Ryca Shared "peds review 203" - 47 Picmonics
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peds review 203
Age 2 Months - Developmental Milestones
- Gross Motor
- Holds Head Up, But Unsteady
- Moves Both Arms and Both Legs
- Fine Motor
- Opens Hands Briefly
- Tracks Objects to the Midline
- Language/Communication
- Produces Sounds Aside from Crying
- Reacts to Loud Noise
- Social / Cognitive
- Social Smile
- Recognizes Parents
- Soothed When Spoken to or Picked Up
2 mins
Age 4 Months - Developmental Milestones
- Gross Motor
- Keeps Head Steady Without Support
- Pushes Up on Elbows While on Tummy
- Fine Motor
- Holds a Toy in Hands
- Moves Hands Towards Mouth
- Language/Communication
- Cooing
- Turns to Voice
- Social / Cognitive
- Chuckles
- Enjoys Looking Around
- Looks at Hands With Interest
- Opens Mouth When Hungry
2 mins
Age 6 Months - Developmental Milestones
- Gross Motor
- Sits Propped Up On Hands
- Rolls
- Fine Motor
- Raking Grasp
- Language/Communication
- Makes Squealing Noises
- Blows "Raspberries"
- Turn-Taking in Sounds
- Social / Cognitive
- Laughs
- Enjoys Looking at Self in a Mirror
- Recognizes Familiar People
- Closes Lips to Signal Fullness
- Puts Objects in Mouth
- Reaches for Desired Toys
2 mins
Age 9 Months - Developmental Milestones
- Gross Motor
- Sits Up Independently
- Fine Motor
- Transfers Objects Between Hands
- Uses Fingers to Pull Food Toward Self
- Language/Communication
- Produces Various Sounds Like "mamamama" and "bababababa"
- Raises Arms to be Lifted Up
- Social / Cognitive
- Separation Anxiety
- Shows Facial Expressions
- Looks When Calling Name
- Smiles or Laughs at Peek-a-boo
- Looks for Dropped Objects Out of Sight
- Bangs Two Items Together
2 mins
Age 1 Year - Developmental Milestones
- Gross Motor
- Pulls Up to Stand
- First Steps
- Fine Motor
- Drinks From an Open Cup with Assistance
- Two-Finger Pincer Grasp
- Language/Communication
- Understands “No”
- Waves "Bye-Bye"
- "Mama & Dada"
- Social / Cognitive
- Plays Pat-A-Cake
- Puts Block in Cup
- Searches for Hidden Toys
2 mins
Age 18 Months - Developmental Milestones
- Gross Motor
- Walks Independently
- Climbs On/Off Furniture Without Help
- Fine Motor
- Drinks from Open Cup Independently
- Scribbles
- Eats with Fingers
- Tries to Use a Spoon
- Stacks Three Blocks
- Language/Communication
- Attempts Three-word Phrases
- Follows One-step Commands
- Social / Cognitive
- Checks While Moving Away
- Points to Objects
- Engages With Toys Simply
- Copies Parent Doing Chores
- Extends Hands for Washing
2 mins
Age 2 Years - Developmental Milestones
- Gross Motor
- Kicks a Ball
- Runs
- Walks Up Stairs With Help
- Fine Motor
- Stacks Six Blocks
- Feeds Self With a Spoon
- Language / Communication
- Two-Word Phrases
- Points to Book Items as Prompted
- Demonstrates Varied Gestures
- Identifies Body Parts When Prompted
- Social / Cognitive
- Shows Empathy
- Holds and Manipulates Objects Simultaneously
- Engages With Multiple Toys
2 mins
Age 3 Years - Developmental Milestones
- Gross Motor
- Starts Dressing Independently
- Rides Tricycle
- Fine Motor
- Stack Nine Block Tower
- Threads Items Together
- Copies Circle
- Uses Fork
- Language / Communication
- Engages in Two-way Conversation
- 75% Speech Understood by Stranger
- Says First Name
- Social / Cognitive
- Avoids Hot Objects When Warned
- Joins Other Kids in Play
2 mins
Age 4 Years - Developmental Milestones
- Gross Motor
