Shared Flashcard Set

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Pediatrics
UNECOM
61
Medical
Graduate
12/01/2009

Additional Medical Flashcards

 


 

Cards

Term
4 stages of cognitive development
Definition
sensory-motor; pre-operational; concrete operational; formal operational
Term
object permanence
Definition
things exist even when no longer present to sense; formed from birth to 2
Term
pre-operational stage of cognitive development
Definition
thinking is egocentric; classifies objects by a single feature
Term
_______________,_______________, and _______________ remain high throughout the first decade of life, then decline, which suggests that young children are “primed” for learning
Definition
synaptic density, glucose utilization, and levels of some neurotransmitters
Term
the two patterns of attachment between infant and primary caregiver
Definition
secure and anxious
Term
major risk factors for reduced childhood brain development and potential
Definition
trauma and/or neglect; maternal depression; substance abuse; institutionalization; exposure to environmental toxins; poverty
Term
moro reflex
Definition
"startle" reflex; baby feels like it's falling, and reaches out
Term
one-week developmental milestone
Definition
fixates on human face and follows with eyes
Term
one-month developmental milestone
Definition
responds to sound, faces, and parents' face and voice; flexed posture, moves all extremities
Term
two-month developmental milestone
Definition
smiles responsively
Term
four-month developmental milestone
Definition
attempts to roll from prone to supine
Term
six-month developmental milestones
Definition
no head lag when pulled to sitting; may show stranger anxiety; cognitively aware that they can cause a reaction
Term
nine-month developmental milestones
Definition
understands a few words; crawls, creeps, and scoots
Term
one year developmental milestones
Definition
stands alone, may walk; says one word; points for desired things
Term
fifteen-month developmental milestones
Definition
walks well; indicates by pulling, pointing, and grabbing
Term
eighteen-month developmental milestone
Definition
imitates crayon stroke and scribbles
Term
two-year developmental milestones
Definition
pretends; calls themself by own name; develops fears and emotions
Term
three-year developmental milestones
Definition
>75% speech intelligible; self-care skills; imaginative friends
Term
developmental delays affect ______ children in the U.S.
Definition
1 out of 6
Term
I.D.E.A.
Definition
individuals with disabilities education act, passed by congress in 1990, entitles children to appropriate evaluation and intervention services
Term
AAP recommends standard developmental testing at what ages?
Definition
9, 18, and 30 months
Term
ages and stages questionnaire
Definition
social/emotional questionnaire for children ages 27-32 months
Term
Parents' Evaluation of Developmental Status (PEDS)
Definition
an evidence-based method for detecting and addressing developmental and behavioral problems in children
Term
denver II
Definition
used to recognize normal and abnormal patterns of development in children under age 6 years
Term
pervasive developmental delay
Definition
characterized by language delay, impairment in social interaction, and stereotyped or atypical behaviors; requires further development assessment, including speech and language assessment as well as cognitive testing; represents a spectrum of diagnoses: autism; PDD NOS; aspergers; retts syndrome
Term
peak of lymphoid type growth
Definition
~12 yrs.
Term
are VLBW (very low birth weight) children excluded from comparison on growth charts?
Definition
yes, due to difference in growth patterns
Term
what populations would need alternate specialty growth charts?
Definition
cerebral palsy; down syndrome; turners syndrome; internationally adopted children
Term
target height
Definition
+/- 2 SD (1 SD= 2 inches) of mid-parental height
Term
BMI
Definition
(weight/(ht. x ht.)) x 703
Term
bmi cutoffs
Definition
greater or equal to 95 percentile- obese; 85-95 percentile- overweight; less than the 5 percentile- underweight
Term
ELM test (early language milestone)
Definition
a language screening tool; "denver for language"
Term
anticipatory guidance
Definition
information for parents to facilitate optimal growth and development; four domains- injury prevention, violence prevention, sleep position, nutrition
Term
complete myelinization occurs by this age
Definition
7
Term
causes of short stature
Definition
turner syndrome; familial short stature; constitutional delay of growth and puberty; subtle undernourishment; mild-moderate chronic disease
Term
average female thelarche (breast development)
Definition
age 10-11
Term
average female pubarche
Definition
6-12 months after thelarche
Term
average female menarche
Definition
2-3 years after thelarche
Term
average male pubarche and penal change
Definition
age 9-14
Term
peak female height velocity
Definition
between 11-12 years of age; always precedes menarche; breast tanner II-III
Term
peak male height velocity
Definition
age typically 13-14 years; genital tanner IV-V
Term
central precocious puberty
Definition
gonadotropin-dependent; accelerated linear growth for age; advanced bone age; can be treated with GnRH analog therapy; pubertal levels of LH and FSH
Term
peripheral precocious puberty
Definition
gonadotropin-independent; due to excess secretion of estrogen and androgens from the gonads and/or adrenal glands; pre-pubertal levels of LH and FSH
Term
incomplete precocious puberty
Definition
early development of secondary sexual characteristics; slowly progressive; normal bone age
Term
what percentage of teens leave high school with an STD?
Definition
1 in 4
Term
HEEADSS screening
Definition
h: home; e: education/employment; e: eating; a: activities; d: drugs; s: sexuality; s: suicide
Term
percentage of teens who have drunk alcohol in the past month
Definition
43%
Term
percentage of teens who have drunk excessively in the past month
Definition
26%
Term
percentage of teens who have had sex by age 13
Definition
4% girls; 10% boys
Term
percentage of teen girls with an eating disorder
Definition
1-5%
Term
male pubertal delay
Definition
genital stage 1 past 13.7 years; pubic hair stage 1 past 15.1 years
Term
gynecomastia
Definition
presence of breast tissue in males
Term
female pubertal delay
Definition
breast stage 1 past 13.4 years; no menarche by 16 years
Term
female athlete triad
Definition
amenorrhea, osteoporosis, and disordered eating
Term
mechanism of activation of oral contraceptives
Definition
blocks LH and FSH to inhibit ovulation
Term
true or false: family history of breast cancer, antibiotic use, tobacco use, and a history of headaches are contraindications to oral contraceptive use
Definition
false; although rifampin (antibiotic) and a history of migraines would be
Term
contraindications to oral contraceptive use
Definition
history of DVT; clotting disorders; migraine with aura; hypertension
Term
percentage of healthy children and children with chronic conditions using CAM
Definition
20-40% and >50%, respectively
Term
3 common CAM treatments for abdominal pain
Definition
peppermint oil; hypnosis; acupuncture
Term
CAM used commonly in four specific maladies
Definition
asthma; CF; IBD; diabetes
Term
joint principles of patient-centered medical home
Definition
established in 2007, and outlines the medical home; services include mental health, development, OMM, oral health, and lactation/nutrition
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