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Peds (APEA)
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Peds (APEA) 118 Questions and Answers 2024/2025 A+ Graded
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Peds (APEA) 118 Questions and Answers 2024/2025 A+ Gradedgrowth in infants - ANSWER..- newborns lose 5-7% of their birth weight in first
few days
- infant weight changes rapidly
- return to birth weight by 2 wks
- gains 1oz/day
- doubles birth weight by 4-6mo
- triples birth weight by 1st yr
- head circumference increases by 0.5"/mo
- lengthens 1"/mo
2mo milestonse - ANSWER..- grasps rattle if placed in hand
- able to lift head 45 degrees and has some control when torso held upright
- focus on face
- smile responsively
- vocalizes sounds that reflex happiness or being upset
- makes short cooing sounds
- intense eye contact
- vertical and circular tracking
- interested in mobiles
- disconjungate gaze
4mo milestones - ANSWER..- head up to 90 degreees
- no head lag when pulled upright
- sits w/ head control
- follows w eyes past midline
- grasps rattle
,- smiles responsively
- regards own hand
- vocalizes OOHs and AHHs
- laughs
- anterior fontanel open, posterior usually closed
6mo milestones - ANSWER..- first teeth emerge
- introduction of solid foods
- introduce a cup
- can try water w meals
- anterior fontanel remains open
- bears weight on legs
- lifts chest using arm support
- rolls over
- sits w/ or w/o support
- works for toy
- smiles and interacts w/ caregiver
- squeals
- turns toward rattling sound
- parachute reflex appears, never disappears
- reflexes disappear: moro, stepping, rooting, palmar grasp, galant, tonic neck
- conjugate gaze
- watches own hands
- reaches towards and grasps hanging object
- color vision develops by 5mo
- screen for strabismus (deviation of one ye due to oculomotor weakness >
amblyopia aka loss of vision in 1 eye) > cover/uncover test 6mo -3 yrs
,9mo milestones - ANSWER..- growth as rapid as 6mo
- length increases 0.5"/mo, weight 3-4 oz/week, head 0.25"/mo
- pulls to sit, no head lag, sits w/o support, crawls/scoots, holds to stand, looks for
yarn, rakes resin w/ fingers, passes a cube
- feeds self w/ hand, stranger anxiety develops
- turns towards voice, uses single syllables, imitates speech sounds
12mo milestones - ANSWER..- length increases 3"/yr, weight increases 4.5-6.5
lb/yr, weight should have tripled by this time, head circumference increases 1"/yr
- plays pat-a-cake
- pulls to stand, may take few steps, cruises, bangs blocks together, thumb-
finger/pincer grasp, stands 2 seconds, feeds self and drinks from cup easily
- dada, mama, combines syllables
- looks through window, recognizes people and pictures
15 mo assessment - ANSWER..- gross motor: stands alone, stoops and recovers,
walks well
- fine motor: puts block in cup
- psychosocial/emotional: indicates wants, waves bye bye
- language: jabbers dada/mama, says 1 word
18 mo assessment - ANSWER..- gross motor: walks backward
- fine motor: scribbles, builds tower of 2 cubes
- psychosocial/emotional: plays ball, imitates activities, drinks from cup
- language: says 2-3 words
, 24 mo assessment - ANSWER..- gross motor: runs, walks up steps, kicks ball
forward
- fine motor: dumps rasin demonstrated, builds tower of 4 cubes
- psychosocial/emotional: uses fork/spoon, removes garments, feed doll
- language: says 6 words, points to picture
3 yrs - ANSWER..- gross: jumps, throws ball overhead, rides tricycle
- fine: builds tower 6 cubes, scissors, copies circle
- psychosocial/emotional: puts on clothing, brushes teeth w help
- language: combines words, ID one picture, names 6 body parts, points to 4
pictures, speech 1/2 understandable
- visual: 20/50
4 yrs - ANSWER..- gross: jumps short distance, balances 2 sec/foot, catches
bouncing ball, throws ball underhand, walks down steps alternatively
- fine: cops vertical line, 8 cube tower, wriggles thumbs, dresses/undresses
- psychosocial/emotional: washes/dries hands, names friend, puts on t-shirt
- language: knows 2 actions, 2 adjectives, names 1 color, uses 2 objects, counts 1
block, names 4 pictures
- visual: 20/40
5 yrs - ANSWER..- gross: hops, balances 3 sec/foot, skips, walks backward toe
to heel, somersault
- fine: draws person in 3 parts, copies +, triangle, square, prints own name
- psychosocial/emotional: dresses self, plays board games, brushes teeth w/o help,
imaginary friend, shows affection, group play
- language: 4 actions, 3 objects, all speech understandable, understands 4
prepositions, names 4 colors, 1,500-word vocabulary
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