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peds exam one

content exam one child health

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
Created by: deleted user