MA Ch 27 Pediatrics
What is the oozing of pus?
Exudate
If a child does not meet the expected standards of growth, this may be what?
Failure to thrive
When are most childhood immunizations administered?
First 12 months of life
For most infants req. an IM injection, what need size is most appropriate?
1 inch, 22 gauge needle
The infant stage of development is from what?
1 month to 1 year
How long should respiration sand a pulse be taken on a child for?
1 full minute
When administering a vaccine to a pediatric patient, which of the following would be appropriate needle gauges?
22 to 25 gauge needle
What are the preschool years known for?
They begin to interact with others in a social setting
What is the pathogen responsible for causing tonsillitis?
Beta hemolytic streptococcus group A
Why are growth charts used?
To compare against established standards of averages
What is the surgical procedure to provide ongoing drainage to the middle ear?
Tympanostomy
An axillary temperature is measured where?
Under the arm
What is a major component of well baby visits?
Immunizations
What is a form of medication that requires reconstitution?
Lyophilized
What may slow growth of the head indicate?
Microencephaly
Urinary output for a newborn is?
1-3 mL/hour
What age are toddlers?
1-3 years old
What is HR of an infant- 2 year old child?
110-130
What is the respiratory rate of a 10-17 year old?
12-20
What should the head circumference of a newborn be?
12.5 and 14.5 inches
What is the HR of a newborn?
130-140
When are recommend vaccines given?
15-18 months
What is the respiratory rate of a 3-6 year old child?
18-30
What is the vaccination schedule for pneumococcal conjugate?
2, 4, 6, months and then 12-15 months
At what age should the first polio vaccine be given?
2 months
The respiratory rate of a 1 year old child should be?
20 to 40
During the toddler years, height growth averages about how many inches per year?
3 inches
When do BP measurements take place on a child?
3 years
What is the respiratory rate of a newborn?
30-60
When can a temperature be taken orally on a child?
5 years
Where is the apical pulse taken?
5th intercostal space, L side, midclavicular line
What is the HR of a 6-10 year old?
70-110
Head circumference is measured on a child until what age?
72 months
What age do females start to sexually develop?
8-13 years
What is the HR of a 2-6 year old?
96-115
What is dispensed by means of a mist?
Aerosolized
What is organomercurial?
Any organic compound containing murcury
The treatment of sensorineural hearing loss is:
Cochlear implantation
What is a common illness during childhood that has a primary symptom of a "bark-like" cough?
Croup
The appropriate IM injection site for a child older than 2 is?
Deltoid
If two injections must be given, what should be done?
Give at least 1 inch apart if same limb is used Give in two separate limbs
What is phenylketonuria
Hereditary disease that is caused by the body's inability to oxidize the amino acid phenylalanine
What may rapid head growth indicate?
Hydrocephalus
Normal childhood immunizations include which of the following?
IPV, MMR, DTaP, Hib, and HBV
What is an incision into the tympanic membrane?
Myringotomy
Where should the child be when taking a pulse?
On parents lap or lying down
What does chest circumstance indicate?
Over or under development of the heart or lungs, calcification of the rib cage
What is the IVP vaccine for?
Polio
Which disease causes paralysis of skeletal muscles and diaphragm so that the breathing is interrupted?
Poliomyelitis
When administering vaccines, what should be taken into consideration to assure optimal response?
Proper needle selection Reconstitution Inspecting vaccine
Normal pulse and respiration for an 8 year old child:
Pulse of 86, respiration of 18
When are boosters given?
School age children and then every 10 years after
Male circumcision is:
Removal of the prepuce of the penis and a religious rite
What is the best treatment for a cold?
Rest, electrolyte fluids, chicken soup
If drainage from the ear becomes infected, the discharge will be referred to as:
Suppurative otitis media
What is the vital sign most indicative of illness and why?
Temperature, indicated infection
What is the chicken pox vaccine called?
Varicella
What two immunizations should be given SQ?
Varicella and MMR
The preferred site for injection for a child younger than 2 years is?
Vastus lateralis ( anterior lateral aspect of thigh)