PEDS - QUIZ 1 Chapter Review

Fill-in-the-blank practice flashcards covering health supervision, developmental surveillance, pediatric physical assessment, and immunization protocols from Chapters 31 and 32.

Health supervision is most effective when centered in a __________ , which is a long-term, comprehensive, and trusting partnership between the pediatric care team and the family.

medical home

Children with chronic illnesses require much more frequent health supervision visits due to the need for __________ monitoring.

dynamic and frequent

Every routine well-child supervision visit is built upon three critical components: developmental surveillance and screening, injury and disease prevention, and __________ .

health promotion

The AAP recommends general developmental screening at $9$, $18$, and __________ months of age.

$$30$$

Autism Spectrum Disorder (ASD) screening is specifically recommended at $18$ and __________ months of age.

$$24$$

High-risk factors requiring more frequent developmental screening include a birth weight less than $1.5\,\text{kg}$, gestational age less than $33\,\text{weeks}$, and blood lead levels greater than __________ .

$$5\,\text{mcg/dL}$$

Any child who loses a previously attained developmental milestone requires an immediate, comprehensive __________ evaluation.

neurologic

__________ immunity is acquired when antibodies are transferred from one person to another, providing immediate but temporary protection.

Passive

Live attenuated vaccines stimulate a strong response but are contraindicated in severely immunocompromised children or during __________ .

pregnancy

Falsely believing that mild acute illnesses are reasons to withhold vaccines is incorrect because minor illness is NOT a __________ .

contraindication

Anticipatory guidance acts as a proactive road map for primary prevention, helping parents anticipate upcoming developmental changes before they occur using an __________ application.

individualized

When taking a history from an adolescent, the nurse must offer them the opportunity to be interviewed privately, explaining the limits of __________ upfront.

confidentiality

During physical examination of infants and toddlers, the nurse should auscultate the heart, lungs, and abdomen first while the child is quiet, saving intrusive procedures for the __________ .

end of the exam

The anterior fontanel normally closes between $9$ and __________ months of age.

$$18$$

The posterior fontanel normally closes at __________ months of age.

$$2$$

The absence of the red reflex on an eye examination is a clinical red flag indicating potential cataracts or retinoblastoma and requires __________ report.

immediate

Weak lower extremity pulses compared to upper extremity pulses can indicate __________ .

coarctation of the aorta

A capillary refill time greater than __________ seconds indicates poor perfusion.

$$3$$

Having a male child sit __________ during palpation of the testes reduces the cremasteric reflex.

cross-legged

Female sexual maturity and pubertal progression are evaluated using the standardized __________ Stages of Sexual Maturity Rating.

Tanner

Head circumference is measured routinely at every health supervision visit for healthy children from birth through __________ months of age.

$$35$$

Recumbent length is measured in a supine position until __________ months of age, after which standing height is measured.

$$24$$

Normal growth percentile measurements fall between the $5\text{th}$ percentile and the __________ percentile on CDC growth charts.

$$95\text{th}$$

On CDC growth charts for children aged $2$ to $20$ years, a BMI between the $85\text{th}$ percentile and $95\text{th}$ percentile indicates a risk for __________ .

overweight

The normal heart rate range for an infant is $80$ to __________ $\text{bpm}$.

$$150$$

The normal respiratory rate range for a toddler is $20$ to __________ $\text{breaths/min}$.

$$30$$

The radial pulse is difficult to reliably palpate in children younger than __________ years of age.

$$2$$

A positive Babinski reflex is considered normal in infants up to __________ months of age.

$$12$$

Federal law (NCVIA) requires providing a Vaccine Information Statement (VIS) to guardians before every dose and documenting the VIS __________ date.

edition