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Pediatric Assessment

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show painful and invasive  
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An infant older than ____ months is afraid of strangers   show
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show toddler 1-3 yo, can't sit still, put on mothers lap and start with heart  
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Which age groups may want privacy   show
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show equipment  
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show healthy system first  
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show don't offer a choice and enlist parents help  
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Check for turger on ____   show
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show birthmarks can give clues to syndromes, remove dark nevi (precursor to melanoma  
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show flat  
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show posterior closed, anterior open  
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the anterior fontanel closes at about age ___   show
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show age 2 then the chest gets bigger  
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examination of the eyes always includes the ____ and ____ reflexes   show
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show at birth and every age after  
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show Potter's syndrome (problems with kidney  
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To examine the ear canel under age three, the pina is brought ___ and ___ and after three the pina is brought ____ and ____   show
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Babies are more prone to ear infections due to the eustation tube being ____ at birth   show
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look into the nose to check the ____ for inflammation, enlargement or discharge   show
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show develop about 3-4 months  
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show 2 1/2 have full set and dental exam around 3  
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show 3  
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Chest ratio is 2:1 anterior to lateral at about age ___   show
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show under age six abdominal breathers & after age six thorasic breathers  
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The heart is more horizontal until age ___.   show
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Point of Maximum Impulse (PMI) is at ____th intercostal space under age ___   show
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show innocent murmur  
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Child can have a heart murmur if they have a ___   show
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____ pulse locations are very important to assess in children? What do you need to make sure the pulse is?   show
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T/F the abdomen should be assessed the same as an adult   show
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show scoliosis - start checking in 4th grade  
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show congenital hip dysplasia test includes moving the knees back and fourth and abduct the hips to feel for crepitation.  
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show bowlegs more than 2 inches between knees with heels together and knock knees where ankles are more than 3" apart with knees together. Outgrow each but knock knees need to be refered.  
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check palmer creases, most hands have ____ shape creases, if missing third line, may have___?   show
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show Babinski  
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Infant reflex when infant is placed on abdomen, he makes crawling movements with arms and legs   show
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Infant reflex where the soles of an infant's feet touch a hard surface, he will take a few quick alternating steps   show
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Infant reflex where infant's tongue extends outward when touched   show
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show Landau  
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show Moro  
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show Galant's (trunk incurvation) transverse spinal cord lesions.  
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show Palmer Grasp  
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show myelin  
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show two  
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show Inguinal hernias  
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show Umbilical  
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show testis  
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First 6 months the infant grows about ____ inch per month   show
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During 6-12 months the infant grows about ____ inch per month   show
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show 1.5 times birth length  
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Infants in the first 6 months usually increase their weight by ____ pounds per month   show
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By ____ months an infant will double thier birth weight   show
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By ____ infants usually triple their birth weight   show
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show 6 months = 16 pounds  
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Head circumference increases about ___ per year   show
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show P=Pass, F=Fail, NO=No Opportunity and R=Refusal  
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Denver Developmental Screen Test (DDSTII) - a ____ is any item failed which is completely left of the age line   show
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Denver Developmental Screen Test (DDSTII), a ____ is any item failed on which the age line falls on or between 75-90%   show
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show normal - no delays or up to 2 cautions, suspect is two or more cautions or one or more delays and must be rescreened in 1-2 weeks  
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show If the palmer grasp is persistant after 3-4 moths it can indicate a CNS disorder.  
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If the Galant's (trunk incurvation) reflex is absent before 4-8 weeks of age it may indicate ____ lesions?   show
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show extrusion reflex if absent before 4 months, may indicate neurologic disorder  
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show Landau - if absent before 12-24 months, may indicate cerebral palsy and gross motor retardation.  
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show Moro - absent after 4 months.  
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T/F The Moro (startle) reflex can be absent in some premature infants?   show
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show Absence in full term may indicate CNS disorder.  
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show Persistence of reflex beyond 4 months is suggestive of brain damage.  
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Asymmetry of Moro reflex response may indicate a fracture of ___, ___, or ___/___?   show
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show Erb's Palsy  
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show Dance (stepping) if absent before 2-3 months, may indicate neurologic dysfunction.  
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show Crawl - if absent before 6 weeks, may suggest neurologic dysfunction.  
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show Babinski - if absent before 1 year, suggests lesion in extrapyramidal tract  
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