Growth & Development
At what age should an infant double their birth weight?
6 months
Which illness is associated with Koplik spots?
Measles
Machinery-like murmur is classic for?
Patent ductus arteriosus
Which test is positive in meningitis when flexing the neck causes hip flexion?
Brudzinski’s sign
Which drug must be given with pancreatic enzymes in cystic fibrosis?
High-fat soluble vitamins (A, D, E, K)
Which Piaget stage corresponds with preschoolers?
Preoperational
A slapped cheek rash is diagnostic of?
Fifth Disease
What is the priority position for a child with tetralogy of Fallot during a “tet spell”?
Knee-chest
Early sign of increased ICP in infants?
Bulging/Full fontanel
Safe acetaminophen dose for pediatrics?
10–15 mg/kg/dose q4–6h
Erikson stage of adolescence?
Identity vs Role Confusion
Which communicable disease is most dangerous for a pregnant woman to contract?
Rubella
In Kawasaki disease, which finding requires urgent follow-up?
Coronary artery aneurysm (echo changes)
Classic triad of hemolytic uremic syndrome?
Hemolytic anemia, thrombocytopenia, renal failure
Child weighs 22 kg. Ordered cefazolin 300 mg IV q8h. Safe range = 100 mg/kg/day divided q8h. Is the dose safe?
NO, underdose
22 × 100 = 2200 mg/day
2200÷ 3 = 733 mg/dose
A toddler has physiologic anorexia. What does this mean?
Normal decreased appetite due to slowed growth
Which infection is linked to Reye’s syndrome when aspirin is given?
Varicella or Influenza
What acid-base imbalance is expected in an infant with bronchiolitis and hypoventilation?
Respiratory acidosis
In pyloric stenosis, what are typical signs?
Projectile vomiting, which can lead to dehydration and weight loss
What drug is avoided in viral illness due to Reye’s risk?
Aspirin
At what age should a child use two-word sentences consistently?
2 years
Which disease presents with a sandpaper-like rash?
Scarlet Fever
Which congenital heart defect produces cyanosis immediately after birth and is incompatible with life without a shunt?
Transposition of the great arteries
Which disorder is characterized by painless rectal bleeding due to congenital absence of ganglion cells?
Hirschsprung disease
Child (20 lb) prescribed NS bolus 20 mL/kg. How many mL should be given?
20 lb ÷ 2.2 = 9.09 ~9.1 kg
20 × 9.1 = 182 mL