Determines overall likelihood to survive - o-7 = bad ; 8-10 = good

Asymmetric cranium caused by too much supine movement. found in 5-48% of healthy newborns most common is right side

Occurs after loud noise or sudden dropping motion at rest. - baby will symmetrically abduct and extend arms and then extend the trunk spontaneously. - disappears once cortical functioning develops at 4 months

Peds Information Flashcards by Scott Mitchell

APGAR score

Determines overall likelihood to survive

o-7 = bad ; 8-10 = good

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BP tests begin when?

3 yrs

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BMI tests begin when?

2 yrs

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Vision screening begins when?

3 yrs

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Metabolic screening begins when?

Birth / 1-2 weeks

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Cholesterol screening age ranges

9-11 ages and again at 17-21 ages

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Hearing screening begins when?

Birth

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What vaccine is always given 1st?

Hep B * within days of birth*

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What vaccines are always 2nd?

Rota virus, tetanus toxoid, haemophalis influenza, IPV

usually just under 1 year*

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What Auto immune diseases can be transferred through placenta?

Graves’ disease

Myasthenia gravis

Lupus

Thrombocytopenia

Vulgaris

Plasmapherisis eliminates these diseases from the neonate

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Window of susceptibility

2-6 months, neonates are more likely to get infections due to decrease maternal IgG and low levels of own antibodies.

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Normal weight gain patterns in neonates and the respective ages

2 days: lose 10% birth weight

7-10 days: return to normal birth weight

4-5 months: double birth weight

1 year: triple birth weight

2 years: quadruple birth weight

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Average neonate weights at birth, 1/5/10 years

Birth: 3.5 kg

1 year: 10 kg

5 years: 20 kg

10 years: 30 kg

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Average daily weight gain first 3-4 months and 5-12 months

3-4: 20-30g

5-12: 15-20g

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Average height at birth, 1/3/4 years

Birth: 20 inches

1 year: 30 inches

3 years: 36 inches

4 years: 40 inches (double birth length)

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Average head circumference at birth in centermeters and inches

35 cm or 13.5 inches

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Sleep positions for neonates

Should always be in supine position and no bed sharing

exception is “tummy time” which is prone when supervised

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Plagiocephaly

Asymmetric cranium caused by too much supine movement.

found in 5-48% of healthy newborns
most common is right side*

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Craniosynostos

Premature closing of the cranial sutures

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General developmental concepts

Overall development proceeds cephalocaudally

Control/function occurs in proximal-distal pattern

Gross motor before fine motor

Motor control directly entwined with communication.

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Primitive reflexes

Sterotypic movements by specific stimuli for the 1st 3-6 months

Manifested from brain stem and spinal cord

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Moro reflex

Occurs after loud noise or sudden dropping motion at rest.

baby will symmetrically abduct and extend arms and then extend the trunk spontaneously.
disappears once cortical functioning develops at 4 months

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ATNR or fencing reflex

Turning the head of the baby one way should cause extension of the ipsilaterally arm and flexion of the contralateral.

Disappears by 4-6 months

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Head is roughly how much weight from total body weight within 1 month of birth?

1/3

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Age range to stand alone

9-16 months

Age range to be able to sit efficiently

6-11 months

Age range to being able to stand

6-12 months

Age range to be able to walk 3 steps by self

9-17 months

Age to be able to draw a triangle

5 years

Age to be able to draw a circle

3 years

Age to be able to draw a cross

4 years

Age to be able to draw a square

4 and 1/2 years

Age to be able to build a tower of two blocks

18 months

Age to be able to build a tower of 6 blocks

2 years

Age to be able to build a tower of 8 blocks

2 and 1/2 months

Age to be able to build a block bridge and gate respectively

3 and 4 years

Age to be able to build block steps

6 years

Age to say mama and dada

9 months

Age with smiling at parent voice and following parents with eyes

2 months

Age of walking independently

1 and 1/2 years

Age of being able to count multiple objects and tells names and address

5 years

Age to speak multi word sentences and sort shapes

3 years

Age to be able to follow simple instructions, speak in two word sentences and plays make believe

2 years

Age to roll from back to stomach and vise versa as well as being able to move objects from hand-hand

6 months

Speech developmental stages

2 years: 50% 3 years: 75% 4 years: 100% % =. Intelligible language

At what age do parents lose their children to their peer group? (Need to have instilled goodmorals)

11 years

Age 6-11 year general info

Self esteem becomes a major issue (can begins as early as 5 though) Judged more on ability Experiences growth spurts

Peak gray matter content is at what age?

