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Neo-Ped Midterm
Examination and assessment of neonatal and pediatric patient
| Question | Answer |
|---|---|
| Prenatal ultrasound evaluations, Postnatal findings based on physical and neurologic examinations, and gestational duration based on last menstrual cycle | Factors considedered when assessing the gestational age of a neonate |
| Large for gestational age | Newborn with birth weight greater than the 90th percentile |
| The delivery room temperature was low | Infant arrives in the newborn nursery with an axillary body temperature of 95.5F degree |
| An injury to the infant's brachial plexus may have occurred during birth | Infant's arms do not move symmetrically |
| Hypotension | condition anticipated in infant with irregular areas of dusky skin alternating with areas of pale skin |
| Reddish blue appearance | skin presentation at birth associated with high hematocrit value or polycythemia and neonatal hyperviscosity syndrome |
| Newborns have relatively thin and weak musculature, and a less rigid thorax | Reason chest retractions are more prominent among neonates than among loder children and adults |
| The neonate's chest is small and sounds are difficult to differentiate | Reason it is difficult to localize auscultation findings of the thorax of a newborn |
| Patent ductus arteriosus and left-to-right shunt | Condition(s) that result(s) a neonate's bounding pulse |
| Direct a light source toward the ipsilateral surface of the patient's thorax | Diagnostic procedure called transillumaination |
| Volume depletion with compensatory peripheral vasoconstriction | Condition responsible for the therapist observing a pulse oximeter indication decreased perfusion while central blood pressure remains normal |
| Left arm, right leg, and left leg | Sites that can render postductal blood when assessing right-to-left shunting, like PPHN |
| Enterocolitis and Ascites | Conditions that can cause abdominal distention |
| Gastroschisis and Prune-belly syndrome | Conditions associated with scaphoid abdomen |
| Sepsis | Condition(s) characterized by a newborn presented with pale, mottled, floppy appearance and with little interces in feeding and slightly irritable |
| Persistent pulmonary hypertension of the newborn | Possible condition in a neonate where a pulse oximeter a higher oxygen saturation in the right hand than in the left foot. |
| Less than or equal to 3500 count per cubic millimeters | WBC count in neonate with leukopenia |
| Chief complaint, history of present illness, past medical history | Components of patient history for a new pediatric patient |
| Respiratory distress | Possible condition in a 7 year-old child in ER with a productive cough, diaphoresis, and fever while on vacation with parents |
| Frequency and duration of symptoms and onlset of symptoms | Components of present illness section of a patient's medical history |
| Components of past medical history section of patient's medical history | Birth weight, previous mechanical ventilation, and emergency department visits |
| Component of patient medical history intended to determine the presence of symptoms not identified in the history of present illness and that may be related or contritute to the child's underlying condition | Review of systems |
| Head bobbing, nasal flaring and grunting | Signs of respiratory distress |
| Severe asthama and cystic fibrosis | Pulmonary disease(s) that are not chest wall deformities, but are characterized by an increased anteroposterior diameter |
| Condition perceived with increased tactile fremitus over the patient's right lower lobe | Pulmonary consolidation |
| Condition(s) suspected with dull percussion note ausculted over a child's lungs | Atelectasis, pleural effusion, and consolidation |
| Condition suspected with expiratory stridor ausculted on small child trachea | Tracheomalacia |
| Condition(s) which can produce bilateral fine crackles | Pulmunary edema |
| Condition(s) that can be revealed with the examination of the ears, eyes, nose, and throat | Allergies |
| Cause of hepatosplenomegaly associated with advanced cystic fibrosis | Right ventricular failure |
| Term(s) used to describe a low-pitched, wet sound similar to snoring, which suggests nasopharyngeal, oropharyngeal, and/or hypopharyngeal airway obstruction | Stertor |
| Order of physical assessment of the thorax | Inspection, palpation, percussion, and auscultation |
Created by:
bhilaire
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