Milestones, Screening and Vaccinations Flashcards
When are children screened?
6-8 weeks
8 months
2 years
3-4 years
Why are children screened?
To check milestones and vaccinations
Deliver health promotion
Target supervision and interventions to risk groups
What should a child be able to do at one month?
Raise head from surface when lying on tummy
Pay attention to a face in their line of direction
What should a child be able to do at 2 months?
Smile
Roll part way to side when lying on back
What should a child be able to do at 3 months?
Eyes follow a moving object
Babbles
Grasp objects when placed in hand
What should a child be able to do at 4 months?
Laugh out loud
Recognise bottle and familiar faces
What should a child be able to do at 5 months?
Reach for and hold objects
Stand firmly when held
Stretches out arms to be picked up
What should a child be able to do at 6 months?
Turn from back to stomach
Turn towards sound
Hold, suck, bite and begin chewing
What should a child be able to do at 7 months?
Transfer objects from hand to hand
Sit for a few minutes without support
Shy at first with strangers
What should a child be able to do at 8 months?
Sit steadily for about 5 minutes
Crawls on hands and knees
Grasps things with thumb and first two fingers
What should a child be able to do at 9 months?
Responds to name
Can stand for short period of time
Copies sounds
What should a child be able to do at 10 months?
Able to pull self up at side of cot
Can drink from a cup when it is held
What should a child be able to do at 11 months?
Can walk holding onto furniture
Can find an object placed under another object
What should a child be able to do at 12 months?
Waves bye
Can walk with one hand held
Finger feeds self
What should a child be able to do at 15 months?
Walks by self
Begins using a spoon
What should a child be able to do at 18 months?
Can say 6 words
Tries to put on shoes
Likes to help a parent
What should a child be able to do at 2 years?
Able to run
Says about 50 words
Points to objects in a book
What should a child be able to do at 3 years?
Can repeat 2 numbers in a row
Knows most of the body parts
What should a child be able to do at 4 years?
Can repeat a simple 6 word symptom
Can wash hands without help
Can stand on one foot
What should a child be able to do at 5 years?
Can follow commands
Can skip
Why are children vaccinated?
To prevent certain infectious diseases where the risks of vaccination are lower than the risks from the disease
To reduce or eliminate infectious diseases from the community by reducing the number of susceptible vectors
Give examples of vaccinations available?
Tetanus
Polio
HPV
Hep A, B and C
Influenza
Covid-19
What are the recent changes to vaccinations?
Polio was previously oral, now inactivated polio vaccine
Meningitis was previously haemophilus influenza B, now menincococcus B
What are the variations in vaccines given?
BCG - can be given shortly after birth if high risk
Hep B - not routine in the UK, but is in other countries
Why are childhood immunisations sometimes refused?
Religious or philosophical grounds
Prevent a ‘painful assault’ on the child
Thoughts that benefits don’t outweigh the risks
