CLIPP 3&4 Flashcards
when does vision and hearing testing begin
vision- age 3
hearing- age 4
max juice a day for a child
4-6 ounces of juice per day.
intoeing in toddlers vs preschool
Intoeing in toddlers is usually caused by tibial torsion. In tibial torsion, when the patella faces straight ahead, the foot turns inward. Tibial torsion resolves naturally with weight bearing - usually by 4 years of age.
Intoeing in preschool- and school-aged children is usually caused by femoral anteversion. In femoral anteversion both the feet and knees turn inward. Femoral anteversion usually resolves spontaneously by 8-12 years of age.
Fingerstick hemoglobin (A) is recommended as a screening test for anemia at how many months months for all children and at any age if risk factors for iron deficiency are present.
12 mo then again at kindergarten/preschool
reasons for school failure
A. Sensory impairment (e.g., hearing, vision) B. Sleep disorders C. Mood disorders (e.g., depression) D. Learning disability E. Conduct disorders
red flags for learning disability
History of maternal illness or substance abuse during pregnancy
Complications at the time of delivery
History of meningitis or other serious illness
History of serious head trauma
Parental history of learning disabilities or difficulty at school
adverse effects of ADHD meds
insomnia
appetite suppression
decrease in growth velocity
unmask tics
consequences of excessive TV
Increased violent and aggressive behavior Poor body image Substance use Early sexual activity Obesity
Prenatal/neonatal risk factors for obesity include
high birth weight and maternal diabetes.
onset and frequency of diabetes screening for at-risk kids
age 10 our puberty (earlier one)
every 3 years
what risk factors to make a kid diabetic
FHx of Type 2 DM in first- or second-degree relative
Race/ethnicity (non-white)
Signs: acanthosis nigricans, polycystic ovary syndrome, hypertension, dyslipidemia
Maternal history of diabetes or gestational diabetes
how can position of arm affect BP reading?
Holding the arm down at the side may elevate the systolic BP as much as 20mmHg to 30 mmHg in an adolescent.
whats correct BP cuff size
A BP cuff should cover 2/3 of the upper arm.
The internal bladder should encircle 80% to 100% of the arm circumference.
what happens if a BP cuff is too small
falsely elevates
percentiles in pre, stage 1 and 2 HTN
< 90th: Normal
90th-95th: Prehypertension
95th-99th plus 5 mm Hg: Stage 1 hypertension
> 99th plus 5 mm Hg: Stage 2 hypertension
