Pediatrics Flashcards Preview

STEP > Pediatrics > Flashcards

Flashcards in Pediatrics Deck (21):
1

What are the TORCHS infections?

Toxoplasmosis
Other (Syphilis, Varicella-zoster, Parvovirus B19)
Rubella
Cytomegalovirus
Herpes simplex

2

What is the APT test?

Used to differentiate fetal blood from swallowed maternal blood in the evaluation of bloody vomit or stools.

3

What are the physical/motor aspects of development present at 1 month of age?

Reacts to pain

4

What are the physical/motor aspects of development present at 2 months of age?

Eyes follow object to midline
Head up prone

5

What are the social aspects of development present at 1 month of age?

Endogenous smile

6

What are the physical/motor aspects of development present at 4 months of age?

Eyes follow object past midline
Rolls over from supine to prone
Sits with support

7

What are the social aspects of development present at 2 months of age?

Exogenous smile

8

What are the social aspects of development present at 4 months of age?

Preferential social smile

9

What are the language aspects of development present at 4 months of age?

Laughs aloud

10

What are the physical/motor aspects of development present at 6 months of age?

Transfers objects from hand to hand
Rolls from prone to supine
Sits well unsupported

11

What are the social aspects of development present at 6 months of age?

Stranger anxiety

12

What are the language aspects of development present at 6 months of age?

Babbles

13

What are the physical/motor aspects of development present at 9 months of age?

Pincer grasp of items (closer to 10 months)
Stands with help (as early as 8 months)
Crawls on their own
Cruises by pinching or holding on to furniture (closer to 10 months)
Fear of falling

14

What are the social aspects of development present at 9 months of age?

Responds to pat-a-cake or peek-a-boo

15

What are the language aspects of development present at 9 months of age?

Repetitive responding
Can say mama, dada or bye bye

16

What are the physical/motor aspects of development present at 1 year of age?

Pats pictures in a book
Can stack 3 - 4 cubes (closer to 18 months)
Able to walk (by 13 months)
Ascends stairs step by step in child manner
Emergence of hand preference (around 18 months)
Kicks or throws a ball

17

What are the social aspects of development present at 1 year of age?

Separation anxiety
Walking away from mom can cause anxiety
Dependence on parental figure/ primary caregiver
Onlooker play (one child watches and the other plays)Parallel play (both children play alone but are comforted by fact that other child is nearby)

18

Why do newborns get polycythemia?

- During delivery the head and umbilical cord become compressed leading to hypoxia.
- Hypoxia increases erythropoietin from kidneys which increases RBC production in the liver, spleen, flat and long bones.

19

What is the average hemoglobin in a neonate vs adult?

Neonate: 18-20 g/dl
Adult 12-17 g/dl

20

What causes physiological jaundice in the newborn?

- Excess RBC's are removed by the spleen causing splenomegaly.
- Digestion of RBC's increases unconjugated bilirubin causing physiological jaundice.
- 90% due to increased RBC destruction.
- 10% due to slow metabolism of bilirubin because liver does not mature until 2 months of age

21

What are the newborn screening exams?

PKU (Guthrie test)
Hypothyroidism (TSH)
Congenital Adrenal Hypoplasia
Biotinidase deficiency
Galactosemia
Transglutaminase
Immunoreactive Trypsin