Health supervision

Question 1

wellness visit schedule

Answer 1

3-5 days of life, 1mo, 2mo, 4mo, 6mo, 9mo, 12mo, 15mo, 18mo, 2yrs, 2.5yrs, yearly at 3yrs

Question 2

risk assesment

Answer 2

objective and subjective data for likelihood of developing a condition

Question 3

universal screening

Answer 3

screening entire population regardless of risk

Question 4

selective screening

Answer 4

when risk assessment indicates child has more than one r/f

Question 5

When does BP start

Answer 5

age 3

Question 6

What is in a screening test

Answer 6

metabolic, hearing, vision, iron deficiency anemia, lead, htn, hyperlipidemia

Question 7

hearing assessment in preverbal kids

Answer 7

monitor reaction to sounds, do they try to vocalize, do parents have concerns or notice changes.

Question 8

hearing assessment in kids >4yrs

Answer 8

assess parental concerns, any difficulty hearing on the phone, hearing people with noisy background, asking people to repeat questions, turns tv loud

Question 9

vision screening

Answer 9

place chart at eye level, stand 20ft away, read each line with one eye closed, color discrimination test

Question 10

types of vision screening charts

Answer 10

tumbling E for preschool, objects in preschool, snellen for children who know letters

Question 11

iron deficiency anemia testing

Answer 11

draw iron in teens and 9mo-1yr. r/f are growth spurts, low diet intake, high dairy intake, early menarche, low income, refugees

Question 12

lead level testing

Answer 12

at 12-24mo. r/f are homes before 1978, drinking h2o from lead pipes, lead glazed pottery, lead paint on jewelry.

Question 13

s/s of lead poisoning

Answer 13

ha, stomach pain, mood and attention changes, poor muscle coordination, seizures. effects cannot be reversed

Question 14

hyperlipidemia testing

Answer 14

at 9-11yrs and 17-21yrs, screen fhx of cardiac diseases, parents cholesterol above 240, fhx is unattainable, or child has comorbidity like diabetes

Question 15

hyperlipidemia r/f

Answer 15

smoking, obesity, sedentary lifestyle, diet high in fats

Question 16

htn screening should start earlier if child has

Answer 16

preterm birth, low birthweight, renal disease, organ transplant, congenital heart disease, other bp affecting conditions

Question 17

optimal BP

Answer 17

1-13: <90th percentile
13-20: bp <120/80

Question 18

elevated BP

Answer 18

1-13: >90 and <95%
13-20: bp 120/80-129/<80

Question 19

stage 1 htn

Answer 19

1-13: >95th-<95 +12 or 130/80-139/89
13-20: bp 130/80-139/89

Question 20

stage 2 htn

Answer 20

1-13: >95% +12 or >140/90
13-20: bp >140/90