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Pediatric Growth and Development Quizlet

front 1

Infant

back 1

29 days to 1 year old

front 2

Toddler

back 2

2 to 3 years old

front 3

Child

back 3

< 12

front 4

Denver Developmental Screening Test II

back 4

Biometric tool is the most well-known for measuring development in children

front 5

Developmental Milestones

back 5

Observable traits and actions that have been hown to develop consistently i our population

front 6

At what age should you expect to see shifts on growth charts, often due to genetic predispoition

back 6

Around 9 months

front 7

At what percentile of growth would cause alarm and action?

back 7

5th Percentile with no obvious cause

front 8

How many major lines or channels must be crossed in order for you to take action?

back 8

2 percentile lines or major channels consecutively without cause

front 9

Growth rate declines rapidly during ages 1 to 12 years

back 9

True

front 10

What is the difference in growth charts?

back 10

Gender specific ( one for male and one for females )

front 11

How can mature weight be predicted?

back 11

Fat babies become fat adults.

Period of rapid weight gain during the 1st 4 months of life correlate with obesity at 7 years old

front 12

Does the Denver II assess IQ?

back 12

NO

front 13

What is assessed by the Denver II?

back 13

Personal-Social skills

Fine Motor-Adaptive skills

Language skills

Gross Motor skills

front 14

Purpose of Denver II

back 14

Provide an objective test for developmental delay

front 15

What age of child is the Denver II sesigned for?

back 15

0 to 6 years old

front 16

Gross Motor Skills at 2 weeks

back 16

Symmetric movements

front 17

Gross Motor Skills at 2 months

back 17

Lifts head in prone, grasp

front 18

Gross Motor Skills at 4 months

back 18

Head no longer lags when the body is pulled up

Able to roll over (front to back)

front 19

Gross Motor Skill at 6 months

back 19

it independently (tripod)

front 20

Gross Motor Skill at 9 months

back 20

Pulls to stand

front 21

Gross Motor Skill at 12 months

back 21

Walk

front 22

Gross Motor Skill at 18 months

back 22

Run, 1 to 2 stairs

front 23

At what age can a child recognize sound?

back 23

2 weeks

front 24

When should a child be able to say words (generally)?

back 24

By 2 years old

front 25

When should a child be able to say sentences (generally)?

back 25

By 3 years old

front 26

At what ages does the child exhibit stranger anxiety?

back 26

Between 6 and 36 months

front 27

If he child is experiencing a language delay, what is the first exam the child should have?

back 27

Ear and hearing exams

front 28

At what age should rolling be a red flag?

back 28

< 3 months (i)ncreased tone

front 29

At what age should poor head control b a red flag?

back 29

> 5 months (hypotonia)

front 30

At what age should hand dominance be a red flag?

back 30

< 18 months

front 31

At what age is fallure to vary voice pitch a red flag?

back 31

> 4 month

front 32

At what age is lack of babbling/localizing sound a red flag?

back 32

> 6 months

front 33

What should DBP be in a child 3 year old or older?

back 33

2/3 SBP

front 34

At what age should the child be able to fix and follow with eyes?

back 34

By 6 weeks old

front 35

At what age should the child try the eye chart instead of just fixing and following?

back 35

2 years old

front 36

Which vaccine is the only one given at birth?

back 36

Hep B

front 37

If there is a delay in the next shot in the vaccine series, should you start over?

back 37

NO

front 38

How many shots are in the Hep B series and in the IPV series?

back 38

3 shots

front 39

How many shots are in the MMR series and Hep A series?

back 39

2 shots

front 40

How many shots are in H. Influenza Type B series and in the DTaP series?

back 40

4 shots

front 41

Which vaccine require a booster at 4 to 6 years?

back 41

DTaP and IPV

front 42

A vaccine delayed is a vaccine

back 42

Denied

front 43

Contraindications to vaccines

back 43

History of anaphylaxis

Live vaccines in immunocompromised or pregnant patients

front 44

What condition are some parents concerned about MMR vaccine causing in their children?

back 44

Autism

front 45

When examining the child, what should you exam first before they cry?

back 45

Heart and Lungs

front 46

When examining the child what should you exam last?

back 46

Ears and Oral

front 47

What is the weight and/or age requirement for being in an approved rear-facing car seat?

back 47

< 20 pounds or < 12 months

front 48

What i the weight and/or age requirement for being in an approved front-facing car seat?

back 48

20 to 40 pounds and 1-4 years old

front 49

What is the weight and/or age requirement for using an approved booster seat?

back 49

40 to 80 pounds and 4 to 8 years old

front 50

What is the weight and/or age requirement should sit in the back seat and prohibited from sitting in the front seat?

