A Childs Journey - Health Screening

Question 1

What are the main methods of child health screening?

Answer 1

• Health promotion
• Developmental screening
• Immunisation

Question 2

Where is a childs progress recorded?

Answer 2

“Red book”

Question 3

What are some key points of the child health programme?

Answer 3

• New-born exam and blood spot screening
• New-born hearing screening
• Health visitor first visit
• 6 to 8 week review
  
  • Feeding (breast/bottle/both)
  • Parental concerns (appearance, hearing, eyes, sleeping, movement, illness, crying, weight)
  • Development (gross motor, hearing and communication, vision and social awareness)
  • Measurements (weight, OFC, length)
  • Examination (heart, hips, testes, genitalia, femoral pulses and eyes)
  • Sleeping position (supine, prone, side)
• 27 to 30 months review (max 32 months)
  
  • Development
    
    • Social, behavioural, attention, emotional
    • Communication, speech and language
    • Gross and fine motor
    • Vision, hearing
  • Physical measurements (height and weight)
• Orthoptist vision screening (4-5 years)

Question 4

When are reviews performed as part of the child health programme?

Answer 4

• 6 to 8 week review
• 27 to 30 month review (max 32 months)
• Orthoptist vision screening (4-5 years)

Question 5

What is done at the 6-8 week review as part of the child health programme?

Answer 5

• Feeding (breast/bottle/both)
• Parental concerns (appearance, hearing, eyes, sleeping, movement, illness, crying, weight)
• Development (gross motor, hearing and communication, vision and social awareness)
• Measurements (weight, OFC, length)
• Examination (heart, hips, testes, genitalia, femoral pulses and eyes)
• Sleeping position (supine, prone, side)

Question 6

What is done at the 27-30 month review as part of the child health programme?

Answer 6

• Development
  
  • Social, behavioural, attention, emotional
  • Communication, speech and language
  • Gross and fine motor
  • Vision, hearing
• Physical measurements (height and weight)

Question 7

What is done to monitor children as part of the healthy child programme at the following:

• birth to 1 week
• 2 weeks
• 6 to 8 weeks
• 1 years
• 2 to 2.5 years
• 5 years

Answer 7

• Antenatal
• Birth to 1 week
  
  • Feeding, hearing, examination, vitamin K, immunisations, blood spot
• 2 weeks
  
  • Feeding, maternal mental health, jaundice, SIDS)
• 6-8 weeks
  
  • Examination, immunisation, measure, maternal mental health
• 1 year
  
  • Growth, health promotion, questions
• 2-2.5 year
  
  • Development, concerns, language
• 5 year
  
  • Immunisation, dental, support, hearing, vision, development

Question 8

What does health promotion involve advice about?

Answer 8

• Smoking
• Alcohol/drugs
• Nutrition
• Hazards and safety
• Dental health
• Support services
• Mental health

Question 9

How is immunisation scedule adjucted for premature births?

Answer 9

• Chronological age (do not correct premature)

Question 10

What happens to immunisations if child is unwell?

Answer 10

• Postponed if unwell (fever, systemic symptoms)

Question 11

Are immunocompromised children given live vaccines?

Answer 11

• No live vaccines (such as MMR) if child is immunocompromised (except HIV)

Question 12

Where is a childs vaccination history recorded?

Answer 12

Red book

Question 13

What are possible symptoms after vaccination?

Answer 13

• Common
  
  • Mild temp, discomfort, swelling
• Rare
  
  • Anaphylaxis

Question 14

At what ages are children given vaccines as part of the immunication scedule?

Answer 14

• 2 months
• 3 months
• 4 months
• 12 months
• 3 years adn 4 months
• 12-13 years
• 14 years

Question 15

What are children immunised against at:

• 2 months
• 3 months
• 4 months

Answer 15

• 2 months
  
  • Diptheria, tetanus
  • Pertussis, polio
  • Haemophus influenza type B
  • Hepatitis B
  • Pneumoccocal disease
  • Meningococcal group B
  • Rotavirus
• 3 months
  
  • Diphtheria, tetanus
  • Pertussis, polio
  • Haemophilus influenza type B
  • Hepatitis B
  • Rotavirus

Question 16

What are children vaccinated against at:

• 4 months
• 12 months

Answer 16

• 4 months
  
  • Dipheria, tetanus
  • Pertussis, polio
  • Haemophilus influenza type B
  • Hepatitis B
  • Meningococcal group B
  • Pneumoccocal disease
• 12 months
  
  • Haemophilus influenza type B
  • Meningococcal group C
  • Measles, mulps and rubella
  • Pneumococcal disease
  • Meningococcal group B

Question 17

What are children vaccinated against at:

• 3 years and 4 months
• 12 to 13 years

Answer 17

• 3 years and 4 months
  
  • Diptheria, tetanus
  • Pertussis, polio
  • Measles, mumps and rubella
• 12 to 13 years
  
  • Cervical cancer caused by HPV types 16 and 18 (and genital warts caused by types 6 and 11)

Question 18

What are children vaccinated against at 14 years?

Answer 18

• Tetanus, diptheria, polio
• Meningococcal groups A/C/W/Y

Question 19

What are some additional vaccinations for those with underlying health conditions?

Answer 19

• BCG (tuberculosis)
• Hepatitis B
• Influenza

Question 20

For BCG:

• indications
• timing

Answer 20

• Indications
  
  • Infants in areas of country with TB incidence >40:100,000
  • or if parents or grandparents born in high incidence country
• Timing
  
  • Usually identified at birth