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peds exam one
content exam one child health
Question | Answer |
---|---|
bones, sutures, fontanelles infant skull | 6 cranial bones, 4 fontanelles, 5 sutures |
age brains stops growing and cranial sutures develop | age 5 |
anterior fontanelle size & close at age | diamond shape, 3-4 cm; 6-18 month |
posterior fontanelle size & close at age | triangle, 1-2cm; 3-12 month |
cranial bones | remain separate for 12-18 months; then they begin to fuse; remain fused as adult |
fontanelles: bulging vs. sunken | should be flat and firm; bulging indicate increase pressure & sunken indicate dehydration |
moro reflex | make sudden movement or noise; infant should move arms upward & inward; disappears at 4-6 months |
sucking reflex | put gloved finger in mouth; disappears at 3-4 months |
rooting reflex | gloved finger near mouth; disappears 3-4 months |
palmar grasp | stimulate palm of hand; child will grasp; disappears at 3-6 months; |
plantar reflex | apply pressure behind baby's toes; toes curl inward; disappears at 10-12 month |
babinski reflex | stroke sole of foot from heel to toes; upward fanning of toes; disappears between 12 month-3 years; |
stepping reflex | hold upright so foot touches surface; one left lift and other extend; disappears at 2-4 months |
tonic neck reflex | baby head turn to one side & baby extend arm & flex leg on side he is facing and flex the arm and extend the leg of the opposite side (fencing position); disappears 4-7 months; beyond 4 month indicates CNS lesion |
galant reflex/trunk incurvation | stroke prone infant's back down paravertebral area; disappears 4-5 months |
red flags related to growth | grow < 2niches/yr from ages 3-10; crossing percentile channels (2 growth channels or 2 standard deviatin); > 2 standard deveiation below or above mean for height |