Intro to Peds: Infant 1mth-12mths Flashcards
1
Q
2mth Well Exam
- Address any con_____
- F_____ up on problems/issues from last visit
- Assess parents st____, response to parenting
- Ask about f____-for____, br____, issues w breastfeeding, how much, how often
- Sleep-might be able to go _-_ hrs at a time
- El_____-frequency, texture, color, __ or more wet diapers/day
- Responsiveness to sm____, loud n_____
A
- concerns
- follow
- stress
- feeding-formula, breast
- 4-6
- Elimination, 6
- smile, loud noises
2
Q
2mth Well Exam
- Measurements
- Weight - approx __ oz/day, __ lb/month
- Length - approx __ inch/month
- HC - approx __ cm
- Immunizations (6)
A
- Measurements
- 1, 2
- 1
- 2
- Immunizations
- Dtap
- Hib
- Rotovirus
- IPV
- Hep B
- PCV
3
Q
2mth Anticipatory Guidance
- Physical
- Increase in ____ lvl and st____; muscular movements become more _____
- Reaches out and holds on but?
- Eating and sleeping _____ being established
- Emotional
- Becomes upset when?
- Importance of a primary _____
- Intellectual
- By age 4mths, the baby’s crying when teh mother goes out of sight is the beginning of _____ development and the baby’s striving to _____ his or her world
- Parents must understand that this is a necessary step toward reaching out of self but must not hinder this development with overin_____
A
- Physical
- activity, strength, refined
- does not let go at will
- schedule
- Emotional
- mother goes out of sight
- caregiver
- Intellectual
- memory, control
- no overindulgence
4
Q
4mth Well Exam
- Address parental _____
- Follow up on _____ issues
- Followed by sp______
- Sleep - should be able to?
- Develop a _____ pattern, usually how many? how long?
- Feeding - has a pattern, will eat every _-_hrs, _-_ oz per feeding, can they eat solids?
- Elimination - ____ frequent, more formed, urine _-_ wet diapers/day
A
- concerns
- past
- specialists
- sleep through the night
- napping, 2 naps, 1-2hrs
- feeding every 3-4hrs, 4-6oz, can initiate solids
- less frequent stool, 4-6
5
Q
4mth Well Exam
- Measurements
- Weight approx __ oz/day, __ lbs/mth
- Length approx _ inch/mth
- HC - will slow to __ cm per month after 3 mths
- Immunizations (5)
A
- Measurements
- 1 oz/day, 2lb/mth
- 1inch/mth
- 1 cm
- Dtap
- Hib
- Rotovirus
- IPV
- PCV
6
Q
4mth Anticipatory Guidance
- Physical
- Increased vig____ body movements
- Appropriate height and weight g____
- Eating and sleeping with sch____ established
- Emotional
- _______ anxiety
- Responding to attention with s____, g____, r____ out
- Intellectual
- Beginning of ob____ perm_____ (memory) will begin to understand that the caregiver’s ____ is not permanent
- Beginning to initiate p______ activities
A
- Physical
- vigorous
- gain
- schedule
- Emotional
- Separation
- smiles, gurgles, reaching
- Intellectual
- object permanence, absence is not permanent
- purposeful
7
Q
6mth Well Exam
- Address same concerns as in previous visit
- Assess growth and development
- P_____ showing
- Rolling over ____ to ____
- S_____ up
- T____
- Sleep = hours per night? awake for __ hr at a time
- Elimination = ____ stool, increased _____ with added food to diet
- Check hgb for _____
A
- Growth and development
- Personality
- back to front
- sitting up
- Teeth
- 8hrs/night, 4
- formed stool, flatulence
- anemia
8
Q
6mth Well Exam
Specific factors to note during routine physical examination
- (1): bulging, depressed
- (1): Seborrhea, rashes, bruises, burns
- (1): equal tracking
- (1): may be erupting, gums swollen
- (1): evaluate for murmur
- (1): equal leg folds, full abductions
