A Childs Journey Flashcards
1
Q
define neonate
A
<4weeks
2
Q
define infant
A
<12 months
3
Q
define toddler
A
1-2 years
4
Q
when should a child be walking by
A
18 months
5
Q
adverse antenatal environmental factors
A
- infections e.g. rubella
- toxins e.g. smoking, alcohol, anti-epileptics
6
Q
adverse postnatal environmental factors
A
- infection (meningitis, encephalitis)
- toxins (mercury, lead)
- trauma (head injury)
- malnutrition (iron, folate, vit D)
- metabolic (hypoglycaemia, hyper/hyponatraemia)
- maltreatment
- understimulation
- domestic violence
- maternal mental health issues
7
Q
assessors of development
A
- parents and wider family
- health visitors
- nursery
- teachers
- GP
- A&E
- students
- paediatricians
8
Q
red development flags
A
- loss of skills
- concern re vision
- hearing loss
- persistent low muscle tone/ floppiness
- no speech by 18 months
- asymmetry of movements
- increased muscle tone
- not walking 18 months
- persistent toe walking
9
Q
how to assess in real life
A
- observe normal play and activity
- try and guess the age of each child
- think about each developmental domain
- use learning guides/ tables/ images
10
Q
how is child progress recorded in Scotland
A
red book
11
Q
what is involved in child health programme
A
- new-born exam and blood spot screening
- new-born hearing screening (by day 28)
- health visitor first visit
- 6-8week review
- 27-30 month review
- orthoptist vision screening (4-5y)
12
Q
whats involved in 6-8week child review
A
- GP and health visitor
- feeding method
- parental concerns
- development (motor/ hearing. vision/ awareness)
- measurements (weight, length)
- examination (heart, hips, testes, genitalia, femoral pulses, red reflexes)
- sleeping position (supine/ prone/ side)
13
Q
what is involve in 27-30 month review
A
- identification (name, address, GP)
- social, behavioural, attention and emotional development
- communication, speech and language
- gross and fine motor
- vision and hearing
- height and weight
- diagnoses/ other issues
14
Q
purpose of immunisation
A
- highly effective public health measure
- reduction and eradication of diseases
- all children
- chronological age
- no live vaccines except MMR if child is immunocompromised
15
Q
features of immunisation history taking
A
- different schedules in different countries
- older children might not have been immunised against the current list
- check red book
- check for reactions
