02: Infant well-child visits (2, 6, and 9 months) Flashcards
When does the AAP recommend developmental screening tests at minimum?
9, 18, and 30 month checkups
When is autism specifically screened for?
18 and 24 months
How much Vitamin D should breastfed infants receive (even if partially breastfed)?
400 IU daily
What type of milk can irritate the lining of the stomach and intestine, leading to blood loss in the stool?
Cow’s milk
By when should infants have regained all of their birthweight?
2 weeks
How many calories per day do infants >37 weeks require?
100-120/kg/day
How many calories per day do infants born between 32-37 weeks need?
115-130/kg/day
How many calories per day do infants born <32 weeks need?
150/kg/day
When does the Moro reflex disappear?
4 months
What 2 things can the Moro reflex detect?
- MSK abnormalities
2. Neural plexus abnormalities
When can babies begin spoon feeding solid foods?
4-6 months
When can children sit in the front seat?
13 years
When can children switch to a front-facing car seat?
2 years
The most effective car seat restraint is a _____-point harness?
5-point
How many doses of DTAP should kids get total?
5
How many doses of IPV should kids get total?
4
How many doses of Hib should kids get total?
3-4
How many doses of PCV13 should kids get?
4
How many doses of MMR should kids get?
2
How many doses of Varicella should kids get?
2
How many doses of Rotavirus should kids get?
2-3
How many doses of Hep A should kids get?
2
How many doses of Hep B should kids get?
3
Do significant health problems given after immunization need to be reported to the CDC’s program VAERS?
Yes
What’s the prognosis of Stage 4S Neuroblastoma (metastasized)?
Good; it infants less than age 1, these may spontaneously regress
What cell lines are Neuroblastomas from?
Embryonal
What does penetrance mean?
The percent of individuals with a mutation that display the clinical effects
What landmarks do you use to measure head circumference?
From the broadest part of the forehead to the occipital prominence at the back of head
What test is highly specific to Neuroblastoma?
Catecholamine metabolites
What’s could the following all present as? Hepatic neoplasm, hydronephrosis, neuroblastoma, teratoma, Wilms’ tumor
RUQ mass and pallor in an infant
Where might a neuroblastoma mass form (3)?
- Neck
- Chest
- Abdomen
What type of tumor may present with an abdominal mass, vomiting, hypertension, and doesn’t lead to abnormal development?
Wilms’ tumor (nephroblastoma)