- (1): Forefoot adduction
- Loss of the what reflexes? T____, M____, S_____
A
- Anterior fontanelles
- Skin
- Eyes
- Teeth
- Heart
- Hips
- Extremities
- Tonic, Moro, Sucking and Rooting
9
Q
6mth Well Exam
Testing (3)
Immunizations (7)
A
- Hearing-Otoacoustic Emissions (OAE)
- Vision-Fediavision
- Hgb
- Hep B #3
- IPV #3
- Hib #3
- IPV #3
- Rotavirus #3
- PCV #3
- Influenza if appropriate
10
Q
6mth Anticipatory Guidance
- S_____ anxiety
- _____ mobility
- Not easily ______ - intent on things
- CPR for _____
- Baby ____ home
- Starts to c_____
- Intro to solids
- __ food at a time every _-_ days
- Assess infants r______
- Continue with fromula/breastmilk
- Solids adjunct
- Avoid p____ butter, hon___, hot ___, pop____, nu__ first year of life
- M__ food with formula, breastmilk only
A
- Stranger
- Increased
- persuaded
- parents
- proof
- crawl
- 1 food every 3-4 days
- readiness
- NO peanut butter, honey, hot dogs, popcorn, nuts
- Mix
11
Q
9mth Well Exam
- Continue to address parental concerns, issues from previous visit, evaluation from specialist
- Assess, growth, and development A5Q 9mth
- Sitting un_____
- Cr____
- Pulling up to ____ - Cruising
- Increased vo______, vowels
- _____ grasp forming
- Exp_____
- Eye/hand ______
- Turns to parent for ______
A
- Sitting unattended
- Crawling
- stand
- vocalization
- Pincer
- Exploration
- coordination
- support
12
Q
9mth Well Exam
- Sleep- should fall asleep on ___, sleep in ___ bed, may wake at night, usually sleeps __-__ hrs at night, continues to nap 2x/day
- Feeding-eating table food
- Taking __-__oz of formula/breastmilk
- Introduce c___
- Using ut_____
- Concerns
- Parental st_____
- Too good of a baby - ____ personality
A
- fall asleep on own, own bed, 10-12 hrs
- 12-16
- cup
- utensils
- stress
- dull personality
13
Q
9mth Anticipatory Guidance
- S____
- M_____
- Avoidance of the word __
- Setting b_____
- Increased exposure to ____ food
- Allowed juice or supplemental water?
- Emotional development
- Showing _____ of joy, sadness, hugs and kisses, anger, fear
- Parental s____ - prompt your child it is time to ___, not you have to stop playing
- Be cons_____
- Avoid use of ______ to keep infant busy
- Catch up on imm_______
A
- Safety
- Mobility
- No
- boundaries
- table
- NO juice or water
- emotions
- support, time to eat not have to stop playing
- consistent
- electronics
- immunizations
14
Q
Toddler 1-3 years
Which Erikson’s Stage?
Which Piaget’s Stage?
A
Autonomy vs. Shame/Doubt
- Virtue: Will
- Event: Toilet training
- Question: Can I do things myself or must I always rely on others
- Wants to help, have control over physical environment
- Success leads to autonomy
- Failure leads to shame and doubt
Sensorimotor Stage 0-2
- Coordination of senses
- Object permanence
15
Q
12-15mth Well Exam
- Continue to address parental concenrs, issues from previous visit, evaluation from specialist
- Assess growth and development
- Cr____, w____
- Saying w____
- Express w____/desires, tan____
- Nutrition
- ___ bottle/formula
- Introduce ____ milk - no more than 16oz/day
- Table food
- Specific factors to note during routine physical exam
- Skin =
- Teeth = central ____ present
- Ears: mobility of the _____ _____
- (1): texture, nits
- MSK: bearing weight on ___; equal gluteal _____, check for libial torsion, genu varum, externally rotated hips, stance, gait
- Reflexes: presence of para____ reflex
A
- Growth and development
- cruising, walking
- words
- wants, tantrum
- excessive bruising, burns, scratch lines
- incisors
- tympabic membrane
- Hair
- legs, folds
- parachute
