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Peds 1 Development
Development
Question | Answer |
---|---|
What is the next step in the evaluation of penetrating injuries to different zones of the neck? | Zone 1 (clavicle to cric cart): 4 vessel CT angio + triple endoscopy. Zone 2 (cric cart to angle of mandible): surgical exploration. Zone 3 (angle of mandible to base of skull): 4 vessel CT angio |
What are the cardinal movements of labor? | Engagement, Descent, flexion, internal rotation, extension, external rotation, expulsion |
An IV drug user has JVD and a holosyst murmur at the L sternal border. What is the dx? What is the tx? | Dx: tricuspid regurg 2/2 staph epidermidis. Tx with empiric vanc. Also tx heart failure and eventually replace the valve. |
When do children first exhibit stranger anxiety? | 6-9mos |
How would you expect weight to increase in teh first 2 years of life? | Double by 4mos, triple by 12mos, and quadruple by 24mos |
When can children begin to eat solid foods? | 4-6mo |
What is the first solid foot parents should give their child? | Iron-fortified cereal |
How many total doses of DTap vaccine should a 6yo have received? | 5 |
At what age is the meningococcal vaccine indicated? | After 11yo |
When can a child swithch to a front-facing car seat? | >2yo and grown out of rear-facing |
When can a child swithch to a booster seat? | Until seat belt fits correctly, usually 4'9' tall or 8-12yo. Should be sitting in back seat |
At what age can you sit in the front seat | 13yo + |
Why should cow's milk not be given before 1 year of age? | Can cause allergy, GI bleed, Fe deficiency anemia, and IQ loss |
What is the expected height and weight gain for a pt from 2yo to adolescence? | 2" and 5lbs a year |
At what age does a child develop separation anxiety? | 9-15mos |
At what age can a baby use a pincer grasp and make a tower of 2 blocks? | 12mos |
At what age can a child draw a circle and make a tower of 9 blocks? | 3yo |
At what age can a child hop on 1 foot? | 4yo |
At what age can a child skip and distinguish fantasy from reality? | 6yo |
At what age can a baby lift their head 45 degrees and follow an object to the midline with their eyes? | 2mos |
At what age can a baby make a tower of 4 blocks, make 2 word sentences, and engage in parallel play? | 18mos |
At what age can a child draw a line image like a cross? | 4yo |
At what age can a child lift head 90 degrees and follow objects past the midline? | 4mos |
Which comes first? Babbling or cooing? | Cooing is first at 2mos. Babbling comes later at 6mos. |
At what age can a child speak 3 word sentences? | 2yo |
The absence or persistence of infantile reflexes beyond _______ may suggest CNS pathology. | 6mos |
How many Hib vaccines should a child receive? | 4 |
How many pneumococcal vaccines should a child receive? | 4 |
Which vaccine is given shortly after birth? | Hep B (receive 3 total) |
What vaccines are given at 2mos? | Hep B #2, Rota, DTap, Hib, PCV, IPV |
What vaccines are given at 4mos? | Rota #2, DTap #2, Hib #2, PCV #2, PIV #2 |
What vaccines are given at 6mos? | Rota #3, DTap #3, Hib #3, and PCV |