Developmental milestones/HTN/lipidemia/DM

Question 1

newborn developmental milestones

Answer 1

moves exrtemities, spontaneous stepping, reacts to sound by blinking, turning

responds to cries of other neonates; developed sense of smell; cries when uncomfortable; prefers high pitched voices;

primitive reflexes: tonic neck, palmar grasp, babinski response, rooting awake and sleep; sucking.

calmed by feeding and cuddling

Question 2

1-2 mo developmental milestone

Answer 2

lifts head, holds head erect, regards face, follows objects, moro and palmar grasp reflexes fading

social smile, recognizes parents

Question 3

3-4 mo developmental milestone

Answer 3

grasps cube
reaches for objects
brings objects to mouth
raspberry sound

laughs, squeels, vocalizes in response
recognizes food by sight, rolls back to side
imitates others, repeats interesting actions

Question 4

5 mo developmental milestone

Answer 4

back straight when pulled to sit
bears weight on legs when standing
plays with feet
sits with support

imitates others, repeats interesting actions + above

Question 5

6 -8 mo developmental milestone

Answer 5

sits without support, scoops small object with rake grip (some thumb use)
hand to hand transfer
imiates bye bye
stranger and sepration anxiety begins
pulls feet into mouth

coughs, snorts to attract attention, closes lips in response to dislike of food, rolles back to stomach and stomach to back, recognizes no. chains together syllables but no meaning (dada, papa, mama)

Question 6

9-11 mo milestones

Answer 6

crawls, pulling self foward by hands then creeps with abdomen off floor
stands initially by holding furnitures
later stands solo
imitates peek a boo and pat a cake
picks up small object with thumb and index

cruises
follows simple command and assigns meanings to words

Question 7

12-15 mo milestone

Answer 7

walks with help and progresses to walking solo

neat pincer grasp
places cube in cup
hands over objects on request
builds tower of two bricks

says one - two words
indicates wants by pointing
scribbles spontaneously
imitates animal sounds

Question 8

15-20 mo milestone

Answer 8

points to several body parts, throws ball overhand, seats self in chair, climbs.

uses a spoon with little spilling
walks up and down steps with help understands two step commands
feed self
carries and higs doll
imitates housework
speech : 4-6 words by 15 mo, increaes >- 10 by 18 months
scribbles vigorously
builds tower 3 cubes tall

Question 9

24 months milestone

Answer 9

speaks in sentences of >- 2 words, kicks ball on request, jumps with both feet, uses pronouns, is developing handedness

runs, copoes vertical and horizontal lines, has up to 300 word vocab, washes and dries hands, engages in parallel plat , pits on simple clothing

Question 10

30 mo milestone

Answer 10

walks backward, hops on one foot, copies circles

gives first and last name, uses plurals
usually separates easily from parents

Question 11

36 months milestone

Answer 11

holds crayon with fingers, nearly all speech intelligible to people, three word sentence

walks down stairs alternating steps, rides tricycle, copies circles, dresses with supervision

Question 12

3-4 years milestone

Answer 12

responds to command to place object in on or under table
knows gender, draws circle when shown

takes off jacket and shoes, washes and dries face, engages in cooperative play
speech includes plurals, personal pronouns, verbs, skips, asks many questions

Question 13

4-5 years milestone

Answer 13

runs and turns while maintaining balance, stands on one foot for at least 10 seconds, counts to four, draws a person without torso, copies by imitation, verbalizes activities to do when cold, hungry, tired

buttons clothes, dresses self, can play without adult inputs for about 30 min

Question 14

5-6 year milestone

Answer 14

catches ball, knows age, knows right from left hand, draws person with six to eight parts, including tpsro, indetifies tbest friends, likes teacher

able to complete simple chores, understand concept of 1- items, likely counts hight by rote, sense of gender.

Question 15

6-7 year mileston

Answer 15

copies traingle shape
craws person wih 12 parts
prints name, reads multiple sinlge syllable words

ties showlaces, counts to > - 30 ,able to odiff morning form later in day, generally plays well with peers. no sign behavioral problems in school

can name intended career

Question 16

7-8 yr milestone

Answer 16

copies diamond shape, reads simple sentences, draws person with at least 16 parts

ties shoelaces
knows day of week

Question 17

8- 9 year milestone

Answer 17

able to give response to question such as what to do if object is accidentally broken

able to do simple math.
understands concept of working as a atem

Question 18

9-10 yr milestone

Answer 18

knows month, day, year, gives months in sequence

able to multiple and complex subtraction. increased reading fluency

Question 19

10-12 year mileston

Answer 19

begin puberty, able to perform simple division, complex reading skills

Question 20

When does screening for cholesterol in children with 1+ RF start?

Answer 20

age 2 , no earlier.

Question 21

what is acceptable TL in children and teens?

Question 22

Prediabetes in children defined as what range of IFG and IGT?

Answer 22

same as adults!!

IFG: > = 100 mg/dL, = 140-199

A1c 5.7-6.5
random BG > = 200, A1c > = 6.5

Question 23

How often should you screen children at age 10 or onset of puberty who are at risk for DM 2

Answer 23

every other year.

Question 24

what age does screening for diabetes start for children regardless of risk?

Answer 24

10 years, Q2 years

Question 25

when should children be screened for family hx CVD?

Answer 25

3 years

Question 26

How often should child be screened for lipidemia and within range?

Answer 26

Q 3-5 years

Question 27

Juice recommendations?

Answer 27

start no earlier than 6 mo, 100% juice, not replace milk, 6 oz per day limit til 5 years. flavor water instead.

Question 28

What age is BMI measured?

Answer 28

age 2, can adjust diet starting 12mo

Question 29

milk limitations?

Answer 29

whole milk until 2 years. after 12 months should only have 24 oz a day.

Question 30

What age screen for BP?

Answer 30

age 3 , at 12 months only if complications or at risk diagnosis.

Question 31

what BMI defines obeisty?

Answer 31

> = 95%

Question 32

what defines overweight?

Answer 32

BMI > 85%

Question 33

what defines HTN?

Answer 33

> = 95%

Question 34

When should pharmacological interventions for LDL be considered?

Answer 34

1. tried lifestyle and diet changes with no progress

2. 8+ and LDL >= 190, ( >= 160 with HD FMH) or >= 130 if DM present).

Question 35

if pharmacological intervention is received by child what is LDL goal