CLIPP 2 Flashcards

1
Q

What developmental screening tests may be used to assess development?

A

Parent’s evaluation of developmental status, ages and stages, Denver II developmental screening test

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2
Q

AAP mandates developmental screening at what months?

A

9, 18, 30

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3
Q

Specific autism screening is recommended at what ages?

A

18 mo and 2 yrs

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4
Q

What types of formula milk are available

A

cows milk protein, soy protein, hydrolyzed cows milk protein

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5
Q

How is powder prepared

A

2 scoops with 4 ounces of water

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6
Q

How is formula prepared

A

1 pt concentrate to 1 pt milk

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7
Q

When should babies be transitioned to cows milk?

A

Not before 12 mo

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8
Q

What happens if a baby is given cows milk

A

colitis because they can’t tolerate the protein–> microscopic bleeding and gradually worsening anemia

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9
Q

What are the caloric requirements of a 1-2 month old?

A

100-120 cal/kg/day. Daily weight gain avg is 20-30 grams. Preterm infants require 115-130 cal/kg/day
VLBW required up to 150 cal/kg/day

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10
Q

When does the primitive reflex palmar grasp disappear?

A

Persists until 2 to 3 months and consists of the infant grasping any object placed in the palm. This reflex must disappear before the infant can begin voluntary grasping of objects.

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11
Q

What is plantar grasp and how long does it persist?

A

The immediate flexion of the toes on palpation of the ball of the foot.
This reflex persists until around 8 months and must disappear before the child begins to take steps

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12
Q

What is fencing reflex and how long does it last?

A

Elicited by turning the infant’s head to one side passively.
The ipsilateral arm extends while the contralateral arm flexes at the elbow.
This allows the infant to see the hand along the arm and is one of the first steps in visual/reaching coordination.
This reflex disappears by 6 months.

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13
Q

How long does the Babinski response persist?

A

1-2 years

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14
Q

Developmental milestones at 2 mo

A

Lift head up (head up to 45), follow to midline (follow past midline), laugh (vocalize), smile,

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15
Q

Developmental milestones at 4 months

A

sit with head steady (roll over), grasp rattle (follow to 180), turn to rattling sound, regard own hand

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16
Q

Developmental milestone at 6 months

A

roll over (sit no support), reach (look for dropped yarn), work for toy (feed self), turn to rattling sound

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17
Q

Developmental milestones at 9 mo

A

stand holding on (pull to stand), pass cube (take 2 cubes, single syllables (mama-dada), feed self (wave bye-bye)

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18
Q

When will some infants start rice cereal with spoon?

A

4 mo

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19
Q

What is the AAP recommended daily allowance for vitamin D is what?

A

400 U/day

20
Q

When do most babies sleep through the night?How should they sleep?

A

4-6 months, on back

21
Q

Which vaccines are given for the 1st time at 2 mo?

A

DTaP, Hib, IPV, PCV 13, RotaV, HepB

22
Q

Which vaccines arent given until 12 mo?

A

MMR and HepA

23
Q

When should an infant double and triple their birth weight?

A

double by 5 mo, triple by 12 mo

24
Q

Absence of red reflex may indicate what underlying abnormalities?

A

cataracts, glaucoma, retinoblastoma, chorioretinitis

25
Q

At 6 mos, new foods may be added every __ days

A

5-7

26
Q

At 6 mo, what is the expected sleep pattern?

A

2 naps per day, sleep at night

27
Q

Should parents give tylenol at time of immunizations?

A

No, can lower antibody response

28
Q

When an infant is drinking less than ___, you suggest an OTC multivitamin

A

32 ounces/day

29
Q

Dietary guidelines for 9 mo old

A

100kcal/kg/day, can start meats,

30
Q

How may hydronephrosis present?

A

mass 2/2 palpable kidney, UTI

31
Q

What is the most common neoplasm in infancts?

A

Neuroblastoma, over half are diagnosed before 2

32
Q

How may neuroblastoma present?

A

painless mass in neck chest or abdomen

33
Q

Is teratoma common in infants

A

rare

34
Q

How would teratoma present?

A

painless abdominal mass with symptoms 2/2 pressure effecst

35
Q

How does Wilms tumor present

A

smooth masses that rarely cross midline, 1/2 have abdominal complaints, 3 yo on avg

36
Q

What test is highly specific for neuroblastoma?

A

catecholamine metabolites (VMA, HVA) urine or serum

37
Q

What bone marrow finding is suggestive of neuroblastoma?

A

small cell rosettes

38
Q

What is the prognosis for neuroblastoma?

A

favorable in infants <1, may spontaneously regress

39
Q

Describe the genetics of neuroblastoma

A

1% are familial (these are AD) most are non-familial

40
Q

What should an infant be able to do at 18 mo?

A

walk backward, run, scribble, build a tower with 2 cubes, 3-6 word vocabulary, help in the house, remove garments

41
Q

What should an infant be able to do at 15 mo?

A

stoop and recover and walk well, put a block in a cup, have a vocabulary of a few words, wave bye-bye, and drink from a cup

42
Q

What should a toddler be able to do at 36 mo?

A

balance on each foot for 1 second, wiggle their thumbs, name 4 pictures, name 1 color, name a friend, and brush their teeth with help.

43
Q

What should a toddler be able to do at 30 mo?

A

jump up and throw a ball overhand. They can build a tower of 6–8 cubes, point to 6 body parts, name 1 picture, put on clothing, and wash and dry their hands.

44
Q

What should a toddler be able to do at 1 yr?

A

pulling to stand, standing alone, and perhaps first steps. Fine motor skills including putting a block in a cup and banging 2 cubes held in hands. At this age a child should be able to imitate vocalizations/sounds and babble. The majority of children this age will know 1 or 2 words in addition to “mama” and “dada.” Social-emotional milestones at age one year are waving bye-bye and playing pat-a-cake

45
Q

T or F Non-amplification of the n-myc gene is a favorable prognostic factor in neuroblastoma?

A

T