1. PEDIATRIC ASSESSMENT RYAN MALLO, DNP, FNP-C

2. KIDS ARE FUN!

3. THE EYES DO NOT SEE WHAT THE BRAIN DOES NOT KNOW

4. 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

5. 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

6. 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

7. NORMAL? WHAT’S THAT?!

8. GROWTH CHARTS

9. APGAR SCORING

10. 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

11. ROOTING REFLEX

12. PALMER REFLEX

13. PLANTAR REFLEX

14. GALANT REFLEX

15. MORO REFLEX

16. WALKING STEPPING REFLEX

17. ASYMMETRIC TONIC NECK REFLEX

18. 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

19. 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

20. TANNER STAGES

21. 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)

22. MAX

23. SIMIAN CREASE

24. MAX

25. FONTANELS

26. MAX

27. IN MAX’S MOUTH…

29. DEVELOPMENTAL DYSPLASIA OF THE HIPS

30. WRAPPING UP

31. PEARLS

32. LET’S SEE THOSE TONSILS…

33. EARS ARE LAST

34. WELCOME TO DERMATOLOGY!

35. ERYTHEMA TOXICUM NEONATORUM

36. TRANSIENT NEONATAL PUSTULAR MELANOSIS

37. NEONATAL ACNE

38. ACROPUSTULOSIS

39. MILIARIA CRYSTALLINA

40. SUCKING LESIONS

41. CUTIS MARMORATA

42. DERMAL MELANOCYTOSIS

43. SEBORRHEIC DERMATITIS

44. NEVUS SEBACEOUS

45. VIRAL EXANTHAM

46. 911