Exam 1: Lectures Flashcards
What is the high quality recommendation screening for perinatal and postpartum depression?
1, 2, 4, 6, and 9 month well-child visits
When should screening for developmental delays be conducted based on high-quality practice recommendations?
6, 9, 12, 18, 24, and 36 months
Based on high-quality recommendations, when would you screen for social-emotional problems?
4-months, 15 months, 24 or 30 months, and 36 months
When does autism spectrum disorder screening happen according to high-quality recommendations?
18 months and then 24 or 30 months
You have a newborn baby coming to you for this first visit to the practice. What is an important screening to complete?
Domestic violence screening
High-quality recommendations suggest screening for domestic violence at which visits?
1st encounter to the practice, 6 month visit, 18 month visit, 24 or 30 month, 36 months
Is juice recommended for children under the age of 6 months old?
No, it can lead to poor dental health outcomes
Your patient comes in for their 18 month well child visit. They have a few teeth and their mother is concerned about cavity prevention. She would like to know if she should be using toothpaste when brushing the child’s teeth. What do you recommend?
Toothpaste is not recommended for use until 24 month (2 y/o). Continue to brush the child’s teeth twice a day with a soft toothbrush.
How much toothpaste does a child 2-6 y/o need?
A pea-sized amount
When should BP monitoring begin in children?
3 y/o
Vision screenings should occur in children at what ages?
5, 6, 8, 10 and 12 y/o
You have a patient who is 6 y/o in office for their well child exam. Their 5 y/o vision screen was 20/30 and you suggested to repeat it in a year knowing that some children will not reach 20/20 vision until age 6. Today, their vision screening is 20/40. What would you do next?
Refer to ophthalmology
When should you repeat a hemoglobin level on an infant?
9-12 months
When should lead levels be checked?
9-12 months and then 18-24 months
According to the AAP, when do you screen lipid panels?
6 y/o, 8 y/o, annually at 10 y/o
According to USPSTF, when do you screen lipid panels in children?
It is not recommended to screen lipid panels in children according to USPSTF
What are the components of the newborn visit?
A thorough history including prenatal, birth, and current history
Complete physical and vital signs
Anticipatory guidance for the parents
Wrap-up
Height, weight, head circumference, pulse, RR, temp, newborn screening testing, growth chart beginning at birth are components of:
Newborn assessment
Skin texture, plantar creases, breast, eyes, ears, genitals, posture, square window, arm recoil, popliteal angle, scarf sign, heel to ear help determine:
Gestational age
General appearance/temperament
Growth from birth
Skin integrity
Response to environment including muscle tone and symmetry of movement
Hearing/vision screening
Cardiac/Respiratory
Hip dysplasia or bone fractures
Cord healing and circumcision healing
Neurological defects
Abuse/neglect
Newborn physical assessment key aspects
Multiple, firm, pearly, opalescent white papules that exfoliate spontaneously
Milia
Yellow-white papultes generally over the nose, forehead, upper lip and cheeks
Sebaceous hyperplasia
Firm, yellow-white, 1-2 cm papule or pustules with surrounding erythematous flare that developed around 24-48 hours old
Erythema toxicum
Vesicopustules that rupture easily and leave a halo of white scales around a central macule of hyperpigmentation on the trunk, limbs, palms, and soles
Transient neonatal pustular melanosis