Test Bank For Atlas of Pediatric Physical Diagnosis: Expert
Consult 7th Edition By Zitelli, Basil J.; McIntire, Sara C; Nowalk,
Andrew J 9780323393034 Chapter 1-25 Complete Guide .
Children have faster ________ rates than adults (2) - ANSWER: respiratory and heart
rates
What portion of the pediatric exam should be done first? - ANSWER: the least
adverse portions
ascultate the heart and lungs first
How does child development proceed? - ANSWER: in a progressive, predictable way.
Loss of milestones is concerning.
What factors typically alter rate of development? (3) - ANSWER: - chronic illness
- abuse
- poverty
Expected maturation changes are known as the: - ANSWER: tanner stages
growth parameters and developmental screening should be done at what ages?
When should hearing and vision screening be done? - ANSWER: All ages
Key ages
T/F: Lead poisoning, TB, anemia, dyslipidemia, UTI, and STD screenings should be
done for all children - ANSWER: False; these should only be done for high risk
patients
infancy is defined as what age? - ANSWER: 0-12 months
neonatal period - ANSWER: first 28 days of life
postneonatal period - ANSWER: 29 days to 1 year
Early childhood - ANSWER: 1-4 years
Middle childhood - ANSWER: 5-10 years
Adolescence - ANSWER: 11-20 years
early adolescence - ANSWER: 10-14
middle adolescence - ANSWER: 15-16
late adolescence - ANSWER: 17-20
, When is the first neonatal exam done? - ANSWER: immediately after birth
This determines the general condition, development status, abnormalities in
gestational development, congenital abnormalities, gestational age and weight, and
APGAR score
What does the apgar score measure? (5) - ANSWER: appearance, pulse, grimace,
activity, respiration
when is the apgar performed? - ANSWER: 1 and 5 minutes after birth
(continues each 5 min until appropriate score (7) is reached)
what is a normal score on apgar? - ANSWER: scores range from 0-10
8-10
An apgar score from 5-7 at 1 minute indicates - ANSWER: some nervous system
depression
An apgar score of 0-4 at 1 minute indicates - ANSWER: severe depression, requiring
immediate resuscitation
An apgar score of 0-7 at 5 minutes indicates - ANSWER: a high risk for subsequent
CNS and other organ system dysfunction
gestational age is determined by what scoring system? - ANSWER: ballard scoring
system
How accurate is the ballard scoring system? - ANSWER: It estimates gestational age
to within 2 weeks
Preterm is considered - ANSWER: less than 34 weeks
Late preterm is considered - ANSWER: 34-36 weeks
Term is considered - ANSWER: 37-42 weeks
Postterm is considered - ANSWER: greater than 42 weeks
A normal birth weight is - ANSWER: over 2500 g (5.5 lb)
An extremely low birth weight is considered - ANSWER: less than 1000 g (2.2 lb)
A very low birth weight is considered - ANSWER: Less than 1500 g (3.3 lb)
A low birth weight is considered - ANSWER: less than 2500 g (5.5 lb)
Small for gestational age (SGA) is what percentile? - ANSWER: <10th percentile
Consult 7th Edition By Zitelli, Basil J.; McIntire, Sara C; Nowalk,
Andrew J 9780323393034 Chapter 1-25 Complete Guide .
Children have faster ________ rates than adults (2) - ANSWER: respiratory and heart
rates
What portion of the pediatric exam should be done first? - ANSWER: the least
adverse portions
ascultate the heart and lungs first
How does child development proceed? - ANSWER: in a progressive, predictable way.
Loss of milestones is concerning.
What factors typically alter rate of development? (3) - ANSWER: - chronic illness
- abuse
- poverty
Expected maturation changes are known as the: - ANSWER: tanner stages
growth parameters and developmental screening should be done at what ages?
When should hearing and vision screening be done? - ANSWER: All ages
Key ages
T/F: Lead poisoning, TB, anemia, dyslipidemia, UTI, and STD screenings should be
done for all children - ANSWER: False; these should only be done for high risk
patients
infancy is defined as what age? - ANSWER: 0-12 months
neonatal period - ANSWER: first 28 days of life
postneonatal period - ANSWER: 29 days to 1 year
Early childhood - ANSWER: 1-4 years
Middle childhood - ANSWER: 5-10 years
Adolescence - ANSWER: 11-20 years
early adolescence - ANSWER: 10-14
middle adolescence - ANSWER: 15-16
late adolescence - ANSWER: 17-20
, When is the first neonatal exam done? - ANSWER: immediately after birth
This determines the general condition, development status, abnormalities in
gestational development, congenital abnormalities, gestational age and weight, and
APGAR score
What does the apgar score measure? (5) - ANSWER: appearance, pulse, grimace,
activity, respiration
when is the apgar performed? - ANSWER: 1 and 5 minutes after birth
(continues each 5 min until appropriate score (7) is reached)
what is a normal score on apgar? - ANSWER: scores range from 0-10
8-10
An apgar score from 5-7 at 1 minute indicates - ANSWER: some nervous system
depression
An apgar score of 0-4 at 1 minute indicates - ANSWER: severe depression, requiring
immediate resuscitation
An apgar score of 0-7 at 5 minutes indicates - ANSWER: a high risk for subsequent
CNS and other organ system dysfunction
gestational age is determined by what scoring system? - ANSWER: ballard scoring
system
How accurate is the ballard scoring system? - ANSWER: It estimates gestational age
to within 2 weeks
Preterm is considered - ANSWER: less than 34 weeks
Late preterm is considered - ANSWER: 34-36 weeks
Term is considered - ANSWER: 37-42 weeks
Postterm is considered - ANSWER: greater than 42 weeks
A normal birth weight is - ANSWER: over 2500 g (5.5 lb)
An extremely low birth weight is considered - ANSWER: less than 1000 g (2.2 lb)
A very low birth weight is considered - ANSWER: Less than 1500 g (3.3 lb)
A low birth weight is considered - ANSWER: less than 2500 g (5.5 lb)
Small for gestational age (SGA) is what percentile? - ANSWER: <10th percentile
