PEDIATRIC ASSESSMENT RYAN MALLO, DNP, FNP-C

KIDS ARE FUN!

THE EYES DO NOT SEE WHAT THE BRAIN DOES NOT KNOW

SAMPLE BOARD QUESTION Which of the following is most consistent with a normal developmental examination for a 3-month-old infant born at 40 weeks’ gestation? 1.Sitting briefly with support 2.Experimenting with sound 3.Rolling over 4.Having a social smile

SAMPLE BOARD QUESTION A healthy 2-year-old child is able to: 1.Speak in phrases of two or more words 2.Throw a ball 3.Scribble spontaneously 4.Ride a tricycle

SAMPLE BOARD QUESTION Which of the following would not be found in newborns? 1.Best vision at a range of 8-12 inches 2.Presence of a red reflex 3.Light-sensitive eyes 4.Lack of a defensive blink

NORMAL? WHAT’S THAT?!

GROWTH CHARTS

APGAR SCORING

PRIMITIVE REFLEXES ReflexPresent Until Sucking3 mo Rooting3 mo Palmar3 mo Plantar9 mo Babinski4-6 mo Galant3-6 mo Moro3-6 mo Tonic labyrinthine6-9 mo Asymmetric tonic neck4-9 mo

ROOTING REFLEX

PALMER REFLEX

PLANTAR REFLEX

GALANT REFLEX

MORO REFLEX

WALKING STEPPING REFLEX

ASYMMETRIC TONIC NECK REFLEX

DEVELOPMENTAL MILESTONES 1-4 wksMoves extremities, startles to loud noise, looks at face 2-3 moHolds up head, examines fingers, social smile, recognizes parents 4-5 moSits with support, rolls over, holds rattle, laughs, orients to voice 6-7 moSits unsupported, passes objects between hands, grasps toys, babbles recognizes strangers 8-10 moCrawls, pulls up to standing position, immature pincer grasp, throws objects, “mama, dada”, waves “bye-bye”, understands “no” 1 yrRises independently from lying to sitting position, walks unaided, mature pincer grasp, may use 2 words, follows 1-step commands, recognizes name and comes when called

DEVELOPMENTAL MILESTONES 15 moWalks well, climbs stairs, stacks 2 blocks, knows 3-6 words, starts using utensils 18 moRuns short distances, stacks 3 blocks, scribbles, knows 7-10 words, plays with others 2 yrRuns well, stacks 7 blocks, removes shoes and pants, jumps with both feet, throws ball without falling, 50 word vocab, 2 word phrases 3 yrPedals tricycle, opens and closes jars, copies circle, begins to dress/ undress, >250 word vocab, 3 word phrases, knows name, age, gender, group play, shares toys 4 yrHops, skips, copies square, knows colors and songs, tells stories, friends 5 yrTies shoes, prints name, asks questions, competitive games, follows rules

TANNER STAGES

GLASGOW COMA SCALE FOR CHILDREN Eye OpeningBest VerbalBest Motor Spontaneous (4)Coos, babbles (5)Spontaneous (6) To Voice (3)Irritable, cries (4)Withdraws from touch (5) To Pain (2)Cries to pain (3)Withdraws from pain (4) None (1)Moans to pain (2)Abnormal Flexion (3) None (1)Abnormal Extension (2) None (1)

MAX

SIMIAN CREASE

MAX

FONTANELS

MAX

IN MAX’S MOUTH…

DEVELOPMENTAL DYSPLASIA OF THE HIPS

WRAPPING UP

PEARLS

LET’S SEE THOSE TONSILS…

EARS ARE LAST

WELCOME TO DERMATOLOGY!

ERYTHEMA TOXICUM NEONATORUM

TRANSIENT NEONATAL PUSTULAR MELANOSIS

NEONATAL ACNE

ACROPUSTULOSIS

MILIARIA CRYSTALLINA

SUCKING LESIONS

CUTIS MARMORATA

DERMAL MELANOCYTOSIS

SEBORRHEIC DERMATITIS

NEVUS SEBACEOUS

VIRAL EXANTHAM

911