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30 Cards in this Set

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At what age do the fontanels close?

Posterior: 2 mos
Anterior: 9-18 mos

Infancy:
Changes in weight, height, and head circumference
0-6 mos
6-12 mos
0-6: Wt 2 lbs/mo, ht 1 in/mo, HC 1/2 in/mo (2/1/0.5)

6-12: Wt 1 lb/mo, ht 1/2 in, HC 1/4 in (1/0.5/0.25)
Rule of thumb for number of teeth a child should have?
Age in months minus 6
What are the normal umbilical vessels?

What is the significance of a 2 vessel cord?
2 arteries, 1 vein (AVA)

Suggestive of renal problems
Significance of scaphoid abdomen in a newborn?

Suggestive of diaphragmatic hernia

Which population is more likely to have an umbilical hernia at birth?
African Americans
Undescended testicles are associated with what later disease?
Testicular cancer
What is Barlow's test?
Hips flexed and adducted to check for hip dislocation
What is Ortolani's test?
Hips flexed and abducted to check for relocation
What is Allis' sign?
Unequal leg length (check knees w/feet flat).

Also check symmetry of gluteal folds.
Description and course of newborn telangiectasias (stork bites)
Salmon patch on nape or nasal bridge.
Typically resolves by 12 mos
Nevus flammeus (port-wine stain) -- description and significance
Typically grows with child.

Facial can be assoc with trigeminal probs, glaucoma, Sturge-Weber
Description and course of strawberry hemangioma
Starts start as a grayish white area during
infancy that becomes red and raised; resolve spontaneously by 5 – 10 years of age
Description and course of cavernous hemangioma
more deeply situated, compressible, overlying skin has a
bluish hue; regress spontaneously
By what age does the Babinski disappear?
Age 2. Older than that, indicates corticospinal tract damage.
When does the Moro reflex disappear?
6 months
When does the rooting reflex disappear?
By 4 mos except for sleep

By 12 mos is completely gone
When does the tonic neck reflex disappear?
6 mos
11 warning signs of developmental delay
- Inconsistent of lack of responses
- Not rolling over by 6 mos
- No babbling by 9 mos
- Not walking by 15 mos
- Parents can't understand speech by 18 mos
- Not responding to simple directions by 24 mos
- Not pointing & asking what things are by 24 mos
- Examiner can't understand by 36 mos
- Stuttering after age 5
- hypernasality
- failure to meet normal milestones
Vocabulary at age 2?
50 words
Verbal development at 3 yrs old?
250 words (almost 300)
3 word sentences
Speech intelligible 3/4 of the time
When to begin Snellen screening?
Age 3
Vision (Snellen) at
age 3
age 4
age 5
age 6
Reverses the series
Age 3 = 20/50
Age 4 = 20/40
Age 5 = 20/30
Age 6 = 20/20
BP in coarctation of the aorta?
Up in the Upper
Low in the Lower
Developmental milestones at 2 weeks
Primitive reflexes
Regards face
Alerts to bell
Developmental milestones 2 mos
Lifts head & shoulders prone
Coos, smiles
Lifts head 45 degrees
Grasps rattle if placed in hand
Developmental milestones 4 mos
No head lag
Rolls front to back
Follows light 180 degrees
Laughs
Sits w/ support
Developmental milestones 6 mos
Rolls back to front
Sits unsupported 30 sec or more
Social smile
Transfers hand-to-hand
Primitive reflexes gone
Babbles
Developmental milestones 9 mos
Sits independently
Crawls
Pincer grasp
Pull to stand
Nonspecific mama dada baba
Early understanding of "no"
Peek a boo
Bangs blocks midline
Developmental milestones 12 mos
Cruising
Pincer grasp, pointing
Feeds self, drinks from cup
Object permanence
Waves, bye bye, mama
Imitates vocalizations