Advanced Pediatric Assessment, 3rd Edition by Ellen M.
Chiocca, TEST BANK
Correct order for pediatric exam - ANSWER: Attempt to complete exam in least
invasive way to pt, always do ears, etc last. Be sure not to listen to infant's heart and
lungs when crying. This will interfere with auscultation.
The Denver Developmental Screening Tool (DDST) - ANSWER: is used to assess
developmental milestones.
DDST is divided into four domains. They are: - ANSWER: Gross motor
Personal/social
Fine motor/adaptive
Language
Preterm - ANSWER: 24 to 36 weeks 6 days
Late Preterm - ANSWER: 34 to 36 weeks 6 days
Term - ANSWER: 37 to 41 weeks 6 days
Post Term - ANSWER: over 42 weeks
What gestational age category carries the highest morbidity rate? - ANSWER:
Preterm, SGA infants
What immediate concerns do you have for a preterm, SGA neonate? - ANSWER:
respiratory distress
apnea
bradycardia
congenital heart disease
hypo glycemia/calcemia
What should you watch for with preterm SGA babies? - ANSWER: vision and hearing
problems
poor/suck and swallow
When assessing developmental milestones of a preterm baby do you use
chronological age or adjusted age? - ANSWER: Adjusted age
How long do you assess and plot premature children? - ANSWER: until the age of 2
, What is the expected loss of birth weight in the first few days? - ANSWER: 5-10%
When will babies regain their weight to be at birth weight? - ANSWER: 10-14 days
MIcrocephaly is below what percentile? - ANSWER: 10th
Macrocephaly is above what percentile? - ANSWER: 90th
Chest circumference of an infant is how many cm smaller than the head? - ANSWER:
2
What criteria are evaluated to result an APGAR score? - ANSWER: Skin color
Heart rate
Reflex irritability
Muscle tone
Respirations
What is a good APGAR score? - ANSWER: 8-10
What type of infections could a mother have during pregnancy that will effect her
baby? - ANSWER: Chlamydia
HIV
GBS
Herpes
Hepatitis
Syphilis
How soon after birth should a comprehensive exam of the newborn be done? -
ANSWER: 2 hours
What part of the assessment should be completed first on the newborn? - ANSWER:
observation and auscultation
What should be left for last on a newborn exam? - ANSWER: abdominal palpation
hips
What is the name of the scoring tool to ensure an infant's gestational age? -
ANSWER: Ballard Scoring for Gestational Age
How long does acrocyanosis last? - ANSWER: 24-48 hours
What will cerebral irritation or drug withdrawal cause? - ANSWER: inconsolability
If a neonate has apnea < or = 10 seconds without cyanosis or bradycardia it is called
_______________ and this is WNL. - ANSWER: periodic breathing
Central apnea is defined as - ANSWER: apnea > 20 seconds
Chiocca, TEST BANK
Correct order for pediatric exam - ANSWER: Attempt to complete exam in least
invasive way to pt, always do ears, etc last. Be sure not to listen to infant's heart and
lungs when crying. This will interfere with auscultation.
The Denver Developmental Screening Tool (DDST) - ANSWER: is used to assess
developmental milestones.
DDST is divided into four domains. They are: - ANSWER: Gross motor
Personal/social
Fine motor/adaptive
Language
Preterm - ANSWER: 24 to 36 weeks 6 days
Late Preterm - ANSWER: 34 to 36 weeks 6 days
Term - ANSWER: 37 to 41 weeks 6 days
Post Term - ANSWER: over 42 weeks
What gestational age category carries the highest morbidity rate? - ANSWER:
Preterm, SGA infants
What immediate concerns do you have for a preterm, SGA neonate? - ANSWER:
respiratory distress
apnea
bradycardia
congenital heart disease
hypo glycemia/calcemia
What should you watch for with preterm SGA babies? - ANSWER: vision and hearing
problems
poor/suck and swallow
When assessing developmental milestones of a preterm baby do you use
chronological age or adjusted age? - ANSWER: Adjusted age
How long do you assess and plot premature children? - ANSWER: until the age of 2
, What is the expected loss of birth weight in the first few days? - ANSWER: 5-10%
When will babies regain their weight to be at birth weight? - ANSWER: 10-14 days
MIcrocephaly is below what percentile? - ANSWER: 10th
Macrocephaly is above what percentile? - ANSWER: 90th
Chest circumference of an infant is how many cm smaller than the head? - ANSWER:
2
What criteria are evaluated to result an APGAR score? - ANSWER: Skin color
Heart rate
Reflex irritability
Muscle tone
Respirations
What is a good APGAR score? - ANSWER: 8-10
What type of infections could a mother have during pregnancy that will effect her
baby? - ANSWER: Chlamydia
HIV
GBS
Herpes
Hepatitis
Syphilis
How soon after birth should a comprehensive exam of the newborn be done? -
ANSWER: 2 hours
What part of the assessment should be completed first on the newborn? - ANSWER:
observation and auscultation
What should be left for last on a newborn exam? - ANSWER: abdominal palpation
hips
What is the name of the scoring tool to ensure an infant's gestational age? -
ANSWER: Ballard Scoring for Gestational Age
How long does acrocyanosis last? - ANSWER: 24-48 hours
What will cerebral irritation or drug withdrawal cause? - ANSWER: inconsolability
If a neonate has apnea < or = 10 seconds without cyanosis or bradycardia it is called
_______________ and this is WNL. - ANSWER: periodic breathing
Central apnea is defined as - ANSWER: apnea > 20 seconds
