Development, screening, immunization Flashcards
types of development
- physical
- psychomotor
- cognitive
Regular medical check ups on which days
- 0-3 day: neonatology dep
- <10 days : 1st visit at home
0-3 day: neonatology dep medical check up
- Apgar scores
- major/minor deformities
- “PKU” testing: Guthrie, 26 metabolic disease)
- audiology screening: BERA test
- ophtalmology screening: red reflex test
- physical hip check: Barlow&Ortolani test
- cardiology screening: 4 limb pulse oximetry
<10 days: 1st visit at home
feeding?
increasing weight?
jaundice?
stool? wet nappies?
umbilical cord?
heart murmur?
femoral pulse? etc.
When are regular medical check ups scheduled
(which months)
1., 2., 3, 4, 6, 9, 12, 15, 18 month
* > 2 year annually
if patient is above 2 years how often is medical checkup?
annually
Examinations during regular medical check ups
complete physical examination
* weight, length/height, head and chest circumf.
* number of teeth, size of fontanell
* blood pressure, heart rate
* vision, hearing
Physical development
* weight gain per week and per month
weight gain:
cc. 150 g/week
cc. 600 g/month
physical development
birth weight at 6 month and at 12 month
6 month: 2x birth weight
* 12 month: 3x birth weight
psychomotor development stages during first 2 years (part 1)
- head erect, steady (6w)
- elevates self by arms (2m)
- rolls from side to back (2m)
- grasps cube (3m, 3w)
psychomotor development stages during first 2 years (part 2)
- rolls from back to side (4.5m)
- sits alone(7m)
- crawls(7m)
- pulls to stand (8m)
psychomotor development stages during first 2 years (part 3)
- plays pat a cake (9m)
- stands alone(11m)
- walks alone
- builds tower of cubes (13m)
psychomotor development stages during first 2 years (part 4)
- scribbles (14m)
- walks up stairs with help
- jumps in place
- walk on tiptoe (25m)
cognitive development stages
screening includes
- tests after birth
- ultrasound ~ 4-6 weeks: brain, abdomen, hip
- orthopedic manual examination: hip, feet
prevention for preterm babies
iron and folic acid
Prevention
breast feeding vs. formula feeding (important cytokine, antibody which gives better immunity, less autoimmune… etc)
* vitamin D
* vitamin K (prevent cogulopathy), given after delivery
* preterm babies: iron and folic acid
first mandatory vaccine
what is it
when is it given
0-4 weeks: BCG (tuberculosis)
what mandatory vaccines given at 2 months of age
month 2:
Pentaxim (DTPa+IPV+Hib) + Prevenar 13 (pneumococcus)
what mandatory vaccines given at 3 months of age
Pentaxim (DTPa+IPV+Hib)
what mandatory vaccines given at 4 months of age
Pentaxim (DTPa+IPV+Hib) + Prevenar 13 (pneumococcus)
what mandatory vaccines given at 12 months of age
Prevenar 13 (pneumococcus)
what mandatory vaccines given at 13 months of age
Varivax (varicella)
what mandatory vaccines given at 15 months of age
MMR (measles, mumps, rubella)
