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Paediatrics > growth and development > Flashcards

growth and development Flashcards

1
Q

what are the different phases of childhood ?

A 
neonate <4wks
infant <12months
toddler 1-2 years
pre-school 2-5years
school age
teenager/adolescent
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2
Q

what are the key developmental fields ?

A 
gross motor
fine motor
social and self help
speech and language
hearing and vision
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3
Q

what influences development ?

A

genetics
environment
positive early childhood experience
developing brain vulnerable to insults

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4
Q

what are antenatal adverse environment factors ?

A

infection

toxins

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5
Q

what are postnatal adverse environment factors ?

A 
infection 
toxins
trauma
malnutrition
metabolic
maltreatment
maternal mental health issues
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6
Q

what are developmental red flags ?

A 
loss of developmental skills
visual concern
hearing loss
persistent low muscle tone
no speech by 18 months
asymmetry of movements
not walking by 18 months
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7
Q

what are the main components of child health screening ?

A

health promotion
developmental screening
immunisation

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8
Q

what are stages in the child health programme ?

A 
new-born exam and blood spot screening
new-born hearing screening day 28
health visitor first visit
6-8week review
27-30 month review
orthoptist vision screening 4-5yrs
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9
Q

what is assessed at the 6-8 weeks review ?

A 
feeding
parental concerns
development
measurements
examination
sleeping position
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10
Q

what is assessed at the 27-30 month review ?

A

development - social, communication, motor, vision, hearing
physical measurements height and weight
diagnoses

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11
Q

what is part of the health promotion programme ?

A 
smoking
alcohol/drugs
nutrition
hazards and safety
dental health
support services
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12
Q

what is a common reaction to immunisation ?

A

mild temp
discomfort
swelling

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13
Q

what are maternal causes of failure to thrive ?

A

poor lactation
incorrectly prepared feeds
unusual milk or other feeds
inadequate care

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14
Q

what are infant causes of failure to thrive ?

A 
prematurity
small for dates
oro palatal abnormalities - cleft palate
neuromuscular disease
genetic disorder
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15
Q

what increased metabolic demands cause failure to thrive ?

A 
diseases of all sorts
CF
thyroid
IBD 
malignancy etcetc
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16
Q

what excessive nutrient loss causes failure to thrive ?

A

GORD
pyloric stenosis
gastroenteritis
malabsorption

17
Q

what are non-organic causes of failure to thrive ?

A 
poverty
dysfunctional family interactions
difficult parent-child interactions
lack of parental support
lack of preparation for parenting
child neglect
emotional deprivation syndrome
poor feeding
feeding disorders

Paediatrics (28 decks)

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