Anticipatory Guidance (Alice) Flashcards
leading cause of death in people ages 1-19
inury
leading causes of injury death
- MVA
- drowning, burns, poisonings
3 factors associated w. higher rates of unintentional injury
male
low income
family stressors
car seat guidelines
all kids < 4 yo
sleep safety for infants (3)
no blankets
no stuffed animals
sleep supine
car seat should be rear facing until
birth - 2 yo
OR
exceeds wt/ht restrictions for seat
when can a kid start sitting in front seat
13 yo
what is the WI law
children must be in car seat until 4 yo
and in booster seat until 8 yo
kids should sleep supine until
strong enough to roll from back to front and front to back by himself
kids should sleep supine until
strong enough to roll from back to front and front to back by himself
8 rf for SIDS
prone sleeping
maternal smoking
overheating
late or no prenatal care
young maternal age
preterm
male
sleeping on soft surface
SIDS is mc in what 2 nationalities
AA
Am Indian
guidelines for intro of solids
4 mo: solids
6 mo: water, baby food
guideline for intro of cow’s milk
12 mo
what does ALTE stand for
apparent life-threatening event
presentation of ALTE (4)
apnea
color chage
change in muscle tone
choking/gagging
when does ALTE mc occur
8am-6pm
at what age can you start giving a child honey
1 yo
what is plagiocephaly
d.o in which the back of one side of an infant’s head is flattened, often w. little hair growing in that area
common cause of plagiocephaly
positioning
how to prevent positional plagiocephaly
-daily tummy time
-alternate positions in crib/car seat
5 categories of problem behaviors
-daily routine
-aggressive resistance
-overdependent or withdrawal
-hyperactivity or excessive restlessness
-undesireable habits
6 reactive discipline techniques
redirection
spanking
scolding/reasoning
ignoring
time-out
removal of privileges
mc age range for temper tantrums
2-3
toddlers become angry/frustrated due to (3)
lack of control
inability to communicate
limittations of congnitive/motor abilities
7 red flags w. temper tantrums
-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
benign, recurring condition of childhood in which anger/pain produce crying that culminates in noiseless expiration and apnea
breath-holding spells
t/f: there is a genetic connection to breath holding spells
t!
presentation of breath-holding spells (5)
-cry/scream -> noiseless expiration -> cyanosis -> LOC
-followed by rhythmic jerking of extremities
-total of one minute
-no post drowsiness
-severeal per week
consider work up for _ w. breath-holding spells
IDA
infants should sleep 5 uninterrupted hr by _ yo
3-4 mo
when should infants be able to fall asleep on their own
4-6 mo
what age do infants no longer need to eat during the night
3 mo
sleep goal for:
4-12 mo old
1-2 yo
3-5 yo
6-12 yo
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
characteristics of nightmares (4)
-last 1/3 of night
-scared but consolable
-can recall dream
-afraid to go back to sleep
characteristics of night terrors (5)
-first 4 hr of night
-sits up in bed screaming for 15 min
-tachycardia
-tachypnea
-sweating
3 categories of crying
-normal
-excessive dt stress/disease
-excessive w.o apparant cause
unexplained crying/fussiness in infants that usually occurs in the late afternoon/evening
colic
5 s’s of colic management
swaddling
side/stomach position
shushing
swinging
sucking
injury prevention that the Smarty PANCE blueprint stresses
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
violence prevention that the Smarty PANCE blueprint wants us to know
5 yo: clearly defined family rules and consequences
nutritional counseling the Smarty PANCE blueprint wants us to know
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