- Unbuttons Some Buttons
- Catches a Large Ball
- Serves Food or Pours Water With Help
- Fine Motor
- Copies Line, Circle, Stick Figure
- Language / Communication
- 100% Speech Understandable
- Identifies Colors
- Social/ Cognitive
- Cooperative Play
- Imaginary Friends
- Likes Being a “Helper”
- Avoids Danger
2 mins
Age 5 Years - Developmental Milestones
- Gross Motor
- Buttons Some Buttons
- Hops on One Foot
- Fine Motor
- Prints Letters
- Language / Communication
- Counts to 10
- Uses Simple Rhymes
- >3 Back-and-forth Exchanges
- Answers Simple Questions
- Tells a Story
- Social / Cognitive
- Names Some Letters When Pointed
- Follows Rules
- Sings, Dances, Acts
- Does Simple Chores
2 mins
Spina Bifida Assessment
- Cause
- Congenital Malformation of Vertebrae
- Assessment
- Dimple With or Without Hair Tuft
- Lumbar Sac
- Hydrocephalus
- Paralysis
- Considerations
- Identify Type
2 mins
Spina Bifida Interventions
- Surgery
- Prone Position
- Cover Sac with Moist (Sterile) Dressing
- Measure Head Circumference
- Bulging Fontanel
- Considerations
- Other Congenital Malformations Common
- Bowel Control
- Neurogenic Bladder
2 mins
Phenylketonuria (PKU)
- Cause
- Autosomal Recessive Genetic Disorder
- Enzyme Deficiency
- Assessment
- Failure to Thrive
- Irritability
- Musty or Mousy Odor
- Cognitive Impairment
- Interventions
- Low Phenylalanine Diet
- Low Protein Foods (Diet)
- Avoid Aspartame
- Sapropterin (Kuvan)
- Considerations
- Guthrie Blood Test
2 mins
Tonsillectomy
- Indications
- Recurrent Tonsillitis
- Considerations
- Saline Gargles
- Ice Chips
- Monitor for Bleeding
- Within 24 Hours
- After 5-7 days
- Soft Foods
- Do Not Cough, Clear Throat, or Blow Nose
- Do Not Use Straws
2 mins
Varicella (Chickenpox)
- Mechanism
- Varicella Zoster Virus (VZV)
- Signs and Symptoms
- Red Maculopapular Rash
- Vesicles Ooze and Crust
- Pruritus
- Centripetal
- Considerations
- Varicella Immunization
- Skin Care to Minimize Itching
- Isolate until Vesicles Crust
2 mins
Epiglottitis Assessment
- Cause/Mechanism
- Haemophilus Influenzae
- Assessment
- Drooling
- Fever
- Stridor
- Restlessness
- Dyspnea
- Cough
- Tripod Position
- Considerations
- Emergency Treatment
- Do Not Examine Throat
2 mins
Epiglottitis Interventions
- Interventions
- Maintain Airway
- Upright/Sitting Position
- Humidified Oxygen
- Intubation/Tracheostomy Supplies At Bedside
- IV Antibiotics
- Decrease Anxiety
- Considerations
- NPO
- Vaccine
- Restrain to Prevent Extubation
2 mins
Otitis Media Assessment
- Red or Bulging Tympanic Membrane
- Ear Pain
- Pulling at Ear
- Fever
- Upper Respiratory Infection
- Considerations
- More Common in Young Children
- Eustachian Tube Narrower
- Conductive Hearing Loss
- Smoking Increases Risk
2 mins
Tonsillitis
- Cause
- Bacterial or Viral Inflammation
- Assessment
- Sore Throat
- Dysphagia
- Interventions
- Throat Culture
- Antibiotics
- Tonsillectomy
- Considerations
- Often Streptococcus
- Monitor for Acute Glomerulonephritis
- Monitor for Rheumatic Heart Disease
3 mins
Kawasaki Disease
- Cause
- Acute Vasculitis
- Assessment
- Acute Phase
- High Fever
- Conjunctivitis
- Strawberry-Red Tongue and Mucosa
- Erythema and Edema of Hands and Feet
- Subacute Phase
- Desquamative Skin Rash
- Interventions
- Aspirin
- Intravenous Immunoglobulin (IVIG)
- Antipyretics
- Considerations
- Coronary Aneurysm
- Children < 5 Years old
2 mins
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