Ati Peds

Front 1

Do not give the child more than ----- pieces of information about what you are going to do at any one time.

Back 1

Do not give the child more than three pieces of information about what you are going to do at any one time.

Front 2

Older infants have strong ------- n -------- anxiety, so you might be more successful doing the examination when a parent ------- the child.

Back 2

Older infants have strong stranger and separation anxiety, so you might be more successful doing the examination when a parent holds the child.

Front 3

A quiet, ---------- voice and constant smiling and engagement with the infant help promote a quick, efficient, thorough, and nontraumatic examination.

Back 3

A quiet, higher-pitched voice and constant smiling and engagement with the infant help promote a quick, efficient, thorough, and nontraumatic examination.

Front 4

When the child is a toddler. Children in this age group are --------- thinkers who interpret your statements literally.

Back 4

When the child is a toddler. Children in this age group are concrete thinkers who interpret your statements literally.

Front 5

With this toddler age group, misunderstanding generates an abnormal response of ------ or -------. To prevent this, use --------, -------- instructions and repeat them several times as you prepare to do the examination.

Back 5

With this age group, misunderstanding generates an abnormal response of fear or anxiety. To prevent this, use short, concrete instructions and repeat them several times as you prepare to do the examination.

Front 6

It is very helpful to let a toddler ------ and ------- with the equipment before performing the examination.

Back 6

It is very helpful to let a toddler touch and play with the equipment before performing the examination.

Front 7

Preschooler- Children in this age group like to -------- and -------. Preschoolers are very --------, so give them the opportunity to ------- themselves for the examination.

Back 7

Preschooler- Children in this age group like to please and conform. Preschoolers are very modest, so give them the opportunity to undress themselves for the examination.

Front 8

-------- measurements are an important component of pediatric care.

Back 8

Growth measurements are an important component of pediatric care.

Front 9

Each child’s growth is plotted on a ---------, and the child should follow the ----- consistently through adolescence. Measurements that fall within the ---th to ---th percentiles are considered within the normal range for growth.

Back 9

Each child’s growth is plotted on a curve, and the child should follow the curve consistently through adolescence. Measurements that fall within the 5th to 95th percentiles are considered within the normal range for growth.

Front 10

An indirect measure of body fat, ----- provides a better picture of the child’s growth status.

Back 10

An indirect measure of body fat, BMI provides a better picture of the child’s growth status.

Front 11

If your BMI is less than ------, it falls within the "underweight" range.
If your BMI is ------ to ------, it falls within the "normal" or Healthy Weight range.
If your BMI is ------ to -----, it falls within the "overweight" range.
If your BMI is ----- or higher, it falls within the "obese" range.

Back 11

f your BMI is less than 18.5, it falls within the "underweight" range.
If your BMI is 18.5 to 24.9, it falls within the "normal" or Healthy Weight range.
If your BMI is 25.0 to 29.9, it falls within the "overweight" range.
If your BMI is 30.0 or higher, it falls within the "obese" range.

Front 12

infant pulse- It is best to count for --------- because of the possibility of irregular rhythms. Infants’ respirations are primarily ----------, so, when counting their respirations, observe ------------.

Back 12

It is best to count for 1 full minute because of the possibility of irregular rhythms. Infants’ respirations are primarily diaphragmatic, so, when counting their respirations, observe abdominal movements.

Front 13

Infants might have tiny white papules called ------ on the cheeks, forehead, nose, and chin. Let the parents know that ------ will go away on their own, and encourage them not to rub vigorously or break the intact skin. Another irregularity you might note on the forehead or the back of the neck is a “---------,” a type of -------- that is irregularly shaped and red or pink. This type of lesion typically fades during the first year.

Back 13

Infants might have tiny white papules called milia on the cheeks, forehead, nose, and chin. Let the parents know that milia will go away on their own, and encourage them not to rub vigorously or break the intact skin. Another irregularity you might note on the forehead or the back of the neck is a “stork bite,” a type of nevus that is irregularly shaped and red or pink. This type of lesion typically fades during the first year.

