Milestones, Screening & Vaccinations Flashcards

1
Q

What are different forms of child health surveillance? (4)

A
  • Childhood screening
  • Immunisations
  • Delivering universal health promoting activities
  • Early interventions to address needs
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2
Q

Give examples of when screening occurs and to who?

A

Previously for every child:

  • 6-8 weeks health check
  • 8 months
  • 2 years
  • 3-4 years

Now much more targeted and opportunistic approach
- Therefore where it is suspected that there may be issues with the child’s health or development these will happen more regularly than above

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3
Q

What do we look for when we are screening a child? (4)

A
  • Check milestones
  • Check vaccination
  • Deliver health promotion and health and safety
  • Target supervision & interventions to risk groups
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4
Q

In terms of screening what does school entry provide opportunity for? (3)

A
  • Personal & social & emotional development
  • Physical development
  • Communication skills (includes hearing and vision assessment)
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5
Q

At 1 month old, what are the developmental milestones we would expect to see from a child? (4)

A
  • Able to raise head from surface when lying on tummy
  • Pays attention to someone’s face in their direct line of vision
  • Moves arms and legs in an energetic manner
  • Likes to be held and rocked
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6
Q

At 2 months old, what are the developmental milestones we would expect to see from a child? (3)

A
  • Smiles and coos
  • Rolls part way to side when lying on back
  • Grunts and sighs
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7
Q

At 3 months old, what are the developmental milestones we would expect to see from a child? (4)

A
  • Eyes follow a moving object
  • Able to hold head erect
  • Grasps objects when placed in their hands
  • Babbles
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8
Q

At 4 months old, what are the developmental milestones we would expect to see from a child? (4)

A
  • Holds a rattle for an extended period of time
  • Laughs out loud
  • Sits supported for short periods of time
  • Recognises bottle and familiar faces
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9
Q

At 5 months old, what are the developmental milestones we would expect to see from a child? (4)

A
  • Reaches for and holds objects
  • Stands firmly when held
  • Stretches out arms to be picked up
  • Likes to play peek-a-boo
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10
Q

At 6 months old, what are the developmental milestones we would expect to see from a child? (8)

A
  • Turns over from back to stomach
  • Turns towards sound
  • Sits with a little support (1 hand bracing)
  • Persistently reached for objects out of their reach
  • Listens to own voice
  • Crows and squeals
  • Reaches for and grasps objects and brings them to mouth
  • Holds, sucks, bites cookie or cracker - begins to chew
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11
Q

At 7 months old, what are the developmental milestones we would expect to see from a child? (5)

A
  • Can transfer object from one hand to the other
  • Can sit for a few minutes without support
  • Pats and smiles at image in mirror
  • Creeps (pulling body with arms and eg kicks)
  • Is shy at first with strangers
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12
Q

At 8 months old, what are the developmental milestones we would expect to see from a child? (4)

A
  • Can sit steadily for about 5 minutes
  • Crawls on hands and knees
  • Grasps things with thumb and first 2 fingers
  • Likes to be near parent
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13
Q

At 9 months old, what are the developmental milestones we would expect to see from a child? (5)

A
  • Says ma-ma or da-da
  • Responds to name
  • Can stand for a short time
  • Able to hit two objects together on their own
  • Copies sound
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14
Q

At 10 months old, what are the developmental milestones we would expect to see from a child? (2)

A
  • Able to pull self up at the side of crib or playpen

- Can drink from a cup when it is held

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15
Q

At 11 months old, what are the developmental milestones we would expect to see from a child? (2)

A
  • Can walk holding on to furniture

- Can find an object placed under another object

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16
Q

At 12 months old, what are the developmental milestones we would expect to see from a child? (6)

A
  • Waves bye-bye
  • Can walk with one hand held
  • Says 2 words besides ma-ma and da-da
  • Enjoys some solid foods
  • Finger feeds self
  • Likes to have an audience
17
Q

At 15 months old, what are the developmental milestones we would expect to see from a child? (5)

A
  • Walk by self, stops creeping
  • Shows desires by pointing and gesturing
  • Scribbles on paper after shown
  • Begins using a spoon
  • Cooperates with dressing
18
Q

At 18 months old, what are the developmental milestones we would expect to see from a child? (6)

A
  • Can build a tower with 3 blocks
  • Likes to climb and take things apart
  • Can say 6 words
  • Tries to put on shoes
  • Drinks from cup held in both hands
  • Likes to help a parent
19
Q

At 2 years old, what are the developmental milestones we would expect to see from a child? (5)

A
  • Able to run
  • Walks up and down stairs using alternate feet
  • Says about 50 words
  • Sometimes uses 2 word sentences
  • Points to objects in a book
20
Q

At 3 years old, what are the developmental milestones we would expect to see from a child? (8)

A
  • Can repeat 2 numbers in a row
  • Knows their own gender
  • Dresses self except buttoning
  • Can copy a circle
  • Can follow 2 commands of on, under or behind (i.e. stand on the rug)
  • Knows most parts of the body
  • Jumps lifting both feet off ground
  • Can build tower block with 9 blocks
21
Q

At 4 years old, what are the developmental milestones we would expect to see from a child? (5)

A
  • Can repeat a simple 6 word sentence
  • Can wash hands and face without help
  • Can copy a cross
  • Can stand on one foot
  • Can catch a tossed ball
22
Q

At 5 years old, what are the developmental milestones we would expect to see from a child? (3)

A
  • Can follow 3 commands
  • Can copy a square
  • Can skip
23
Q

Why do we have childhood vaccinations? (3)

A
  1. Prevent certain infectious diseases where the risks of the vaccination are lower than the risks from the disease
  2. Reduce or eliminate infectious diseases from the community by reducing the number of susceptible vectors

Risks are population risks - difficult to apply to an individual

24
Q

What vaccinations are available? (19)

A
  • Diptheria
  • Tetanus
  • HIB
  • Typhoid
  • Polio
  • BCG
  • Pertusis
  • Rota virus
  • Pneumococcus
  • HPV
  • Measles
  • Mumps
  • Rubella
  • Hep A
  • Hep B
  • Meningitis B&C
  • Varicella
  • Influenza
  • Covid-19
25
Q

What is a recent change that has happened to the polio vaccine?

A
  • Previously ORAL polio vaccine

- Now INACTIVATED polio vaccine

26
Q

What is a recent change that has happened to the meningitis vaccines? (2)

A
  • Haemophilus influenza B

- Meningococcus B

27
Q

What is a variation with the BCG vaccine?

A
  • Can be given shortly after birth if high risk
28
Q

What is a variation of the hepatitis B vaccine?

A
  • Not a routine UK vaccine

- Normal in some other countries (3 doses from 6 weeks of age, live cancer protection)

29
Q

Why might someone refuse childhood immunisation? (3)

A
  • Religious or philosophical grounds
  • Prevent a ‘painful assault’ on the child
  • Benefits don’t outweigh the risks