HXPX- Pediatrics Exam Latest
Update
Apgar score - Answer assessment of the newborn immediately after birth. Classify the
newborns neurologic recover from birth and immediate adaptation to extrauterine life.
Scored at 1, 5, and 10 min.
5 Categories of Apgar - Answer Appearance, Pulse, Grimace, Activity, and Respiration.
Score of 2 for each category is normal.
Acrocyanosis - Answer a blue cast to the hands and feet when exposed to cold.
Central Cyanosis - Answer a blue cast to the lips, tongue, and skin. Especially around
the fingers and toes.
Growth Charts - Answer Measure the linear growth over time. Head circumference,
height, and weight from birth to 2-3 yrs
Children are not little adults - Answer have their own unique anatomy and physiology
that change with age.
Examining young children - Answer Allow to sit in lap of parent
Skin - Answer requires thorough examination for rashes, lesions, or evidence of abuse.
Rash - Answer Can develop for any number of reasons- Viral rash, hives, heat.
Hydration - Answer Pinch skin folds on abdomen to see that they return to check for
hydration and nutrition
Skin (cutaneous) abnormalities - Answer Can indicate internal problems
Most palpable lymphatics - Answer Anterior and posterior cervical chains and Posterior
auricular areas.
Children's Lymph nodes - Answer Are more readily reactive to minor infections
Lymph's suspect of malignancy - Answer Supraclavicular nodes
Lymph nodes that require further investigation - Answer Those that grow rapidly, are
larger than 2-3 CM, or are fixed in location.
Hypertolerism - Answer Widely spaced eyes and may be associated with mental
retardation
When does ocular muscle have coordinated movement - Answer 7-9 months
How to assess infant vision - Answer ability to tract an object through a 60 degree arc
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