Disk one

Question 1

What immunizations are recommended at birth?

Answer 1

Hep B
(IF mom is Hep+...then also HBiG within 12 hours of birth, then test for antibodies after 3 doses of Hep B series.)

Question 2

What immunizations are recommended at 2 months?

Answer 2

Hep B (#2)
Rotovirus
IPV
HiB
PCV13
DTaP
(All should be monovalent)

Question 3

What immunizations are recommended at 4 months?

Answer 3

Rotovirus (#2)
IPV (#2)
HiB (#2)
PCV13 (#2)
DTaP (#2)

Question 4

What immunizations are recommended at 6 months?

Answer 4

Hep B (#3)
Rotovirus (#3)
IPV (#3)
HiB (#3)
PCV13 (#3)
DTaP (#3)
Influenza

Question 5

What immunizations are recommended at 12 months?

Answer 5

Hep A (#1)
MMR (#1)
Varicella (#1)
HiB (#4)
PCV13 (#4)
DTaP (#4)

Question 6

What immunizations are recommended at 11-12 years?

Answer 6

HPV
Meningiococcal
MMR
Varicella (#2) if not already given

Question 7

What is the earliest and most frequent the HPV vaccine can be given?

Answer 7

Series if 3.

Begin at 11 years, second dose one month later, third dose 6 months after the first dose.

Question 8

What four things should I remember about the Varicella vaccine?

Answer 8

Contraindicated in Pregnancy
Contraindicated if allergy to streptomycin
Prefer to separate from MMR by one month
2nd dose can be given three months after the first dose, and anytime before age 12.

Question 9

Can the MMR vaccine be given before 12 months old?

Answer 9

Yes, if travel to endemic area is anticipated OR exposure to measles has occurred. however, the 12 month dose should still be given on time.

Question 10

Developmental milestones for a 2-5 month old:

Answer 10

Smiles and coos
Watches a person's face intently
Follow people or objects with eyes
laughs aloud
lifts head/chest when prone
lifts head steady when pulled to sit
grasps objects in hands
startles to sudden sound

Question 11

Developmental milestones for a 6-9 month old:

Answer 11

Babbles and uses sounds
turns toward sound
responds to name
rolls over
sits independently 
transfers objects between hands
raking grasp
crawls
supports weight on feet

Question 12

Developmental milestones for a 10-12 month old:

Answer 12

Purposefully says "mama" or "dada"
Sits independently while playing
pulls to standing/furniture surfing
reaches and points toward objects
increased curiosity
recognizes people
uses both hands equally well
feed self with fingers (pincer grasp)

Question 13

Developmental milestones for 13-18 month old:

Answer 13

Scribbles circles
begins using spoon
4-10 word vocabulary
follows simple directions
points to two pictures upon request
throws ball overhead

Question 14

Developmental milestones for a 19-24 month old:

Answer 14

Walks up and down stairs
Jumps with both feet
Simple puzzles
stacks 6-7 blocks
2 word sentences
30-50 word vocabulary

Question 15

What are the typical caloric requirements?

Answer 15

2-6 months : 110-120 kcal/kg/day
6-24 months: 100 kcal/kg/day
2 yrs - 10 yrs: 70-100 kcal/kg/day
Adolescents : 45 kcal/kg/day
Adults: 30 kcal/kg/day

Question 16

At what point should fluoride supplementation begin?

Answer 16

At age 6 months -IF- the primary drinking supply water has less than 0.6ppm. (consider well water too)

Question 17

Exclusive breastfeeding should be encouraged for how long?

Answer 17

For the first 6 months.

Question 18

Adequate nutrition is confirmed by?

Answer 18

Weight gain

Question 19

If mom is a strict vegan and is exclusively breastfeeding, what should be encouraged?

Answer 19

Vitamin B12 supplementation

Question 20

A child who is exclusively breastfed after 6 months of age should also be supplemented with what?

Answer 20

Iron

1mg/kg/day

Question 21

Generally speaking, which are the first teeth to erupt and when does it occur?

Answer 21

The central maxillary incisors erupt around 6 months of age.

Question 22

The Rotovirus vaccine is associated with what complication

Answer 22

Intraceseption.

Question 23

What children should receive the pneumovax (23PS) vaccine, and at what age?

Answer 23

At age 24 months.

Any child who is immunocomprimised or Native/Alaskan/African American OR attending daycare

Question 24

What does PCV13 stand for?

Answer 24

Pneumococcal conjugate vaccine protects against 13 types of pneumococcal bacteria. PCV13 is routinely given to children at 2, 4, 6, and 12–15 months of age.