Front 14

For dark-skinned infants, assess for --------- spots. These are bluish-gray macular areas on the sacrum or buttocks. These spots usually fade over the first year. It is important to recognize ---------- spots as such and not mistake them for bruises. ---------- spots are another skin color variation common in infants. They are usually large round or oval patches that are light brown in color and are a normal finding unless each one is larger than 1.5 cm in diameter.

Back 14

For dark-skinned infants, assess for Mongolian spots. These are bluish-gray macular areas on the sacrum or buttocks. These spots usually fade over the first year. It is important to recognize Mongolian spots as such and not mistake them for bruises. Café au lait spots are another skin color variation common in infants. They are usually large round or oval patches that are light brown in color and are a normal finding unless each one is larger than 1.5 cm in diameter.

Front 15

To help ensure accuracy and consistency, test vision using a standardized vision chart, such as the -----------.

Back 15

To help ensure accuracy and consistency, test vision using a standardized vision chart, such as the Snellen E chart.

Front 16

straighten the patient’s ear canal by pulling the pinna -------- and ------- in children 3 years of age and older and -------- and -------- in children younger than 3 years of age.

Back 16

straighten the patient’s ear canal by pulling the pinna up and back in children 3 years of age and older and down and back in children younger than 3 years of age.

Front 17

If the chest is asymmetrically shaped, it is usually a result of two different structural deformities. If the sternum protrudes, increasing the anteroposterior diameter of the chest, -------------, or --------------, may be present. If the lower part of the sternum is depressed, decreasing the anteroposterior diameter, ----------------, or --------------, may be present.

Back 17

If the chest is asymmetrically shaped, it is usually a result of two different structural deformities. If the sternum protrudes, increasing the anteroposterior diameter of the chest, pectus carinatum, or pigeon chest, may be present. If the lower part of the sternum is depressed, decreasing the anteroposterior diameter, pectus excavatum, or funnel chest, may be present.

Front 18

Infants often have a normally irregular respiratory rhythm, so count their respiratory rate for -------, preferably while the infant is calm or asleep (for the most accurate rate). A normal respiratory rate for this age group is between -- and -- breaths per minute.

Back 18

nfants often have a normally irregular respiratory rhythm, so count their respiratory rate for 1 full minute, preferably while the infant is calm or asleep (for the most accurate rate). A normal respiratory rate for this age group is between 30 and 60 breaths per minute.

Front 19

The fetal shunts that diverted blood flow away from the pulmonary circulation and delivered oxygenated blood from the mother normally close within -- to -- hours.

Back 19

The fetal shunts that diverted blood flow away from the pulmonary circulation and delivered oxygenated blood from the mother normally close within 10 to 15 hours.

Front 20

When assessing most body systems, the appropriate order is inspection, palpation, percussion, and auscultation. However, with the abdominal assessment, ---------- before you manipulate the abdomen with palpation and percussion.

Back 20

When assessing most body systems, the appropriate order is inspection, palpation, percussion, and auscultation. However, with the abdominal assessment, auscultate before you manipulate the abdomen with palpation and percussion.

Front 21

Multiple creases across the palm are normal, whereas a single crease, called a -------- crease, is abnormal and is associated with -----------.

Back 21

Multiple creases across the palm are normal, whereas a single crease, called a simian crease, is abnormal and is associated with Down syndrome.

Front 22

Inspect the hips for dislocation or subluxation. This can be done by performing the ---- - ----- maneuver

Back 22

Inspect the hips for dislocation or subluxation. This can be done by performing the Ortolani-Barlow maneuver

Front 23

Hypotonic or lax muscle tone is called --------, while increased or hypertonic muscle tone is --------.

Back 23

Hypotonic or lax muscle tone is called flaccidity, while increased or hypertonic muscle tone is spasticity.

Front 24

Test the --------- reflex by gently stroking the infant�s ------ near her -----.

Back 24

Test the rooting reflex by gently stroking the infant�s cheek near her mouth.