Bright Futures Screening

Question 1

Universal Anemia Screening

Answer 1

All infants at 12 months should be screened for anemia by determining hemoglobin concentration

Question 2

Selective Anemia Screening

Answer 2

Infants should be screened for anemia if

@ 4 months: - prematurity, low birth weight, use of low-iron formula or infant not receiving iron-fortified formula, early introduction of cows milk

@ 15,18 months, 2,2.5y, 3,4,5 year: at risk of iron deficiency because of special health needs, low iron diet (eg. nonmeat diet), environmental factors (poverty, limited access to food)

@6,10years: children who consume a strict vegetarian diet and are not receiveing an iron supplement, enviormental factors

@11-21years: starting in adolescence, screen all non-pregnant females for anemia every 5-10 years throughout their childbear years during routine health examinations, annually screen for anemia in females having risk factors for iron deficiency (ex. extensive menstrual or other blood loss, low iron intake, or a previous diagnosis of iron deficiency anemia), enviromental factors

Question 3

Universal Autism Screening

Answer 3

Administer ASD specific screening tool at the 18 month and 2 year health visit in addition to general developmental screen

Question 4

Universal Blood Pressure Screening

Answer 4

Blood pressure screening should be included in vital signs for all visits beginning at the 3 year visit.

Screening for high blood pressure begins at 18 years of age

Question 5

Selective Blood Pressure Screening

Answer 5

p 281

Question 6

Universal Cervical Dysplasia Screening

Answer 6

Screening for cervical dysplasia utilizing cytology screening starts at age 21 years

Question 7

Universal Depression Screening

Answer 7

Screening for Major Depressive Disorder should start at 12 years of age and continue every year

12 years - 21 years

Question 8

Universal Maternal Depression Screening

Answer 8

Maternal Depression Screening should occur at 1, 2, 4, and 6 month visits

Question 9

Universal Development Screening including Neuromotor screening

Answer 9

Gross Motor Development Screening should occur at 9, 18, and 2.5 year visits

Question 10

Universal Dyslipidemia Screening

Answer 10

Universal prepubertal cholestorl screening. A fasting lipoportine profile (total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and trigelyceride) should be obtained before pubertal onset and in late adolescence

Once between 9 -11 years and Once between 17 -21years

Question 11

Selective Dyslipidemia Screening

Answer 11

p. 285