Journey for the newborn

Question 1

Red book proper name

Answer 1

personal child health record

Question 2

What does normal growth on a growth chart look like?

Answer 2

roughly follow one centile line
ending at mid-parental height +/-5

Question 3

2 month vaccinations

Answer 3

diphtheria, tetanus, polio, pertussis
rotavirus
meningococcal group B
hepatitis B

Question 4

3 month vaccinations

Answer 4

diphtheria, tetanus, polio, pertussis
haemophilus influenzae type b
pneumococcal infection
rotavirus
hepatitis B

Question 5

4 month vaccinations

Answer 5

diphtheria, tetanus, polio, pertussis
haemophilus influenzae type b
meningococcal group B
hepatitis B

Question 6

12 month vaccinations

Answer 6

haemophilus influenzae type B
meningococcal group C
measles, mumps, rubella
pneumococcal
meningococcal group B

Question 7

When are children given a flu vaccine?

Answer 7

2, 3 and 4 years
school years 1 + 2

Question 8

3y + 4mo vaccinations

Answer 8

measles, mumps, rubella
diphtheria, tetanus, polio, pertussis

Question 9

12-13 years vaccinations

Answer 9

HPV x2

Question 10

13-18 years vaccinations

Answer 10

tetanus, diphtheria, polio
meningitis ACWY

Question 11

What is DDH?

Answer 11

developmental dysplasia of the hip
acetabulum too shallow so can pop out

Question 12

DDH treatment

Answer 12

Pavlik harness - drives head of femur into acetabulum to help deepen it + stabilise the hip
surgery + serial casting

Question 13

How does a retinoblastoma present on NIPE?

Answer 13

absent red reflex
strabismus

Question 14

Blue spot on naevus of newborn name

Answer 14

congenital dermal melanocytosis (old name = mongolian blue spot)

Question 15

What conditions can be picked up on newborn blood spot?

Answer 15

congenital hypothyroidism
cystic fibrosis
sickle cell disease
phenylketonuria
medium chain acyl-CoA dehydrogenase deficiency (MCADD)
maple syrup urine disease (MSUD)
isovaleric acidaemia (IVA)
glutaric aciduria type 1 (GA1)
homocystinuria (pyridoxine unresponsive) (HCU)

Question 16

What is MCADD?

Answer 16

medium chain acyl-coA dehydrogenase deficiency

problems breaking down fats
can lead to serious illness or death

Question 17

What is PKU?

Answer 17

phenylketonuria
unable to process phenylalanine
autosomal recessive

low phenylalanine diet needed

Question 18

When and how are strawberry haemangiomas treated?

Answer 18

interferes with sight, eating, breathing ot perianal area (as can’t keep clean)

propranolol shrinks them