12-14

Sedentary habits are most dangerous for future health at which age group?

6-12

Cardinal hallmark of being a sociopath

Hurting animals or humans before 6 years (or really any time)

Puberty begins by increasing of what hormones?

Gonadotropin-releasing hormone (GnRH) Lutenizing hormone (LH) and FSH

Androgen does what to children?

Develops hair and BO

Thelarche

First appearance of breast (7-12 yrs)

Pubarche

Development of pubic hair in girls

Physiologic leukorrhea

clear Vaginal discharge before menarche

Menarche (period) begins usually when

12. 5 years (3years after thelarche began) | - during 4 SMR range w/ peak height

Peak age for height in males vs females

14 and 11-12 respectively

Anticipatory guidance for 2 month olds

Play on floor everyday Read books every day

When to worry about a 2 month old

No smiling No hands in mouth Can’t hold head up Doesn’t respond to loud sounds

Anticipatory guidance for a 3 year old

Talk sing and play every day Play counting games Give child simple 2 step instructions

When to worry about a 3 year old

Drools or has unclear speech Doesn’t make eye contact or speak in sentences Doesn’t understand simple instructions

Anticipatory guidance for 9 month old

Provide lots of room to play Describe objects to infants

What age does the thumb index reflex develop

9 months

When to worry about a 9 month old

Doesn’t use mama or dada Doesn’t respond to own name Doesn’t sit w/ help Doesn’t recognize familiar faces or play games

Anticipatory guidance for a 2 year old

Encourage child to play w/ blocks and do simple chores Teach child to identify body parts

When to worry about a 2 year old

Doesn’t copy actions Doesn’t use 2 word phrases Doesn’t walk steady or loses skills

anticipatory Guidance for a 4 month old

Have steady routines Copy baby sounds and act excited when they make sounds Play games Give age appropriate toys

When to worry about a 4 month old

Doesn’t watch things move Doesn’t make any sounds Can’t move eyes in all directions

Anticipatory guidance for 12 month old

Give child lots of affection w/ good behavior

When to worry about a 12 month old

Doesn’t crawl Can’t stand when supported Can’t say single words

At what age Can a child start using objects correctly?

12 months

At what age can a child Begin to sit without support and string vowels together

6 month old

When to worry about a 6 month old

Doesn’t try to reach for things Can’t roll over and doesnt make vowel sounds

At what age can a child be separated from mom and dad easily

3 years

At what age does a child start showing concern for emotions?

3 years old

When to worry about a 2 year old

Doesn’t use 2 word phrases Doesn’t follow simple instructions Doesn’t walk steadily Can’t use common objects for intended use

At what age should one start setting strict rules and limits for a child

3 years old

When to worry about a 3 year old

Drools Doesn’t play pretend Doesn’t make eye contact Falls down a lot

Ten commandment of vaccination

1: people should be vaccinated as infrequently as possible 2: a core vaccine is one that every person should get and non-core are not required 3: vaccines should be given to as much of the herd as possible 4: young people need special considerations 5: not everyone needs to get every vaccine 6: dont give vaccines to pregnant women unless specifically recommended 7: don’t vaccinate immunosuppressive patients 8: client and provides should chose together what vaccines are appropriate 9: read the vaccine data sheet 10: keep a report of vaccines and adverse events

Vaccines to give children @ 1 year

MMR Chickenpox Hep A

Vaccines to give children @ 7+ years

TDaP HPV Meningococcal

Vaccines that should never be given to pregnant mothers

Measles, mumps, rubella Varicella Influenza *ANY LIVE ATTENUATED VACCINES*

Safest live attenuated vaccine and the only live attenuated vaccine given to >1year children

Rotavirus vaccine *unless child is SCID, then DONT*

Age of being able to run and jump effectively

2 years

Age of being able to walk independently

18 months