Physical Exam Flashcards Preview

ObPeds > Physical Exam > Flashcards

Flashcards in Physical Exam Deck (136)
Loading flashcards...
1

Newborn

birth-2mo

2

Infant

0-1yr
-neonatal: 1-28 days
-postneonatal: 29 days-1 year

3

Toddler

1-2yr

4

Child

2+ years

5

What is the purpose the Apgar Score?

assess neurologic recover from birth and adaptation to extrauterine life

6

What are the components of the Apgar score?

-heart rate
-respiratory effort
-muscle tone
-reflex irritability
-color

7

What does Apgar stand for?

-Activity
-Pulse
-Grimace
-Appearance
-Respiration

8

What is a normal Apgar score at 1 minute?

8-10

9

An Apgar score of ___ indicates some nervous system depression.

5-7

10

An Apgar score of ___ indicates severe depression requiring immediate resuscitation.

0-4

11

What is a normal Apgar score at 5 minutes?

8-10

12

Preterm

<37 wks

13

Term

37-42 wks

14

Postterm

>42 wks

15

Preterm Appropriate for gestational age infants are more prone to...

-respiratory distress syndrome
-apnea
-patent ductus arteriorsus
-infection

16

Risks for Large for gestational age infatns

-birth difficulties
-metabolic abnormalities shortly after birth

17

What is a risk factor for an infant to be LGA?

maternal diabetes

18

Newborn Exam sequence

-observation
-head, neck, thorax, abdomen, genitourinary system
-LE, back
-ears, mouth when open
-skin, as you go
-neurologic system
-hips

19

What is paradoxic breathing?

when the chest moves inward during inhalation instead of expiration

20

What is the Flush Technique?

a way to measure BP in infants
==>empty vessels and release pressure slowly until arm "flushes" to usual color

21

What happens if the cuff is too wide or too narrow?

wide: underestimate BP
narrow: artificially high BP

22

What are the most accurate temperature readings in a newborn?

rectal or axillary
==> children >5 inc axillary reading by 1 degree

23

How should you measure an infant?

from top of head to heel with the foot dorsiflexed

24

When is the head circumference taken?

every "health visit" yoa

25

What is measured for head circumference?

largest circumference
==>glabella to EOP

26

Where do you measure chest circumference?

measure around the nipple line to the nearest 1/8th

27

Breastfed infants correlate more with ___ growth rates.

WHO

28

Formula infants correlate more with ___ growth rates.

CDC

29

What is the average birth weight?

5lbs 8oz- 8lb 13oz

30

What is the average length at birth?

18-22 in