back 50

< 12 years old

front 51

In Texas, what is the requirement for child passenger safety seat program?

back 51

Under 8 years old, under 4'9"

front 52

In order to reduce the rik of SIDS, shluld the baby sleep with a parent?

back 52

NO

front 53

In order to reduce SIDS what position should the child sleep in?

back 53

Supine

front 54

Does heavy blankets, pillows, multiple blankets, and overly padded bumper increase the risk of SIDS?

back 54

YES

front 55

What hazard are children at increased risk of getting when a parent smokes?

back 55

Small for gestational age

SIDS

Bronchitis/ pneuonia

Otitis Media

Asthma

front 56

Are hazards still present to child if the parent only smokes outside?

back 56

YES

front 57

Which makes the baby gain weight more rapidly and increases obesity risk, breast milk or bottle formula?

back 57

Bottle Formula

front 58

Which increases chance of baby having jaundice, breast mild or bottle formula?

back 58

Breast Milk

front 59

Exclusively breat-fed infants should receive what vitamin supplements?

back 59

Vit D (until able to eat Vit D enriched foods)

Iron (> 7 month)

front 60

When can infant get cow's milk, honey or canned foods?

back 60

> 12 months

front 61

What condition can the infant get if the infant younger than 12 months get honey or canned foods?

back 61

Infantile Botulism

front 62

When can an infant begin solid foods?

back 62

4 to 6 months

front 63

What can happen to infants younger than 12 months drinking cow.'s milk?

back 63

GI bleeding and anemia

front 64

What order should an infant begin solid foods?

back 64

Grains

Veggies

Fruits

Meats

front 65

Should solid foods replace or supplemnt the bottle/breast?

back 65

Replace

front 66

What is the limit of juice that can be given to an infant?

back 66

4 oz per day

front 67

Why is it a bad idea to limit fat intake in a child 1 to 12 years old?

back 67

Nerve tissue develops

front 68

Children do not need to be on "diets" before the age of

back 68

3 years old

front 69

What type of carbs are encouraged in children 1 to 12 years, complex or simple?

back 69

Complex

front 70

children under the age of ____________ should not watch television at all.

back 70

2 years old

front 71

Children watching television should do so no more than ________________ per day.

back 71

2 hours

front 72

At what age should toilet training occur?

back 72

2 to 3 years old

front 73

At what temp should the hot water heater be kept?

back 73

120 degrees F

front 74

How often should a new food be introduced?

back 74

Every 2 weeks

front 75

What is the limit of juice that can be given to a child 1 to 12 years old?

back 75

8 oz per day

front 76

What is the limit of milk that can be given to a child 1 to 12 years?

back 76

< 24 oz per day

front 77

Is a Growth Hormone assay necessary in workup if weight and height are low but teeth are erupting at a normal rate?

back 77

NO

front 78

If there is a delayed eruption of teeth, what labs should you check?

back 78

TSH and calcium (hypothyroid, hypopituitarism rickets)

front 79

When and what teeth erupt first?

back 79

Lower central incisor followed by upper central incisor, starting at 6 months

front 80

When do permanent teeth erupt?

back 80

6 to 8 years old, ending at 12 years old

3rd molars erupt at 18 years old

front 81

How can you prevent dental caries (cavities)

back 81

Avoid prolonged or nightime bottles

Avoid excessive soda and juice

Ensure adequate fluoride intake

front 82

At what age can the child use fluoride toothpaste?

back 82

2 years old

front 83

If a child cannot use flouride toothpaste before age 2 years, then can be used to brush the child's teeth?

back 83

Brush teeth with water

front 84

How does thrush present?

back 84

Erythematous plaque under white lsion

front 85

Is a KOH necessary to cinfirm thrush?

back 85

NO

front 86

Side effect of Gentian Violet

back 86

Will stain skin for 1 to 2 weeks

front 87

Treatment for thrush

back 87

Oral Nystation

Gentian Violet

front 88

If child has thrush and is breast-feeding, what should be done to the mother?

back 88

Ensure treatment of Candida on mother's nipples

front 89

Diaper Rash

back 89

Contact dermatitis from urine and feces exposure

front 90

Most children with diaper rash are also coinfected with

back 90

Cment for Diaper Rashandida albicans (70%)

front 91

Treatment for Diaper Rash

back 91

Change diaper more often

Air dry

Switch to cloth diapers

Nysatin, Lotrimin, others

Zinc oxide

Hydrocortisone

front 92

If the diaper rash spares the scrotum, do you suspect Rinea or Candida?

back 92

Tines

front 93

If the diaper rash has "satellite lesions", do you suspect Tinea or Candida?

back 93

Candida