Histories Flashcards

1
Q

What should an infant be able to do by 9 months?

A
Pull to standing
Crawl
Stranger Anxiety
Babble
Sit up
Develop pincer grip
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What should a child be able to do by 18 months?

A

Walk at least one step
Have speech (at least one word)
Follow one step verbal commands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the red flags for development?

A
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

By what age should a child be able to understand command words?

A

3 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

By what age can a child climb the stairs one at a time?

A

3-4 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When should you expect a child can be toilet trained by?

A

2 years - dry by day

3-4 years - dry by night

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

At what age would you expect a child to be eating solid foods?

A

12 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Name the stages and ages of gross motor control (including head control and walking)

A

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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the normal ages to begin puberty?

A

10-11 years - girls

12-13 years - boys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Name the stages and ages of fine motor control and vision

A
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name the stages and ages for social, cognitive and emotional development

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Name the stages and ages for speech, hearing and language development

A
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

At what ages do children get routine immunisations?

A
2 months
3 months
4 months
1 year
Pre-school
(Girls) 12-13
Teens
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What vaccinations are given at age 2 months?

A
5 in 1
Rotavirus
Pneumococcal
Meningitis B
Hep B
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is in the 5 in 1 vaccine?

A

DTP
Pertussis
Haemophilus B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What vaccines are given at 3 months?

A

Rotavirus
5 in 1
Hep B

17
Q

What vaccines are given at 4 months?

A

Pneumococcal
6 in 1
Men B

18
Q

What vaccines are given at 1 year?

A
MMR
Men C
Men B
Haemophilus B
Pneumococcal
19
Q

What vaccines are given pre school?

A

Flu (given every year until age 8 usually by school nurse)
MMR
DTP
Pertussis

20
Q

What vaccine is given to girls aged 12-13?

A

HPV

21
Q

What vaccines are given to teenagers?

A

Various meningococcal

DTP

22
Q

What systems do you ask about on systems review in a paeds history?

A
General
Neuro
Resp
GI
Urinary
ENT
23
Q

What do you ask about in the systems review for Urinary?

A

Wetting nappies or underwear if toilet trained
Increase in number of times PU
Pain when PU

24
Q

What do you ask about in the systems review for GI?

A

Abdominal pain
Vomiting
Change in bowel habit - more hard or soft than before?

25
Q

What do you ask about in the systems review for Neuro?

A

Headaches
Fits
Seizures
Abnormal movements

26
Q

What do you ask about in the systems review for Resp?

A

Cough
Noisy or fast breathing - signs of resp distress
Cyanosis - changing colour

27
Q

What do you ask about in the systems review for General?

A
Fever
Rashes
Change in behaviour
Change in level of alertness
Problems with development
28
Q

What do you ask about in the systems review for ENT?

A

Sore throat
Snoring more than usual
Pain in ears/pulling or tugging at the ears?

29
Q

What do you ask about in a top to toe systems review?

A
Stature
Pubertal changes
Appearance changes
Hirsutism
Fat distribution
Bowel habit
30
Q

What age is classed as precocious puberty?

A

Girls <8 years

Boys <9 years

31
Q

What is the order for pubertal development in boys?

A

Testes enlargement
Penis enlargement
Pubic hair
Growth spurt

32
Q

What is the order for pubertal development in girls?

A
Breast development
Pubic hair
Axillary hair
Growth spurt
Menarche
33
Q

What should an infant be able to do at 6 weeks?

A

Smile
Fix and follow
Lift head when prone

34
Q

What should a child be able to do at 6 months?

A
Begin to sit up
Transfer objects from hand to hand
Begin to babble
Turn to sounds
Good head control
35
Q

What should a child be able to do at 12 months?

A

Walk
Have at least one word
Pincor grip
Stranger Anxiety