Child Health Flashcards by Athena Abell

Gross motor skills at 6 weeks

head control in vertical

How well did you know this?

Not at all

Perfectly

fine motor skills at 6 weeks

follows torch with eyes

How well did you know this?

Not at all

Perfectly

language skills at 6 weeks

stills to voice

How well did you know this?

Not at all

Perfectly

social skills at 6 weeks

social smile

How well did you know this?

Not at all

Perfectly

gross motor skills at 3 months

no head lag on pulling to sit

How well did you know this?

Not at all

Perfectly

fine motor skills at 3 months

regards hands held in midline

How well did you know this?

Not at all

Perfectly

language skills at 3 months

vocalises with a familiar person

laughs and coos

How well did you know this?

Not at all

Perfectly

social skills at 3 months

reacts pleasurably to familiar situations

How well did you know this?

Not at all

Perfectly

gross motor skills at 6 months

pushes up on arms in prone
can roll from stomach to back
weight bears on legs

How well did you know this?

Not at all

Perfectly

fine motor skills at 6 months

transfers objects hand to hard
palmer grasp
mouths objects

How well did you know this?

Not at all

Perfectly

language skills at 6 months

babbles tunefully (mamama)
screams when annoyed

How well did you know this?

Not at all

Perfectly

social skills at 6 months

still friendly with strangers

plays with feet

How well did you know this?

Not at all

Perfectly

gross motor skills at 9 months

sits well and leans forward to reach toys
stands holding onto furniture
may crawl

How well did you know this?

Not at all

Perfectly

fine motor skills at 9 months

uses index finger to point

picks up tiny objects between thumb and hand

How well did you know this?

Not at all

Perfectly

language skills at 9 months

localises sound consistently
polysyllabic babble (ahgah)
imitates sounds

How well did you know this?

Not at all

Perfectly

social skills at 9 months

anxious around strangers
plays peek-a-boo
object permanence

How well did you know this?

Not at all

Perfectly

gross motor skills at 12 months

‘cruises’ around furniture

may take first step

How well did you know this?

Not at all

Perfectly

fine motor skills at 12 months

neat fine pincer grip
bangs toys together
casting (throwing) toys

How well did you know this?

Not at all

Perfectly

language skills at 12 months

knows and responds to name

jargons vowels and consonants

How well did you know this?

Not at all

Perfectly

social skills at 12 months

drinks from cup

waves bye-bye

How well did you know this?

Not at all

Perfectly

gross motor skills at 18 months

runs

climbs onto adult chair

How well did you know this?

Not at all

Perfectly

fine motor skills at 18 months

builds tower of 3-4 bricks
hand preference
enjoys picture books

How well did you know this?

Not at all

Perfectly

language skills at 18 months

5-20 words

points to body parts

How well did you know this?

Not at all

Perfectly

social skills at 18 months

feeds with spoon

imitates adult activities e.g. sweeping

How well did you know this?

Not at all

Perfectly

gross motor skills at 2 years

ascends and descends stairs 2 feet per tread | can throw ball overhand

fine motor skills at 2 years

builds tower of 6-7 bricks | circular scribble

language skills at 2 years

50+ words joins 2 words together talks to self understands simple instructions

social skills at 2 years

puts on hat and shoes | developing symbolic play e.g. feeding teddy

gross motor skills at 3 years

up stairs with alternating feet stands on one foot momentarily pedals trike

fine motor skills at 3 years

builds tower of 9-10 bricks copies circle cuts with scissors

language skills at 3 years

knows own name and gender asks lots of questions carries on simple conversations understands prepositions

social skills at 3 years

washes hands vivid pretend play understands sharing and plays with others

gross motor skills at 4 years

runs up and down stairs can kick, throw and catch ball hops on preferred foot

fine motor skills at 4 years

threads beads copies cross draws man with head legs and trunk

language skills at 4 years

recounts stories of recent experiences sentences of 5+ words counts to 20

social skills at 4 years

dresses and undresses (except laces) | understands concept of turn taking

examples of attenuated vaccines

``` measles mumps rubella varicella flu polio (oral vaccine) ```

examples of subunit vaccines

``` diphtheria tetanus pertussis pneumococcal typhoid ```

examples of conjugate vaccines

haemophilus influenza B (HiB) | meningitis C

When is DTaP (diphtheria, tetanus and pertussis), IPV (inactivated polio vaccine) , HiB and HepB vaccine given?

2 months boosters at: 3 months 4 months

when is Men B vaccine given?

2 months boosters at: 4 months 12-13 months

when is rotavirus vaccine given?

2 months booster at 3 months

what is PCV vaccine?

pneumococcal conjugate vaccine vaccinates against 13 types on pneumococcal bacteria

when is PCV vaccine given?

2 months boosters at: 4 months 12-3 months

when is Hib/men C vaccine given?

12-13 months | note Hib also given at 2 months

when is MMR vaccine given?

12-13 months booster at 3 years -5 years

When is DTaP and IPV vaccine given?

3y-5y note DTaP and IPV given at 2 months as part of another vaccine

when is flu vaccine given?

2-12 years

When is HPV vaccine given?

girls between 12 and 13 (two doses)

what vaccines are given to 13-14 year olds?

Td (booster of tetanus and diphtheria) IPV MenACWY

When else can MMR vaccine be given?

as an opportunistic booster for those over 12

What is the moro reflex?

if the baby thinks its falling it will spread out arms and adduct fingers

what is the asymmetric tonic neck reflex?

if the baby is placed on an uneven surface it will stop the baby rolling off i.e. if head tilts to one side one are and leg will go out

Management of severe croup

- NEB adrenaline - IV dexamethasone - oxygen - senior help/move to PICU

management of mild croup

- single dose oral dexamethasone | - send home +rest

main cause of croup

parainfluenza virus

main cause of bronchiolitis

respiratory syncitial virus

symptoms if UTI in childhood + things to consider

- vomiting/diarrhoea - poor feeding/failure to thrive - prolonged neonatal jaundice - should consider structural/urinary tract abnormalities - if suspect UTI in child of less than 3 months should refer to hospital immediately

what is the size of a boys testicle at the onset of puberty?

-4ml

where can you get vitamin E from?

- nuts - green leefy veg - vegetable oils

where can you get vitamin A from?

- cheese - eggs - orange/yellow/carniferous veg

where can you get vitamin D from?

- oily fish - red meat - liver

Genetic test used for most things

Array competitive genomic hybridisation

genetic test used for point mutations/small deletions

next generation sequencing