Case 2 - Infant WCC Flashcards
AAP mandates dev screening at?
9, 18 and 30 months
AAP recommends autism screening at?
18 mos and 24 mos
Skeleton of a WCC
1) Interval/birth hx, 2) Development Screen, 3) Growth chart, 4) Diet Hx, 5) Social hx/HEADSS, 6) PE, 7) Anticipatory Guidance, 8) Immunizations
Components of a birth history?
1) Antenatal complications? 2) HIV/RPR/HepB/GBS? 3) Deliv date/term? 4) Deliv route? 5)Deliv wt? 6) Hearing test?
No cows milk until what age? Why?
12 months of age; Infants do not tolerate the protein mixture of unaltered cow’s milk and may develop colitis,
causing microscopic bleeding and gradually worsening anemia.
How do you mix powdered formula?
2 scoops of the powder are mixed with 4 ounces water
Calorie reqs for term 1-2 mo infants? Premie? VLBW?
TERM: 100 to 120 cal/kg/day PREMIE: 115 to 130 cal/kg/day VLBW: up to 150 cal/kg/day
What’s the average daily weight gain for a term infant?
The average daily weight gain for a term infant is 20 to 30 grams.
Primitive reflexes and age by which they should extinguish?
Palmar grasp (2-3m/o), ATNR (6m/o), Plantar grasp (8m/o), Babs (1-2 y/o),
ATNR?
Asymmetric Tonic Neck Reflex (a.k.a. fencing reflex): turn baby’s head to one side and ipsi extremities extend while contra flex
AAP rec for Vit D supplementation?
breastfed babies should get 400 IU/day via drops
Car seat for < 2 y/o?
Under 2 years of age (and not over the manufacturer’s weight or height requirement for seat): Rear-facing car safety seat, restrained in the rear seat.
Car seat for 2 - 4 y/o’s?
Between 2 years and 4 years of age: Forward-facing car safety seat, restrained in the rear seat.
Car seat for 4 to 8 y/o’s?
Between 4 years and 8 years of age: Belt-positioning booster seat, restrained in the rear seat.
Car seat for 8 to 13 y/o’s?
Over 8 years of age: Lap-and-shoulder seat belts for all who have outgrown booster seats, restrained in the rear seat.
Car seat for >13+ years old?
13 years of age and older: Lap-and-shoulder seat belt, rear or front seat.
What’s Prevnar?
PCV 13
What’s Pentacel?
DTaP-IPV-Hib combined
What’s in Pediarix IM?
DTaP, HepB, and IPV