peds

Question 1

what is a normal APGAR score?

Answer 1

8-10

Question 2

APGAR is checked a ___ min after birth, ____ minutes, then _____ minutes only if needed

Answer 2

1, 5, 10

Question 3

when does crawling typically occur?

Answer 3

3-9 months

Question 4

when does creeping (quadruped) typically occur?

Answer 4

9-10 months

Question 5

what can a baby do at 3 months?

Answer 5

prone on elbows
can lift head in prone
belly crawl
tummy time is important

Question 6

what can a baby do at 3-4 months?

Answer 6

sidlying

Question 7

what can a baby do at 5-6 months?

Answer 7

prone to supine
pull to sit without head lag
sitting with UE support
feet to mouth

Question 8

what can a baby do at 6-7 months

Answer 8

supine-prone
quadruped
independent ring sitting (no UE needed)
transfers objects between hands
trunk rotation in sitting

Question 9

what can a baby do at 9-10 months?

Answer 9

quadruped creeping
cruises to sideways
plantigrade, pulls to stand
improving grasping, pincer

Question 10

what can a baby do at 10-15 months

Answer 10

begins to walk unassisted
transitions in and out of squatting
controls grasp and release
stacks two cubes

Question 11

whats the poem to remember what a baby can do through the months?

Answer 11

3 i lift my head
4 lay on my side
5 prone to supine, get out of tummy time
6 i sit upright

7 quadruped
8 cant wait to cruise
creep,cruise, and stand alone at 9
then walk and stack two cubes (10-15)

Question 12

a baby hears a sudden loud and harsh noise and responds by extension and abduction of UEs and starts crying. what reflex is this, when does it start and when is it integrated?

Answer 12

startle reflex

onset: birth
integrated: persists

Question 13

a baby’s head is flexed (or extended), and the baby responds by flexing UEs and extension of LEs (or extension of UEs and flexion of LEs). what reflex is this?

Answer 13

STNR

onset 4-6 mo
integrated 8-12 mo

Question 14

i press the ball of a baby’s foot and she maintains flexion of the toes. what reflex is this and when is it integrated?

Answer 14

plantar grasp

onset: 28 wks gestation
integrated: 9 months

99999 (5 toes)

Question 15

i press a baby’s palm and she maintains flexion of her fingers. what is this reflex, when is the onset and when i it integrated?

Answer 15

palmar grasp

onset: birth
integrated: 4-6 months

Question 16

i let a baby fall back from sitting position. she extends and abducts UEs and cries, then flexes and adducts her harms across her chest. what reflex is this, when is the onset and when is it integrated?

Answer 16

Moro

onset: 28 wks of gestation
integrated: 5-6 months

Question 17

i put the baby in prone or supine. in prone, she had increased flexor tone of all limbs and in supine she had increased extensor tone of all limbs. what reflex is this, when is the onset and when is it integrated?

Answer 17

symmetrical tonic labyrinthine (TLR)

onset: birth
integrated: 6 mo

Question 18

a baby has contact made to the ball of her foot in upright standing. she does rigid extension of the LEs. what reflex is this, when is the onset and when is it integrated?

Answer 18

positive supporting

onset: birth
integrated: 6 mo

Question 19

i poke the sole of a baby’s foot with a pin. her toes extend, foot dorsiflexes, and LE flexes uncontrollably.

what reflex is this, when is the onset and when is it integrated?

Answer 19

flexor withdrawal

onset: 28 wks gestation
integrated: 1-2 mo

Question 20

i poke the ball of a baby’s foot with a pin while her LE is fixed in extension. her opposite LE flexes, then adducts and extends

what reflex is this, when is the onset and when is it integrated?

Answer 20

crossed extension

onset: 28 wks gestation
integrated: 1-2 mo

Question 21

i stroke the side of a baby’s cheek and she turns toward me and opens her mouth.

what reflex is this, when is the onset and when is it integrated?

Answer 21

rooting

onset: 28 wks gest
integrated: 3 mo

3 looks like a mouth

Question 22

i grasp the baby’s forearm and pull up from supine into sitting. her UEs totally flex. what reflex is this, when is the onset and when is it integrated?

Answer 22

traction

onset: 28 wks gest
integrated: 2-5 months

memory trick: for true joint disTRACTION, you need to use 25# of force

Question 23

i rotate the baby’s head to one side. she does a bow and arrow position with her UEs which prevents her from rolling to the side. what reflex is this, when is the onset and when is it integrated?

Answer 23

asymmetrical tonic neck reflex

onset: birth
integrated: 4-6 mo

Question 24

which GMFCS level:

patient will walk without restrictions but will have limitations in more advanced motor skills

Answer 24

1

Question 25

which GMFCS level: patient will walk with AD with limitations in walking outdoors and in the community

Answer 25

3

Question 26

which GMFCS level: patient will walk without AD with limitations in walking outdoors and in the community

Answer 26

2

Question 27

which GMFCS level: patient self mobility will be severely limited, even with the use of an assistive tech, requires caregiver.

Answer 27

5

Question 28

which GMFCS level: patient self mobility will be severely limited, children are transported or use of power mobility outdoors and in the community

Answer 28

4

Question 29

what condition results from prolonged asymmetrical pressure on the premature skull?

Answer 29

plagiocephaly creates a parallelogram shape, whichever side is pointing out more anteriorly is the side of plagiocephaly

Question 30

torticollis is named based on which side the SCM is affected. T/F?

Answer 30

T

Question 31

If i have R torticollis, my head is bent the to ___ and rotated ____

Answer 31

R L

Question 32

for a patient with down syndrome, what movements should I avoid?

Answer 32

forceful neck flexion and rotation: laxity of the odontoid ligament (AA joint could sublux) hyperextension of knees and elbows during WB

Question 33

for a patient with autism, how can i help them stay interested during PT?

Answer 33

repetitive behaviors, routine, play into their interests, give simple commands

Question 34

pts with autism may be sensory ______ or sensory ________

Answer 34

seeking, avoiding

Question 35

what condition could you see enlarged calves and toe walking?

Answer 35

duchenne's muscular dystrophy this is actually pseudohypertrophy: adipose tissue in calves

Question 36

do boys or girls normally get duchenne's

Answer 36

boys

Question 37

what is a very important thing to keep in mind when doing PT with a pt with duchennes?

Answer 37

don't over fatigue them! this can make things worse

Question 38

what's gowers sign

Answer 38

when you have to push on your legs to stand up seen in duchennes

Question 39

what disease is more common in males, Schmorl's Nodes found, pain with thoracic extension and rotation, increased thoracic kyphosis and lumbar lordosis? how is it treated?

Answer 39

Scheuermann Disease treatment: Schroth Method, stretch pecs, strengthen thoracic extensors Sch Sch Sch

Question 40

what are two pediatric injuries to the brachial plexus?

Answer 40

Erb's and Klumpke's Palsy

Question 41

what condition is caused by stretching head downward, causing loss of abduction and lateral rotation of the shoulder, resulting in waiter's tip deformity?

Answer 41

Erb's C5-C6

Question 42

what condition is caused by stretching of arm overhead, causing paralysis of the intrinsic of the hand, resulting in claw hand ?

Answer 42

Klumpke's C8-T1 pulling a klump of grass