NSG 6435 Final Exam Study Guide 2

Document Content and Description Below

NSG 6435 Final Exam Study Guide 2 1. Expected inc in wt: birth-3 mo 30g/day, regain birth weight by 2 wks 2. Expected inc in wt: 3-6 mo 20g/day Double birth wt by 4-6 mo 3. Expected inc in wt... : 6-12 mo 10g/day Triple birth wt by 12 mo 4. Expected inc in wt: 1-2 years 250g/month 5. Expected inc in wt: 2 yr-adolescence 2.3 kg/year 6. Expected inc in height: 0-12 mo 25cm/year Birth length inc by 50% at 12 mo 7. Expected inc in height: 13-24 mo 12.5cm/year 8. Expected inc in height: 2 years to adolescence 6.25cm/year birth lenght doubles by age 4 years birth length triples by age 13 years 9. When does head growth occur? almost all prenatally and during the first 2 years of life scalp edema or cephalohematoma may interrupt measurement. 10. Expected inc in head circumference: 0-2mo 0.5cm/wk 11. Expected inc in head circumference: 2-6 mo 0.25cm/wk 12. Expected inc in head circumference: by 12 mo total inc=12 since birth 13. inorganic causes of FTT poor formula prep poor feeding tech child abuse/neglect parental immaturity maternal depression, alcohol or drug use, marital discord, Mental illness, poverty, isolation from support systems 14. head circumference abnormalities Microcephaly: acquired, or congenital Craniosynostosis Plagiocephay Macrocephaly 15. causes of microcephaly congenital: early prenatal infeciton(HIV, TORCH), maternal exposure to drugs, chromosomal abnl(13,18,21), familial microcephaly, maternal PKU Acquired: late third trimester or perinatal infeciton, meningitis(1st year), hypoxic or ischemic insult, metbaolic(hypothyroidism) 16. elevated ICP in peds clinical signs split cranial sutures, bulging anterior fontanelle, irritabilty, vomiting 17. live vaccines OPV MMR Varicella 18. Prevnar immunization schedule <2 years of age 2, 4,6 mo w/ booster at 12-15mo Pneumovax less immunogenic than prevnar before 2 yo 19. acuteLead intoxication in child children <age 6 are most susceptible Acute lead intox: acute anorexia, apathy, lethargy, anemia, irritability, vomiting. may progress to encephalopathy. 20. chronic lead intoxication MC asx, neurologic sequelae(DD< learning probs, MR) 21. timeline for tooth eruption 3-16 mo, ave 6 mo. Secondary tooth eruption at: 6-8 y/o 22. Till what age does child ride in rear facing car seat 1 year and 20 lbs 23. Nutrition in newborn BF scheduling or formula: 8-12X/day for 4-6 wks Supplement with Vit D Formula w/ iron 24. 2 months sleep schedule and feeding/stooling schedule Feed: q3-4hours sleep 4-8hours Stooling qod to 3-4X/day 25. When should you introduce cows milk 9 months. risk of IDA. 26. developmental domains motor language problem solving psychosocial skills 27. Infants w/ CNS injuries show ______ and _____-_______ primitive reflexes stronger more-sustained 28. When do primitive reflexes disappear? 3-6 mo 29. Gross motor milestones Birth: 2mo: 4mo: 6mo: 9mo: 12mo: birth: turn head side to side 2: lefts head lying prone, head lag when pulled from supine 4: rolls over, no head lag when pulled from supine, pushes chest up with arms 6: sits alone, leads with head when pulled from supine 9: pulls to stand, cruises 12: walks 30. Motor development primitive reflexes: sensory stimulus to generate stereotypical motor response Postural rxns: not present at birth. require cerebral and cerebellar cortical interaction w/ proprioceptive, visual/vestibular input Fine motor 31. primitive reflexes(4) Postural reactions(2) 1. moro(disappears at 4 mo) 2. hand grasp(dis 1-3mo) 3. atonic neck reflex: fencing position w/ turning of head(dis at 6mo) 4. rooting(dis at 6 mo) Postural rxns: head righting: 4-6 mo appears, persists parachute: outstrecthed arms/legs when body abruptly moved downward: appears 8-9 mo, persists 32. Fine motor milestone: birth: 3-4mo: 4-5mo: 6-7 mo: 9 mo: 12mo: birth: keeps hands tightly fisted 3-4mo: brings hands together to midline then to mouth 4-5: reaches for objects 6-7 mo: rakes objects w/ whole hand, transfers objects between hands 9mo: uses immature pincer(thumb and forefinger) 12mo: uses mature pincer(between thumb and tip of index finger) 33. Red flags in motor development(4) 1. persistent fisting beyond 3 mo 2. early rolling over-indicates spasticity 3. spontaneous postures(scissoring) 4. early hand dominance(before 18 mo of age)-hemiparesis 34. Basic language milestones 2-3mo: 6mo: 9-12mo: 12mo: 18mo 2yr: 3yr: 2-3mo: cooing 6mo: babbling(vowels+consonants) 9-12: jargoning, mama, dada 12: 1-3 words 18 mo: 20-50 words, 2 word phrases 2 years: two word telegraphic sentences, 25-50% intelligible 3years: three word sentences, >75% understandable 35. Ddx of speech/language delay Global development delay or MR Hearing impairment Environmental deprivation Pervasive developmental d/os, inc ASD 36. Object permanence apparent at __ mo. This is why they get ______ _____ at 6-18mo 9 separation anxiety 37. Cerebral palsy def group of static encephalopathies caused by injury to brain in development. Motor funciton primarily affected. ASsoc w/ szs, cognitive deficits, MR, learning disabilities, sensory loss, and visual/auditory deficits 38. Classification of CP spastic diplegia: UE<LE w/ spasticity-scissoring, hx of early rolling over, inc tone Spastic hemiplegia: u/l spastic motor weakness Spastic quadriplegia: szs, scoliosis, GERD, aspiration PNA Extrapyramidal CP(athetoid)-writhing ..........continued [Show More]

Last updated: 2 years ago

Preview 1 out of 70 pages