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WorksheetsPeds Exam III - Pediatric WCC
Total questions: 33
Worksheet time: 19mins
The two important tasks of a pediatric well child check is the detection of clinical problems and the promotion of health.
True
False
Which of the following should be reviewed prior to entering the room for a WCC
History
Vital signs
Chief complaint
Physical exam
During the physical exam the most invasive maneuvers should be performed first to get them out of the way.
True
False
Establishing rapport with pediatric patients and their families is important. In which ways can rapport be established?
Addressing patient and caregiver by name
Referring to patient by name
Asking about personal experiences
Getting down on patient eye level
Crossing arms and standing next to the door while speaking
What additional information should be included in the HPI for children when compared to adults?
Milestones
Pertinent PMH
Chief complaint
Age
It is important to observe parent-child interactions during your HPI and PE
True
False
While an acute visit can have a limited number of systems of the ROS a WCC should include ___ systems
5
7
All
2
Only those related to the CC
Every pediatric exam including an acute visit should include which of the following?
Cardio
Pulmonary
Psychiatric
MSK
GU
Sites where the pulse can be measured during pediatric exam includes the following
anterior fontanelle
femoral
carotid
brachial
radial
In order to get the most accurate core temperature, measurements should be made by temporal, axillary, or tympanic measurement
True
False
A SpO2 of < __ may be suggestive of a respiratory condition or cyanotic heart disease in a pediatric patient
90-92%
100%
97-99%
95-97%
Head circumference should continued to measured until __
8 months
1 year
18 months
2 years
Abnormal findings that may be present during general assessment include which of the following?
Lethargic
Ill-appearing
Agitated
Weak cry
Sleeping quietly
When examining the head you should expect closure of the anterior fontanelles at what age?
2-3 months
5-6 months
9-18 months
2-3 years
Contralateral frontal bossing with ipsilateral occipitoparietal flattening may be indicative of?
Plagiocephaly
Craniosynostosis
Brachycephaly
Hydrocephaly
One of the most common presentations of chromosomal abnormality syndromes is alteration of features of the ____
face
hands and feet
arms and legs
abdomen
During the cover-uncover test for strabismus the affected eye moves to normal position when covered, but after uncovering the eye deviates to its abnormal position again.
True
False
Pulling of the auricle ____ and ___ during should be done for any pediatric patient older than 1 year for evaluation of the ears.
Down
Out
Up
Forward
In
During an acute illness visit for a URI, which of the following may be seen on nasal exam?
crusting/sores
nasal discharge
swollen turbinates
boggy nasal mucosa
During the nasal exam of infants it is important to test the patency of nasal passages as they are primary nose breathers.
True
False
During the mouth exam, which of the following should be noted for infants who are teething?
timing and sequence of eruption
position
number
characteristics
condition
Small white/yellow nodules that appear on the gingiva and disappear in 1-2 weeks are known as ____ pearls
Epstein
Eruption
Aphthous
Teething
A few reactive lymph nodes following birth is a normal finding on PE.
True
False
A webbed neck (pterygium colli) may be associated with which of the following?
Turner syndrome
Down syndrome
Klinefelter syndrome
Marfan syndrome
Many children have one or more functional/benign heart murmurs at some point in time.
True
False
Murmur found on PE should be evaluated in which of the following positions?
Lying
Sitting
Squatting/Valsalva
Trendelenburg
Part of the Turner staging can be evaluated when performing which portion of the exam?
Lung/Thorax
Abdominal
MSK
Neuro
GU exam of male infants may be difficult by the presence of ____ reflex
cremasteric
stretch
withdrawal
Achilles
A common abnormal GU finding found in female infants and children is the presence of labial adhesions
True
False
During the GU exam it is important to discuss with procedure and exam findings with?
Patient
Parent
RN
Supervisor
Most infant abdomens are ____ to palpate while most children are ____ as they tend to be ticklish.
easy, easy
difficult, difficult
easy, difficult
difficult, easy
Much like adults, during children's skin exam it is important to evaluate and document
Texture
Appearance
Color
Turgor
To assess both development and neurologic function it may be beneficial to turn the exam into a game.
True
False
