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DOCC Block C Exam | Questions and 100% Correct Verified Answers
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DOCC Block C Exam | Questions and 100% CorrectVerified Answers
abdomen
flex legs
Why does a babinski reflex happen?
longer nerves are the longest to develop, hence why babinski sign stays for a while
most accurate temp in peds
rectal
domains of development
physical, cognitive, emotional and social
respiratory distress in peds
respiratory distress
increased work of breathing; a sensation of shortness of breath
respiratory failure
The reduction of breathing to the point where oxygen intake is not sufficient to support life
failure of body to meet oxygenation of CO2 clearance
school problems in peds
adverse childhood experiences
Stressful or traumatic experiences, including abuse, neglect, and a range of household
dysfunction, such as witnessing domestic violence or growing up with substance abuse, mental
disorders, parental discord, or crime in the home.
Adverse Childhood Experiences
when to admit suicidal patient
if they have intent and a plan
major causes of mortality in adolescents
,tanner staging
Sexual maturity rating used widely to assess and monitor the degree of maturation of
an adolescent's primary and secondary sexual characteristics.
tanner 2= breast buds
male puberty development
hypertrophic cardiomyopathy murmur
harsh systolic crescendo-decrescendo murmur best heard at LUSB
decrease murmur intensity with increase venous return (squatting, lying down)
increase murmur intensity with decreased venous return (valsalva, standing)
note: decrease/increase murmur intensity is opposite for aortic stenosis
healthcare transition
best time to start is as early as possible; have parent leave room around 12-14
transition readiness assessment
transition readiness assessment
tool used to asses the patient's knowledge to manage their
condition when not done properly, can lead to challenges later in life
2 month milestones
Social and Emotional
Begins to smile at people
Can briefly calm himself (may bring hands to mouth and suck on hand)
Tries to look at parent
Language/Communication
Coos, makes gurgling sounds
Turns head toward sounds
Baby raising head and chest when lying on stomach
Cognitive (learning, thinking, problem-solving)
,Pays attention to faces
Begins to follow things with eyes and recognize people at a distance
Begins to act bored (cries, fussy) if activity doesn’t change
Movement/Physical Development
Can hold head up and begins to push up when lying on tummy
Makes smoother movements with arms and legs
4 month development
Social and Emotional
Smiles spontaneously, especially at peopleLikes to play with people and might cry when playing
stopsCopies some movements and facial expressions, like smiling or frowning
Language/Communication
Begins to babbleBabbles with expression and copies sounds he hearsCries in different ways
to show hunger, pain, or being tired baby on floor with toy
Cognitive (learning, thinking, problem-solving)
Lets you know if she is happy or sadResponds to affectionReaches for toy with one handUses
hands and eyes together, such as seeing a toy and reaching for itFollows moving things with
eyes from side to sideWatches faces closelyRecognizes familiar people and things at a distance
Movement/Physical Development
Holds head steady, unsupportedPushes down on legs when feet are on a hard surfaceMay be
able to roll over from tummy to backCan hold a toy and shake it and swing at dangling toys
Brings hands to mouth
When lying on stomach, pushes up to elbows
6 months development
Social and EmotionalKnows familiar faces and begins to know if someone is a strangerLikes
to play with others, especially parentsResponds to other people’s emotions and often seems
happyLikes to look at self in a mirror
Language/Communication
Responds to sounds by making soundsStrings vowels together when babbling (“ah,” “eh,”
“oh”) and likes taking turns with parent while making soundsResponds to own nameMakes
sounds to show joy and displeasureBegins to say consonant sounds (jabbering with “m,” “b”)
mother enjoying 7 month old infant
, Cognitive (learning, thinking, problem-solving)
Looks around at things nearbyBrings things to mouthShows curiosity about things and tries
to get things that are out of reachBegins to pass things from one hand to the other
Movement/Physical Development
Rolls over in both directions (front to back, back to front)Begins to sit without supportWhen
standing, supports weight on legs and might bounceRocks back and forth, sometimes
crawling backward before moving forward
9 months development
Social and Emotional
May be afraid of strangersMay be clingy with familiar adultsHas favorite toys
Language/Communication
Understands “no”Makes a lot of different sounds like “mamamama” and “bababababa”Copies
sounds and gestures of othersUses fingers to point at thingsDoctor holding little boy
Cognitive (learning, thinking, problem-solving)
Watches the path of something as it fallsLooks for things he sees you hidePlays peek-a-
booPuts things in her mouthMoves things smoothly from one hand to the otherPicks up things
like cereal o’s between thumb and index finger
Movement/Physical Development
Stands, holding onCan get into sitting positionSits without supportPulls to standCrawls
1 year development
Social and Emotional
Is shy or nervous with strangersCries when mom or dad leaves
Has favorite things and peopleShows fear in some situations
Hands you a book when he wants to hear a story
Repeats sounds or actions to get attention
Puts out arm or leg to help with dressing
Plays games such as “peek-a-boo” and “pat-a-cake”
Language/Communication
Responds to simple spoken requestsUses simple gestures, like shaking head “no” or waving
“bye-bye”Makes sounds with changes in tone (sounds more like speech)Says “mama” and
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