By Karen Marcdante MD, Robert M. Kliegman MD
The source of selection for pediatric residencies, clerkships, and tests, Nelson necessities of Pediatrics maintains to supply a concentrated review of the center knowledge in pediatrics. Succinct, exact coverage of standard youth development and improvement, in addition to the prognosis, administration, and prevention of universal pediatric ailments and issues, make this an amazing scientific reference ebook for scholars, pediatric citizens, nurse practitioners, and health care professional assistants.
- Get an efficient review of pediatrics with aid from concise textual content, a full-color layout, high-yield tables, and diverse images.
- Take virtue of a wealth of images that trap the medical manifestations and findings linked to Kawasaki disorder, lupus, lymphoma, stroke, and plenty of different issues obvious in children.
- Efficiently evaluate crucial, concise pediatric content with this well known extension of the Nelson Textbook of Pediatrics (ISBN: 978-1-4377-0755-7).
- Focus at the center wisdom wanted to your pediatric clerkship or rotation with assurance that follows the COMSEP curriculum guidelines.
- Easily visualize advanced aspects with a full-color structure and photographs, in addition to quite a few tables in the course of the text.
- Access the complete contents, now built-in with decide upon decision-making algorithms from Pediatric Decision-Making Strategies through Pomeranz et al. (ISBN: 978-0-323-29854-4), on-line at Student Consult.
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Additional resources for Nelson Essentials of Pediatrics
The asymmetric tonic neck reflex is elicited by placing the infant supine and turning the head to the side. This placement results in ipsilateral extension of the arm and the leg into a “fencing” position. The contralateral side flexes as well. A delay in the expected disappearance of the reflexes may also warrant an evaluation of the central nervous system. See Sections 11 and 26 for additional information on the newborn period. LATER INFANCY With the development of gross motor skills, the infant is first able to control his or her posture, then proximal musculature, and, last, distal musculature.
The most important reflexes to assess during the newborn period are as follows: The Moro reflex is elicited by allowing the infant’s head to gently move back suddenly (from a few inches off of the mattress onto the examiner’s hand), resulting in a startle, then abduction and upward movement of the arms followed by adduction and flexion. The legs respond with flexion. The rooting reflex is elicited by touching the corner of the infant’s mouth, resulting in lowering of the lower lip on the same side with tongue movement toward the stimulus.
Infants who receive extra attention, such as parents responding immediately to any crying or fussiness, show less crying and fussiness at the end of the first year. Stranger anxiety develops between 9 and 18 months of age, when infants normally become insecure about separation from the primary caregiver. The infant’s new motor skills and attraction to novelty may lead to headlong plunges into new adventures that result in fright or pain followed by frantic efforts to find and cling to the primary caregiver.