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DRT PEDS > Infant Health > Flashcards

Infant Health Flashcards

1
Q

Infant health screenings

A

-regularly scheduled intervals
-starts at 1 month
-routine vaccinations, education, anticipatory guidence

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2
Q

Sensorimotor is. assessed how in. infants?

A

direct. observations by parents, teachers, and child care, providers

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3
Q

WCC begin?

A

1month post-birth
-2mo/4mo/6mo/9mo/12mo
-if infant is discharge prior to 48hr, infant first visit should be w/in 48hours

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4
Q

Ages and stages screening

A

parents assessment of their Childs language, social, motor, and problem solving

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5
Q

Infant height and weight and head circumference

A

every WCC, head circumference measured till 2 years of age

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6
Q

head control ?

A

4 months

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7
Q

no head lag when infant is pulled to sitting ?

A

6months

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8
Q

Posterior fontanels.

A

close 2months
-tirangualr shape

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9
Q

Anterior fontanels

A

closes 15-18months
-diamond shape

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10
Q

Flattened nasal bridge indicates?

A

FAS
Trismony 21

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11
Q

Shrill, high pitches cry indicates?

A

increased intracranial pressure

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12
Q

Abdomen is?
liver is palpable ?

A

prominent/ protruberant
-1-2cm below the right coastal margin

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13
Q

Diastasis recti

A

-separation. of the rectus abdomens muscle, common in infants and resolves on own, usually when infant starts using abdominal muscles

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14
Q

testes descend ?

A

-age 3 months

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15
Q

DDH

A

-typically present at birth
-findings such as asymmetry of skin fold thickness and unequal leg length indicates DDH

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16
Q

DDH can be detected by?

A

<3mo
Barlow Maneuver
Ortolani Maneuver
-palpable “clunk” is present upon reduction of the hip
>3mo
Allis
-unequal leg length, measure popliteal folds
Galeazzi Sign
-inequality in the height of the knees while patient lies down with his or her feet drawn in towards buttocks

17
Q

infant lymph nodes

A

infants may present with enlargements in the inguinal and cervical nodes
-shotty nodes may indicate past infection
-Palpable Supraclavicular lymph nodes or nodes larger than 3mm should warrant urgent referral for possible malignancy

general lymphadenopathy- leukemia

18
Q

Developmental disabilities screening when?

A

during WCCs
-9mo/18mo/ 24mo/30mo

-Denver II
-Bayley Scales of Infant Development
-The Bayley Infant Neurodevelopmental Screener
-ASQ
-Newborn Behavioral Assessment Scale
-Modified Checklist for Autism

19
Q

Nervous System Development and function assessed how?

A

moro reflex
tonic neck reflex

20
Q

Visual Acuity measured?

A

blink reflex and pupil constriction

21
Q

Hearing screened ?

A

-otoacoustic emissions
-auditory brainstem response

22
Q

Development of fear of strangers and fear of separation from parents?

A

7-9months

23
Q

Breastfed exclusively until?

A

6months of age
-introduce iron fortified foods at this time

24
Q

transitioned to whole milk when?

A

12months of age
limit to 24ounces per day to avoid micro-gastrointestinal bleeding

25
Q

tooth decay common cause to asses for?

A

-prolonged baby bottle use

26
Q

first dental visit?

A

1 year of age

27
Q

fluoride given?

A

6months is no fluoride in water supply

28
Q

sleep for 2months to 1 year of age

A

16-18hours per day with 2-3naps daily

29
Q

sleep precautions for infants

A

-avoid parents sleeping with infant, bed-sharing can increase risks for SIDs
-put infants on back
-firm sleeping surface
-keeping soft objects out of crib
-pacifier at nap time and bedtime
-breastfeeding

30
Q

Injury precaution for?

A

-falls
-burns
-posion
-choking
-drowning

31
Q

Temperature of infants

A

high temps. b/c greater surface area to body weight ratio and higher metabolic rate

fever if rectal temp is greater than 100.4 F

32
Q

Degrees of illness in infant

A

mildly ill 100.4F
-normal, alert, active feeding well, smiles

Moderately ill 102F
-fussy or irritable
-may be consolable and smile

Severely ill
-temp of 104F or greater
-listless
-cannot be consumes
-feed poorly or not at all

Hospital admission recommended if temp is above 100.4F

33
Q

If no local site of infection can be found on infant think?

A

UTI
Pneumonia
another type of infection

34
Q

management of fever

A

Tylenol
-ibuprofen if infant is not responding to Tylenol and closely monitored in hospital or undergoing sepsis workup

Tylenol 10-15mg/kg
Ibuprofen 5-10mg/kg

35
Q

Infections causing fever at 1month

A

Group B strep
Gram negative enteric

36
Q

infections causing fevers at 2 months

A

Streptococcus Pneumoniae
Heamophilus Influenzae

37
Q
A

DRT PEDS (11 decks)

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