Pediatrics

Question 1

What HPI components are vital for pediatric history?

Answer 1

Developmental
prenatal and birth
social history of family
environmental hx
immunizations hx

Question 2

What are apgar scores? When do you do them?

Answer 2

A scoring system on a newborn’s vitals and appearance that may indicate various disease states

-at birth, then again at 5-7 mins

Question 3

What is a normal apgar score?

Answer 3

8-10

0-2 is “like” cardiac arrest: BAD

Question 4

What are the ages for development milestones in peds?

Answer 4

Months: at birth, 2, 4, 6, 9, 12, 15, 18, 24

Years: 3, 4, and 5

Question 5

What ages are the following vitals or screens done:

Blood pressure, BMI, Cholesterol

Answer 5

BP: 3 y/o

BMI: 2 y/o

Cholesterol: 9-11 and 17-21

Question 6

When are newborn metabolic screenings done? Tuberculosis?

Answer 6

NBMS: at birth and between 1-2 weeks

Tub: steadily at and after 1 year

Question 7

When is vision screening done? Lead screening? Hemoglobin?

Answer 7

Vision: 3 years and on

Lead: 12 and 24 months (sus populations)

Hemoglobin: 12 months (or birth and 4 mo if premature()

Question 8

What age should a child double their birth weight?

Answer 8

4-5 months

Question 9

What age should a child triple their birth weight?

Answer 9

12 mo

Question 10

What age should a child quadruple their birth weight?

Answer 10

2 years

Question 11

What is the average length of a child at birth, 1 year. And 4 years?

Answer 11

Birth: 20”

1 yr: 30”

4 years: 40” (double birth)

Question 12

What position should a baby sleep in?

Answer 12

Supine

Question 13

What is the premature closing of the sutures of the cranial bones?

Answer 13

Craniosynostosis

Question 14

At what age should a child be assessed for developmental milestones first?

Answer 14

2 months

Question 15

What age should a child’s primitive reflexes be assessed?

Answer 15

3-6 months postpartum

Question 16

What reflex is demonstrated by abrupt extension of the infant’s neck and symmetrical extension of the infant’s upper extremities following a loud noise?

Answer 16

Moro reflex

Question 17

What age should a child’s moro reflex disappear?

Answer 17

4 months old (gradually from birth-4mo)

Question 18

What can the moro reflex be used to evaluate?

Answer 18

CNS integrity and detection of peripheral problems (like MS abnormalities or neural plexus injuries)

Question 19

What indicates unilateral weakness during a moro reflex?

Answer 19

Asymmetrical response

Question 20

What age should a child display the asymmetric tonic neck reflex?

Answer 20

2-4weeks

Question 21

What age should a child’s asymmetric tonic neck reflex disappear?

Answer 21

4-6months

Question 22

What is the “fencing reflex”’s technical name?

Answer 22

Asymmetrical tonic neck reflex (ATNR)

Question 23

What age should a child be able to support its neck when the pull-to-sit maneuver is performed?

Answer 23

4 months

5-6 mo child should anticipate the motion and pick up head

Question 24

What age should a child be able to place its pelvis flat on the floor and lift its head/shoulders while in the prone position?

Answer 24

4 months

Question 25

What age should the child be able to sit without support?

Answer 25

7-9 months

Question 26

What age should a child’s lordotic curve be semi-prevalent?

Answer 26

12 months

Question 27

What age should a child’s hand grasp reflex disappear?

Answer 27

3 months

Question 28

What age should a child’s toe grasp reflex disappear?

Answer 28

8-15 months

Question 29

What age should a child’s ATNR disappear?

Answer 29

6-months

Question 30

When should a child be able to sit alone momentarily?

Answer 30

4-8mo

Question 31

When should a child be able to roll back to stomach?

Answer 31

4-10mo

Question 32

When should a child be able to sit steadily?

Answer 32

5-9 months

Question 33

When should a child be able to get to sitting position?

Answer 33

6-11 months

Question 34

When should a child be able to pull to standing?

Answer 34

6-12 months

Question 35

When should a child be able to stand alone?

Answer 35

9-16 months

Question 36

When should a child be able to walk three steps alone?

Answer 36

9-17 months

Question 37

What age range usually encompasses development of fine motor skills (grasping)?

Answer 37

6mo-12months | 6 is rake, 7 is inferior-scissor, 8 is scissor, 9 is inferior pincer, 10 is pincer, 12 is fine pincer

Question 38

When should a child be able to grasp objects, smile at other people, and raise head while laying prone?

Answer 38

3 months

Question 39

When should a child be able to babble, laugh, and imitate sounds?

Answer 39

4 months

Question 40

When should a child be able to roll from back to stomach and back, and move objects from hand to hand?

Answer 40

6 months

Question 41

When should a child be able to respond to its name and find partially hidden objects?

Answer 41

7 months

Question 42

When should a child be able to sit without support and crawl?

Answer 42

9 months

Question 43

When should a child be able to say mama and dada?

Answer 43

9 months

Question 44

When should a child be able to walk with/without support, say one word, and enjoys imitating people?

Answer 44

12 months

Question 45

When should a child be able to walk independently, drink from a cup, says ~15 words, and points to body parts?

Answer 45

18 mo

Question 46

When should a child be able to run, jump, speak in two word sentences, and plays make-believe?

Answer 46

2 years

Question 47

When should a child be able to climb well, speaks multiword sentences, and sorts objects by shape and color?

Answer 47

3 years

Question 48

When should a child be able to get along with people outside family, rides a trike, and draws circles and squares?

Answer 48

4 years

Question 49

When should a child be able to tell name and address, jump, get dressed, and counts 10+ objects?

Answer 49

5 years

Question 50

When should a child be able to draw a triangle?

Answer 50

5 years

Question 51

When should a child be able to draw a circle?

Answer 51

3 years

Question 52

When should a child be able to draw a square?

Answer 52

4 years

Question 53

When should a child be able to speak 50% intelligibly?

Answer 53

2 years

Question 54

When should a child be able to speak 75% intelligibly?

Answer 54

3 yearsq

Question 55

When should a child be able to speak 100% intelligibly?

Answer 55

4 years