Pediatrics Examination 4

Pediatrics Exam 4. Erikson's Task that applies from 1-12 months (infant) - Answer- Trust vs. Mistrust In 5/6 months, the birth weight of an infant... - Answer- Doubles The number of lbs. an infant gains their first 5 months - Answer- 1.5 pounds per month Growth in height during the first year of life - Answer- Roughly 1 foot Posterior fontanel closes at this age - Answer- 2 months of age anterior fontanel closes at this age - Answer- 12-18 months At this age baby can hold head upright - Answer- 4 months Age baby begins to crawl - Answer- 8-10 months Teeth begin to erupt initially at this time - Answer- 5/6 months Number of teeth child has within 1 year of life - Answer- 6-8 teeth The age (roughly) to begin to introduce solid food - Answer- 4-6 months This food is restricted from the infant in 1st year of life - Answer- honey This food is restricted for the first 3 years of life - Answer- Peanuts/peanut-products Denver Developmental Screening Test - Answer- The most widely used developmental screening test that can detect subtle developmental problems Colic - Answer- Crying greater than 3 hours per day and more than 3 days per week, fussiness and drawing legs up, more common in kids less than 3 mo. Interventions for Colic - Answer- -investigate allergies -anti-gas medications -keep upright after feeds -change position freq. -take on car ride Failure to thrive - Answer- inadequate growth below the 5th percentile on growth chart Eczema (atopic dermatitis) - Answer- causes itchiness of the skin, can come on as a result of family allergy history, may relate to history of mother rubbing face on sheets Sudden Infant Death Syndrome (SIDS) - Answer- death of an infant spontaneously due to cessation of breathing, 3rd leading cause of death 1 mo.-1 year , "back to sleep" Cradle Cap - Answer- dry scaly condition of the scalp treatment of cradle cap - Answer- wash hair every other day w/shampoo, soft toothbrush and petroleum jelly to brush away crusts, no baby powder can cause aspiration pneumonia Roseola - Answer- Human herpes virus type 6 occuring 6 months- 3 years. Persistent high fever (102) for several days, rash on abdomen usually lasts 1-2 days Fifth's Disease (Erythema Infectiousm) - Answer- "slapped cheek" infant-adolescent. Caused by human parovirus, transmitted by respiratory secretions, lasts 1-4 days, super contagious when rash first appears Hand, Foot, and Mouth Disease - Answer- Caused by coxsackie virus that causes blisters on mouth, hands and feet, may have a fever, little appetite or thirst Can recognize parents at this age - Answer- 6 months Can hold bottle at this age - Answer- 6 months Responds to name at this age - Answer- 7 months Shakes head for no at this age - Answer- 11 months Can say 3-5 words at this age - Answer- 12 months/1 year Erikson's Task for Toddler's - Answer- Autonomy versus shame, doubt. Need to promote autonomy, simple brief explanations before procedures, enforced sep. from parents threatening, respect routine, concern for bodies, provide guided choices Piaget's framework theory for toddlers - Answer- Pre-operational (2-6 years) non-logical, egocentric, increased magical thinking Weight gain for Toddlers per year - Answer- 5 pounds. Height gain for toddlers per year - Answer- 3 inches Adult height is about 2x the height of this age - Answer- 2 years or 18 months Visual acuity of a toddler - Answer- 20/40 Factor that determines when toddler can potty train - Answer- myelination of spinal cord