Disk one Flashcards
What immunizations are recommended at birth?
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.)
What immunizations are recommended at 2 months?
Hep B (#2) Rotovirus IPV HiB PCV13 DTaP (All should be monovalent)
What immunizations are recommended at 4 months?
Rotovirus (#2) IPV (#2) HiB (#2) PCV13 (#2) DTaP (#2)
What immunizations are recommended at 6 months?
Hep B (#3) Rotovirus (#3) IPV (#3) HiB (#3) PCV13 (#3) DTaP (#3) Influenza
What immunizations are recommended at 12 months?
Hep A (#1) MMR (#1) Varicella (#1) HiB (#4) PCV13 (#4) DTaP (#4)
What immunizations are recommended at 11-12 years?
HPV
Meningiococcal
MMR
Varicella (#2) if not already given
What is the earliest and most frequent the HPV vaccine can be given?
Series if 3.
Begin at 11 years, second dose one month later, third dose 6 months after the first dose.
What four things should I remember about the Varicella vaccine?
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.
Can the MMR vaccine be given before 12 months old?
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.
Developmental milestones for a 2-5 month old:
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
Developmental milestones for a 6-9 month old:
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
Developmental milestones for a 10-12 month old:
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)
Developmental milestones for 13-18 month old:
Scribbles circles begins using spoon 4-10 word vocabulary follows simple directions points to two pictures upon request throws ball overhead
Developmental milestones for a 19-24 month old:
Walks up and down stairs Jumps with both feet Simple puzzles stacks 6-7 blocks 2 word sentences 30-50 word vocabulary
What are the typical caloric requirements?
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
At what point should fluoride supplementation begin?
At age 6 months -IF- the primary drinking supply water has less than 0.6ppm. (consider well water too)
Exclusive breastfeeding should be encouraged for how long?
For the first 6 months.
Adequate nutrition is confirmed by?
Weight gain
If mom is a strict vegan and is exclusively breastfeeding, what should be encouraged?
Vitamin B12 supplementation
A child who is exclusively breastfed after 6 months of age should also be supplemented with what?
Iron
1mg/kg/day
Generally speaking, which are the first teeth to erupt and when does it occur?
The central maxillary incisors erupt around 6 months of age.
The Rotovirus vaccine is associated with what complication
Intraceseption.
What children should receive the pneumovax (23PS) vaccine, and at what age?
At age 24 months.
Any child who is immunocomprimised or Native/Alaskan/African American OR attending daycare
What does PCV13 stand for?
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.
