Chapter 18 Infancy to Adolescence

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Question Answer
How often is height and weight assessed with visitevery visit
Up to what age is head circumference assessed36 months
What age is blood pressure assessed 2 years old
Where is it ideal to assess children <2 months temperaturerectal
Where is it ideal to assess children >2 months temperaturetympanic
Is it normal to be able to palpate the spleen below the costal margin in a childyes
What age to assess scrotum for undescended testes1 year of age
Peak age for tonsil growth8-16 year of age
Most import tool used to assess somatic growthGrowth Chart
When is length checkedEvery visit for children who cannot stand
When is height checkedWhen children can stand
Up to what age is the head circumference assessed up to 2 year of life
How assessment of sexual maturity in boys and girls assessedTanner Stages
Menarche usually occur when girls reach what Tanner Stage3 or 4
What vaccination is given at birthhepatitis B

Infant Assessment

Question Answer
Most rapid rate of growth occur at what stageInfancy
Birth weight should double at _____ and triple by _____6 months and 1 year
Pre-term infants are at risk for short-term complications, give ex of some of those complicationscardiac and respiratory
Large gestational age complications arehypoglycemia-> jitteriness, irritability, and cyanosis.
This sign is related to early closure of the sutures or microcephalySmall head
This sign may result from hydrocephalus, subdural hematoma, or brain tumorsAbnormal large head
Enlarged posterior fontanelle may be present with ______ congenital hypothyroidism
Bulging, tense fontanelle if it is observed may be indicative to _______ increased ICP.
Depressed anterior fontanelle may be a sign of _______dehydration.
When do Anterior fontanelle closes between 4 and 26 months of age
When do Posterior fontanelle closes by 2 months of age

Developmental milestones

Question Answer
How long must prematurely born baby milestones by adjusted12 months
Babinski reflex disappears by what age2 years of age


Question Answer
A greasy deposit covering the skin of a baby at birthVernix caseosa
A fine, soft hair, especially that which covers the body and limbs of a human fetus or newbornLanugo
A measure of the physical condition of a newborn infant. It is obtained by adding points (2, 1, or 0) for heart rate, respiratory effort, muscle tone, response to stimulation, and skin coloration; a score of ten represents the best possible conditionApgar score
Premature closure of cranial sutures. Suture lines may feel raised and a body ridge at the lineCraniosynostosis
Congenital ptosisCannot open the an eye when awake and alert.
NystagmusWandering or shaking eye movements. If persistent after a few days- may indicate poor vision or CNS disease.
Persistent ocular dischargemay be nasolacrimal duct obstruction.
Subconjunctival hemorrhageIt can be seen in infants born via vaginal delivery.
Cleft palateCongenital fissure of the median line of the palate.
Clavicle fractureMay occur during birth, particularly during delivery of a difficult arm or shoulder extraction
Nasal flaringMay be the result of an URI or pneumonia.
Acute stridora serious condition; associated with croup, epiglottitis, foreign body aspiration. (medical emergency, do not put anything in airway)
TachypneaThe best sign to r/o pneumonia.
Abnormal lung soundswheezing, stridor.