Anticipatory Guidance

Question 1

leading cause of death in people ages 1-19

Answer 1

inury

Question 2

leading causes of injury death

Answer 2

1. MVA
2. drowning, burns, poisonings

Question 3

3 factors associated w. higher rates of unintentional injury

Answer 3

male
low income
family stressors

Question 4

car seat guidelines

Answer 4

all kids < 4 yo

Question 5

sleep safety for infants (3)

Answer 5

no blankets
no stuffed animals
sleep supine

Question 6

car seat should be rear facing until

Answer 6

birth - 2 yo
OR
exceeds wt/ht restrictions for seat

Question 7

when can a kid start sitting in front seat

Answer 7

13 yo

Question 8

what is the WI law

Answer 8

children must be in car seat until 4 yo
and in booster seat until 8 yo

Question 9

kids should sleep supine until

Answer 9

strong enough to roll from back to front and front to back by himself

Question 10

kids should sleep supine until

Answer 10

strong enough to roll from back to front and front to back by himself

Question 11

8 rf for SIDS

Answer 11

prone sleeping
maternal smoking
overheating
late or no prenatal care
young maternal age
preterm
male
sleeping on soft surface

Question 12

SIDS is mc in what 2 nationalities

Answer 12

AA
Am Indian

Question 13

guidelines for intro of solids

Answer 13

4 mo: solids
6 mo: water, baby food

Question 14

guideline for intro of cow’s milk

Answer 14

12 mo

Question 15

what does ALTE stand for

Answer 15

apparent life-threatening event

Question 16

presentation of ALTE (4)

Answer 16

apnea
color chage
change in muscle tone
choking/gagging

Question 17

when does ALTE mc occur

Answer 17

8am-6pm

Question 18

at what age can you start giving a child honey

Answer 18

1 yo

Question 19

what is plagiocephaly

Answer 19

d.o in which the back of one side of an infant’s head is flattened, often w. little hair growing in that area

Question 20

common cause of plagiocephaly

Answer 20

positioning

Question 21

how to prevent positional plagiocephaly

Answer 21

-daily tummy time
-alternate positions in crib/car seat

Question 22

5 categories of problem behaviors

Answer 22

-daily routine
-aggressive resistance
-overdependent or withdrawal
-hyperactivity or excessive restlessness
-undesireable habits

Question 23

6 reactive discipline techniques

Answer 23

redirection
spanking
scolding/reasoning
ignoring
time-out
removal of privileges

Question 24

mc age range for temper tantrums

Answer 24

2-3

Question 25

toddlers become angry/frustrated due to (3)

Answer 25

lack of control inability to communicate limittations of congnitive/motor abilities

Question 26

7 red flags w. temper tantrums

Answer 26

-persist/worsen > 5 yo -more than 5/day -persistent negative mood between tantrums -destruction of property -self harm or harm to others -recurrent at school -other behavior problems

Question 27

benign, recurring condition of childhood in which anger/pain produce crying that culminates in noiseless expiration and apnea

Answer 27

breath-holding spells

Question 28

t/f: there is a genetic connection to breath holding spells

Answer 28

t!

Question 29

presentation of breath-holding spells (5)

Answer 29

-cry/scream -> noiseless expiration -> cyanosis -> LOC -followed by rhythmic jerking of extremities -total of one minute -no post drowsiness -severeal per week

Question 30

consider work up for _ w. breath-holding spells

Answer 30

IDA

Question 31

infants should sleep 5 uninterrupted hr by _ yo

Answer 31

3-4 mo

Question 32

when should infants be able to fall asleep on their own

Answer 32

4-6 mo

Question 33

what age do infants no longer need to eat during the night

Answer 33

3 mo

Question 34

sleep goal for: 4-12 mo old 1-2 yo 3-5 yo 6-12 yo

Answer 34

4-12 mo: 12-16 hr/day 1-2 yo: 11-14 hr/day 3-5 yo: 10-13 hr/day 6-12 yo: 9-12 hr/day 13-18 yo: 8-10 hr/day

Question 35

characteristics of nightmares (4)

Answer 35

-last 1/3 of night -scared but consolable -can recall dream -afraid to go back to sleep

Question 36

characteristics of night terrors (5)

Answer 36

-first 4 hr of night -sits up in bed screaming for 15 min -tachycardia -tachypnea -sweating

Question 37

3 categories of crying

Answer 37

-normal -excessive dt stress/disease -excessive w.o apparant cause

Question 38

unexplained crying/fussiness in infants that usually occurs in the late afternoon/evening

Answer 38

colic

Question 39

5 s's of colic management

Answer 39

swaddling side/stomach position shushing swinging sucking

Question 40

injury prevention that the Smarty PANCE blueprint stresses

Answer 40

**birth and/or 3-5 days:** car safety seats **2 weeks-1 mo:** tummy time when awake 5-10 min, 2-3 x/day **2 yo:** forward-facing car seat **4 yo:** bike helmet **7-10 yo:** lap/shoulder safety belt in back seat **13 yo:** child can start sitting in front seat

Question 41

violence prevention that the Smarty PANCE blueprint wants us to know

Answer 41

5 yo: clearly defined family rules and consequences

Question 42

nutritional counseling the Smarty PANCE blueprint wants us to know

Answer 42

**birth and/or 3-5 days old:** exclusive bf'ing q 2-3 hr vs formula q 3-4 hr **2 weeks:** should be back to birthweight at 2 weeks **4 mo:** intro of solids **6 mo:** start water and baby food **12 mo:** intro of cow's milk