N4331 - EXAM 2 (PEDS - ROYE UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
What age range is considered pre-school? school-age?
Answer:
pre-K: 3-6 school: 6-12
Question:
How should the pinna be assessed in a 5 year old?
Answer:
pull UP and BACK once >3y (growing UP so pull UP)
Question:
What is methimazole prescribed for? n/c (2)
Answer:
hyperthyroidism (aka Graves disease) n/c: monitor liver function, CBC
Question:
What age does visual acuity testing start?
Answer:
4y, 20/20 vision by 4-5y (do they need 4 eyes? aka glasses)
pre-K age 3-6 start using but still assess for the full 60sec
Question:
Beginning at pre-K age, _____ to ____ years, how should pulse be assessed?
Answer:
radial pulse
day: 3y (think: 3 meals in a day)
Question:
When does full daytime bladder control develop? Nighttime bladder control?
Answer:
night: 4-5y (think: fortnight)
Question:
What age range would genu valgum be considered a normal finding? How long does it last?
Answer:
(aka knock-knees) pre-K range (3-6y) lasts until 7y
pre-k: use FACES (until 7y), can locate pain but not describe
Question:
Discuss how to evaluate pain in pre-K vs school age children
Answer:
school: if <7y use FACES, if >7y use 0-10 scale
, Question:
Discuss heights in pre-K vs school age children (2 points each)
Answer:
pre-K: grow 2.5-3.5 in/yr, average 4y = 40in school: grow 2.5-3 in/yr, girls are taller
Question:
Discuss weight in pre-K vs school age children
Answer:
pre-K: gain 4 lb/yr, average 4y = 40lb school: gain 6.5-7.5 lbs/yr, begin plotting BMI
Question:
Define the different BMI percentiles and their categories
Answer:
>95% = obese 85-95% = overweight 5-85% = normal
Question:
Define the development roles for pre-K and school age; Erikson Piaget
Answer:
Pre-K: erikson: initiative vs guilt (wants to please parents) piaget: pre-operational until 4 → intuitive @4y
(understands irreversibility, develops logic) School: erikson: industry vs inferiority (how things work)
piaget: concrete operational (understands time, places items in sequential order)
Question:
Define gross motor skills expected for pre-K child 3y (4) 4y (3) 5y (3)
Answer:
3y: walks ↑↓ stairs, pedals tricycle, runs, jumps forward 4y: climbs/hops, stands on one foot, catches
bounced ball 5y: climbs, stands on one foot for 10 sec, somersaults
Question:
Define fine motor skills expected for pre-K child 3y (7) 4y (5) 5y (4)
Answer:
3y: puts coat on by self, draws circle, draws person w/ head & one body part, puzzles, 6+ block tower,
turns pages 1 @time, pencil w/ whole hand 4y: person w/ 3 body parts, draws cross, buttons large buttons,
pencil w/ thumb&forefinger, uses scissors 5y: person w/ 6 body parts, writes some letters/#, copies shapes,
uses fork/spoon
Question:
Define language skills expected for pre-K child 3y (3) 4y (6) 5y (5)
Answer:
3y: 3 word sentences, follows 2-3 step instructions, names a friend 4y: 4-word sentences, sings songs, tells
stories, uses "he/she" correctly, strangers fully understand, knows some colors/#s 5y: full sentences, counts
to 10, names 4 colors, knows own name, uses future tense
Question:
What is a good type of toy for pre-K kids? (1) toys to avoid? (2)
Answer:
good: board games (learning to share!) bad: small parts, small magnets
QUESTIONS AND CORRECT ANSWERS
Question:
What age range is considered pre-school? school-age?
Answer:
pre-K: 3-6 school: 6-12
Question:
How should the pinna be assessed in a 5 year old?
Answer:
pull UP and BACK once >3y (growing UP so pull UP)
Question:
What is methimazole prescribed for? n/c (2)
Answer:
hyperthyroidism (aka Graves disease) n/c: monitor liver function, CBC
Question:
What age does visual acuity testing start?
Answer:
4y, 20/20 vision by 4-5y (do they need 4 eyes? aka glasses)
pre-K age 3-6 start using but still assess for the full 60sec
Question:
Beginning at pre-K age, _____ to ____ years, how should pulse be assessed?
Answer:
radial pulse
day: 3y (think: 3 meals in a day)
Question:
When does full daytime bladder control develop? Nighttime bladder control?
Answer:
night: 4-5y (think: fortnight)
Question:
What age range would genu valgum be considered a normal finding? How long does it last?
Answer:
(aka knock-knees) pre-K range (3-6y) lasts until 7y
pre-k: use FACES (until 7y), can locate pain but not describe
Question:
Discuss how to evaluate pain in pre-K vs school age children
Answer:
school: if <7y use FACES, if >7y use 0-10 scale
, Question:
Discuss heights in pre-K vs school age children (2 points each)
Answer:
pre-K: grow 2.5-3.5 in/yr, average 4y = 40in school: grow 2.5-3 in/yr, girls are taller
Question:
Discuss weight in pre-K vs school age children
Answer:
pre-K: gain 4 lb/yr, average 4y = 40lb school: gain 6.5-7.5 lbs/yr, begin plotting BMI
Question:
Define the different BMI percentiles and their categories
Answer:
>95% = obese 85-95% = overweight 5-85% = normal
Question:
Define the development roles for pre-K and school age; Erikson Piaget
Answer:
Pre-K: erikson: initiative vs guilt (wants to please parents) piaget: pre-operational until 4 → intuitive @4y
(understands irreversibility, develops logic) School: erikson: industry vs inferiority (how things work)
piaget: concrete operational (understands time, places items in sequential order)
Question:
Define gross motor skills expected for pre-K child 3y (4) 4y (3) 5y (3)
Answer:
3y: walks ↑↓ stairs, pedals tricycle, runs, jumps forward 4y: climbs/hops, stands on one foot, catches
bounced ball 5y: climbs, stands on one foot for 10 sec, somersaults
Question:
Define fine motor skills expected for pre-K child 3y (7) 4y (5) 5y (4)
Answer:
3y: puts coat on by self, draws circle, draws person w/ head & one body part, puzzles, 6+ block tower,
turns pages 1 @time, pencil w/ whole hand 4y: person w/ 3 body parts, draws cross, buttons large buttons,
pencil w/ thumb&forefinger, uses scissors 5y: person w/ 6 body parts, writes some letters/#, copies shapes,
uses fork/spoon
Question:
Define language skills expected for pre-K child 3y (3) 4y (6) 5y (5)
Answer:
3y: 3 word sentences, follows 2-3 step instructions, names a friend 4y: 4-word sentences, sings songs, tells
stories, uses "he/she" correctly, strangers fully understand, knows some colors/#s 5y: full sentences, counts
to 10, names 4 colors, knows own name, uses future tense
Question:
What is a good type of toy for pre-K kids? (1) toys to avoid? (2)
Answer:
good: board games (learning to share!) bad: small parts, small magnets
