Child and adolescent health

Question 1

In general, low SES and ATSI status is associated with an increased childhood morbidity and mortality. What are some examples?

Answer 1

Higher rates of death from neonatal hypoxia, SIDS
Higher rates of prematurity and issues from this
Higher rates of FAS
Higher rates accidental and non-accidental injury
Higher risk of child abuse
More likely to require hospitalisation from asthma
Children more likely to be obese

Question 2

What should be done covered in the neonatal assessment soon after birth?

Answer 2

Immunisation 
Vitamin K 
Metabolic screen (heel-prick test)
Hearing screen 
Physical examination 

Parent check - strengths / weaknesses / concerns / competence / mental health

Injury prevention advice - motor vehicle restraints, SIDS prevention, passive smoking

Question 3

What advice can be given to parents to prevent SIDS?

Answer 3

Sleep baby on their back
Keep head and face uncovered
Avoid smoke exposure (before and after birth)
Safe sleeping environment night and day
Sleep baby in a safe cot in parents’ room
Breastfeed baby

Question 4

What immunisations are given at / soon after birth?

Answer 4

Hep B - all

BCG - ATSI

Question 5

Who gets vitamin K after birth and why?

Answer 5

Recommended for all babies

Prevents vitamin K deficiency bleeding.

Question 6

What is tested for in the new born metabolic (heel-prick) screen?

Answer 6

CF
congenital hypothyroidism
amino-acid disorders (e.g. PKU)
fatty-oxidation disorders

Question 7

What is the HEADSSS assessment?

Answer 7

Psycho-social screening tool with focus on history taking around the following areas

Home life 
Education/employment
Eating and exercise
Activities
Drugs
Sexuality
Suicide
Safety