why is acid reflux common in infants? - CORRECT ANSWER-their sphincters are
not mature, break up feedings ~15mL, burp, then return.
When does colic usually resolve? - CORRECT ANSWER-by 6 months
Toddler weight gain per year - CORRECT ANSWER-4-6lbs per year,
grow 3 inches pe ryear
In toddler always assess for? - CORRECT ANSWER-anterior fontanel (should be
closed by 18 m-2 yrs.
screen for strabismus
tooth eruption- if no teeth by 18 mo= xray
assess for hip dysplasia, gait, bowlegged
-DTRs
-Babinski + (dorsiflex) normal in infant less than 24 mo
what age do you screen for hearing and vision? - CORRECT ANSWER-at 3 years
School age children grow more steadily? - CORRECT ANSWER-2 in/year
4-6lbs/ year
In adolescence when does puberty begin in girls? - CORRECT ANSWER-9-13
years
when does puberty begin in boys? - CORRECT ANSWER-11-14 years
At what ages do puberty changes develop in girls? - CORRECT ANSWER-breast
enlargement 8-13 yr
axillary hair 11-13 yrs
pubic hair 10-12 years
menarche 10-16 years
at what ages do puberty changes develop in boys? - CORRECT ANSWER-genital
enlargement 9-13 yrs
axiallary hair 12-14 yrs
facial hair 11-14 yrs
pubic hair 12-15 yrs
Tanner Stages Girls - CORRECT ANSWER-1. Preadolescent breasts, breast
papilla elevated above breast wall. no pubic hair.
, 2. *puberty starts* Breast buds with areolar enlargement, papilla forms small
mound. scant pubic hair, light pigment.
3. Breast and areola grow together in one mound. no separation. pubic hair more
abundant.
4. Areola and nipple project as secondary mound. pubic hair abundant but
smaller area than adult. menstruation starts.
5. Adult breast: Areola recedes, nipple retracts
Tanner stages boys - CORRECT ANSWER-1 prepubertal- no pubic hair, scrotum
and pedis are childhood size
2 enlargement of scrotum- puberty starts. age11-13. increased testicular size,
pubic hair scant and lightly pigmented. scrotum reddened and textured
3 (age 13-14) enlargement of penis (length). testicular growth. increase in pubic
hair and pigment
4 (14-15) enlargement of penis (breadth). acne. voice changes.
5 (15-16) adult genitalia, mature pubic hair distribution.
Red flags of neonate? - CORRECT ANSWER-Jaundice at birth (hemolysis). High-
pitched cry. Irritable. "Floppy" (hypotonic). Poor reflexes
red flags of 3 month - CORRECT ANSWER-inability to hold head. avoids eye
contact, floppy.
red flags at 6 months - CORRECT ANSWER-lack of babbling. does not laugh.
inability to turn head past 180 degrees
Red flags at 9 months - CORRECT ANSWER-Cannot sit without support, not
indicating wants (Niner needs recliner, but doesn't want it)
if infantile reflexes remain strong.
does not bable
does not bear weight on legs
2 year red flags - CORRECT ANSWER-Unable to speak meaningful two-word
"sentences." Does not understand simple commands. Loss of speech, social
skills, previously learned behaviors and/or does not say words by 16 months
(autism).
1 year red flag - CORRECT ANSWER-Unable to support own weight. Lack of
babbling. No response to smiles, poor eye contact, loss of previously learned
skills (autism).
3 yr red flags - CORRECT ANSWER-Speech hard to understand or unclear
speech. Unable to understand simple commands. Fall down often. Does not
speak in sentences. No eye contact. Losses skills he or she once had.