
Counts and able to recite part of alphabet
Prints name

Question 19

Circle

Answer 19

3 years

Question 20

*t

Answer 20

4 yrs

Question 21

Square

Answer 21

4.5

Question 22

Triangle

Answer 22

5 yrs

Question 23

Hep B Vaccine

Answer 23

All infants
3 doses with 1st dose before hospital discharge
Pregnancy is not a contraindication

Question 24

Contraindication for hep B vaccine

Answer 24

Bakers yeast allergy

Question 25

Minimum age of inactivated influenza vaccine

Answer 25

6m

Question 26

Minimum age of live influenza vaccine

Answer 26

2 years

Question 27

PCV13

Answer 27

All children | 4 doses: 2, 4, 6, & 12 - 15

Question 28

PPSV23

Answer 28

After age 2 to certain populations | - asplenics, sickle cell, HIV, malignancy

Question 29

Pneumococcal vaccine is given to all adults over age

Answer 29

65

Question 30

H. Influenza vaccine

Answer 30

Given to all infants Prevents meningitis epiglottis is, and pneumonia 4 doses: 2, 4, 6, and 12 - 15 m

Question 31

Poliomyelitis vaccine

Answer 31

All children 2, 4, 6, and 4 years May need booster if traveling Inactivated has replaced oral polio vaccine

Question 32

Tdap

Answer 32

Tetanus Diphtheria Pertussis 5 doses: 2, 4,6, 15-18m, and 4-6 yrs Adults 19-64 should receive a single dose of Tdap All women should receive dose during each pregnancy

Question 33

Hepatitis A

Answer 33

For children over 1 you, adults traveling or high risk individuals 2 doses: 6m apart A single dose may be used as post exposure prophylaxis

Question 34

Varicella Zoster

Answer 34

2 doses: 1 yr & 5 yrs Contraindicated in pregnancy (bc its LIVE) A single dose of zoster vaccine recommended for all adults > 50 years of age regardless of having previous episode of herpes zoster

Question 35

MMR

Answer 35

1 year and 4-6 years (contraindicated in pregnancy)

Question 36

Human Papillomavirus

Answer 36

Most common STD/STI Approved for girls and boys 9 - 26 yo 3 doses between age 11 - 12 then 1 - 2 months & 6 months afterwards Not recommended in pregnancy

Question 37

Meningococcus

Answer 37

Protects against Neisseria meningitis is High risk groups: dorm students, military Booster needed at 16 - 18 you *Safe in Pregnancy

Question 38

When is APGAR score assessed?

Answer 38

1, 5, and 10 minutes