Pediatric Exam #1 with Accurate
Solutions
Which age group requires an explanation for everything? - correct Answer-school age
Which age group is most appropriate to use a transitional object to aid in
communication? - correct Answer-Toddler
To examine the ears of a child under the age of 3 - correct Answer-Pull pinna down and
back
How many teeth should a 21 month year old have? - correct Answer-15 teeth! ( # of
months-6 = # of teeth)
... this techniques works up until 2 years old
What is the shape of an infants chest compared to a child or adolescents - correct
Answer-Round
What is physiologic splitting of S2? - correct Answer-when the aortic valve closes before
the pulmonic valve, this is normal finding in children
What is sinus arrhythmia? - correct Answer-Increased heart rate during inspiration &
decreased heart rate during expiration, normal in children
What might absent femoral pulses be indicative of? - correct Answer-Coarctation of the
aorta
Infants musculoskeltal system appears what shaped? - correct Answer-C shaped
Toddlers gait is usually.. - correct Answer-Bowlegged, this should be investigated after
2-3 years of age
Whne is knock kness present? - correct Answer-2-7 years, when is is excessive,
symmetric, accompanied by short stature, or evident in child nearing puberty, it requires
evaluation
How is the biceps reflex tested? - correct Answer-partial flexion on the forearm
What are 3 ways to test cerebellar function in children and adolescents? - correct
Answer-- Finger to nose
, - Heel-to-shin test
-Romberg Test
What are the characteristic of an infant in pain? - correct Answer-generalized body
rigidity, possible with local reflex withdrawn, loud crying, facial expressions of pain
What are the characteristic of an older infant in pain? - correct Answer-Localized body
response
What type of behavior is a school age child in pain who says "wait a minute" exhibiting?
- correct Answer-Stalling behavior
A child says the pain is "sharp, intense, unbearable". This child is describing the ____ of
pain ( duration, onset, location, quality...) - correct Answer-Quality
After giving pain medication you should check back in how long?
___ oral
____ IM
____IV - correct Answer-Oral 30-60
IM 30
IV 15
List some myths about pain - correct Answer-- neonates don't experience pain
- children have no memory of pain
- there is a correct amount of pain for a given injury
- children cannot tell where they hurt
-children can easily become addicted to narcotics
Behavioral measures of pain are most useful in what age group? - correct Answer--
Infants and preverbal children
Physiologic measures of pain are accurate measures of pain over time. True or false. -
correct Answer-False, while vital signs might initially be elevated they will return to
normal levels eventually
Drawing self report measures are best for chilren of age... - correct Answer-4 -- they
child draws on the doll where they hurt
What age group is the FLACC pain scale used for?
What age group is the FACES used for?
What group is the VAS used for? - correct Answer-FLACC 2 months- 7 years
FACES 3 years and up
VAS 7 years and up
Solutions
Which age group requires an explanation for everything? - correct Answer-school age
Which age group is most appropriate to use a transitional object to aid in
communication? - correct Answer-Toddler
To examine the ears of a child under the age of 3 - correct Answer-Pull pinna down and
back
How many teeth should a 21 month year old have? - correct Answer-15 teeth! ( # of
months-6 = # of teeth)
... this techniques works up until 2 years old
What is the shape of an infants chest compared to a child or adolescents - correct
Answer-Round
What is physiologic splitting of S2? - correct Answer-when the aortic valve closes before
the pulmonic valve, this is normal finding in children
What is sinus arrhythmia? - correct Answer-Increased heart rate during inspiration &
decreased heart rate during expiration, normal in children
What might absent femoral pulses be indicative of? - correct Answer-Coarctation of the
aorta
Infants musculoskeltal system appears what shaped? - correct Answer-C shaped
Toddlers gait is usually.. - correct Answer-Bowlegged, this should be investigated after
2-3 years of age
Whne is knock kness present? - correct Answer-2-7 years, when is is excessive,
symmetric, accompanied by short stature, or evident in child nearing puberty, it requires
evaluation
How is the biceps reflex tested? - correct Answer-partial flexion on the forearm
What are 3 ways to test cerebellar function in children and adolescents? - correct
Answer-- Finger to nose
, - Heel-to-shin test
-Romberg Test
What are the characteristic of an infant in pain? - correct Answer-generalized body
rigidity, possible with local reflex withdrawn, loud crying, facial expressions of pain
What are the characteristic of an older infant in pain? - correct Answer-Localized body
response
What type of behavior is a school age child in pain who says "wait a minute" exhibiting?
- correct Answer-Stalling behavior
A child says the pain is "sharp, intense, unbearable". This child is describing the ____ of
pain ( duration, onset, location, quality...) - correct Answer-Quality
After giving pain medication you should check back in how long?
___ oral
____ IM
____IV - correct Answer-Oral 30-60
IM 30
IV 15
List some myths about pain - correct Answer-- neonates don't experience pain
- children have no memory of pain
- there is a correct amount of pain for a given injury
- children cannot tell where they hurt
-children can easily become addicted to narcotics
Behavioral measures of pain are most useful in what age group? - correct Answer--
Infants and preverbal children
Physiologic measures of pain are accurate measures of pain over time. True or false. -
correct Answer-False, while vital signs might initially be elevated they will return to
normal levels eventually
Drawing self report measures are best for chilren of age... - correct Answer-4 -- they
child draws on the doll where they hurt
What age group is the FLACC pain scale used for?
What age group is the FACES used for?
What group is the VAS used for? - correct Answer-FLACC 2 months- 7 years
FACES 3 years and up
VAS 7 years and up
