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Exam (elaborations)

Advanced Pediatric Assessment

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Advanced Pediatric Assessment

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  • September 6, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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Advanced Pediatric Assessment, 3rd Edition by Ellen M.
Chiocca, TEST BANK



Correct order for pediatric exam - ANSWER: Attempt to complete exam in least
invasive way to pt, always do ears, etc last. Be sure not to listen to infant's heart and
lungs when crying. This will interfere with auscultation.

The Denver Developmental Screening Tool (DDST) - ANSWER: is used to assess
developmental milestones.

DDST is divided into four domains. They are: - ANSWER: Gross motor
Personal/social
Fine motor/adaptive
Language

Preterm - ANSWER: 24 to 36 weeks 6 days

Late Preterm - ANSWER: 34 to 36 weeks 6 days

Term - ANSWER: 37 to 41 weeks 6 days

Post Term - ANSWER: over 42 weeks

What gestational age category carries the highest morbidity rate? - ANSWER:
Preterm, SGA infants

What immediate concerns do you have for a preterm, SGA neonate? - ANSWER:
respiratory distress
apnea
bradycardia
congenital heart disease
hypo glycemia/calcemia

What should you watch for with preterm SGA babies? - ANSWER: vision and hearing
problems
poor/suck and swallow

When assessing developmental milestones of a preterm baby do you use
chronological age or adjusted age? - ANSWER: Adjusted age

How long do you assess and plot premature children? - ANSWER: until the age of 2

, What is the expected loss of birth weight in the first few days? - ANSWER: 5-10%

When will babies regain their weight to be at birth weight? - ANSWER: 10-14 days

MIcrocephaly is below what percentile? - ANSWER: 10th

Macrocephaly is above what percentile? - ANSWER: 90th

Chest circumference of an infant is how many cm smaller than the head? - ANSWER:
2

What criteria are evaluated to result an APGAR score? - ANSWER: Skin color
Heart rate
Reflex irritability
Muscle tone
Respirations

What is a good APGAR score? - ANSWER: 8-10

What type of infections could a mother have during pregnancy that will effect her
baby? - ANSWER: Chlamydia
HIV
GBS
Herpes
Hepatitis
Syphilis

How soon after birth should a comprehensive exam of the newborn be done? -
ANSWER: 2 hours

What part of the assessment should be completed first on the newborn? - ANSWER:
observation and auscultation

What should be left for last on a newborn exam? - ANSWER: abdominal palpation
hips

What is the name of the scoring tool to ensure an infant's gestational age? -
ANSWER: Ballard Scoring for Gestational Age

How long does acrocyanosis last? - ANSWER: 24-48 hours

What will cerebral irritation or drug withdrawal cause? - ANSWER: inconsolability

If a neonate has apnea < or = 10 seconds without cyanosis or bradycardia it is called
_______________ and this is WNL. - ANSWER: periodic breathing

Central apnea is defined as - ANSWER: apnea > 20 seconds

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