Histories Flashcards
What should an infant be able to do by 9 months?
Pull to standing Crawl Stranger Anxiety Babble Sit up Develop pincer grip
What should a child be able to do by 18 months?
Walk at least one step
Have speech (at least one word)
Follow one step verbal commands
What are the red flags for development?
Any loss of skill or regression in development Not sitting unsupported by 12 months Not mobilising by 18 months No speech by 18 months Hypotonia
By what age should a child be able to understand command words?
3 years
By what age can a child climb the stairs one at a time?
3-4 years
When should you expect a child can be toilet trained by?
2 years - dry by day
3-4 years - dry by night
At what age would you expect a child to be eating solid foods?
12 months
Name the stages and ages of gross motor control (including head control and walking)
8 weeks - lift up head when lying on stomach
3 months - head control
6-9 months - sitting unsupported (remember this has to be done by 12 months)
9 months - crawling
12 months - pull themselves to standing and walk one step (has to be walking by 18 months)
2 years- runs, climb stairs
3-4 years - climbs stairs one at a time
5 years - skips, hops (can stand on one leg)
What are the normal ages to begin puberty?
10-11 years - girls
12-13 years - boys
Name the stages and ages of fine motor control and vision
3 months - fixes and follows 6-9 months - can transfer objects from hand to hand 9-12 months - developing pincer grip 2 years - can scribble circles and lines 2 years - can use a fork and spoon 3 years - copies a circle 5 years - can dress themselves
Name the stages and ages for social, cognitive and emotional development
6 weeks - smiling
3 months - laughing
9 months - stranger anxiety
12 months - understands simple commands
18 months - follows one step verbal commands
2 years - follows two step verbal commands
3 years - understands command words like ‘under’ and ‘on’
3-4 years - knows colours
Name the stages and ages for speech, hearing and language development
4 months - beginning to vocalise 6 months - turns towards sounds 6 months - babbles 12 months - turns to name 12 months - say one word (if no words by 18 months, this is a red flag) 2 years - say two word phrases 3 years - say 3 word sentences 5 years - fluent speech
At what ages do children get routine immunisations?
2 months 3 months 4 months 1 year Pre-school (Girls) 12-13 Teens
What vaccinations are given at age 2 months?
5 in 1 Rotavirus Pneumococcal Meningitis B Hep B
What is in the 5 in 1 vaccine?
DTP
Pertussis
Haemophilus B
What vaccines are given at 3 months?
Rotavirus
5 in 1
Hep B
What vaccines are given at 4 months?
Pneumococcal
6 in 1
Men B
What vaccines are given at 1 year?
MMR Men C Men B Haemophilus B Pneumococcal
What vaccines are given pre school?
Flu (given every year until age 8 usually by school nurse)
MMR
DTP
Pertussis
What vaccine is given to girls aged 12-13?
HPV
What vaccines are given to teenagers?
Various meningococcal
DTP
What systems do you ask about on systems review in a paeds history?
General Neuro Resp GI Urinary ENT
What do you ask about in the systems review for Urinary?
Wetting nappies or underwear if toilet trained
Increase in number of times PU
Pain when PU
What do you ask about in the systems review for GI?
Abdominal pain
Vomiting
Change in bowel habit - more hard or soft than before?
