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Pediatrics 1 > Module 4 > Flashcards

Module 4 Flashcards

1
Q

WCC for infants occur when

A

3-5 days, 1 month, 2 months, 4 months, 6 months, 9 months

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2
Q

what happens to the primitive reflexes during infancy

A

they disappear before purposeful motor skills emerge

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3
Q

what is the first priority of anticipatory guidance?

A

address concerns of parents

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4
Q

what is the Coombs test

A

tests for foreign antibodies adhered to infant RBCs (usually in the setting of hemolysis)

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5
Q

what questions about infant self-help should be asked at neonatal WCC

A

Periods of wakefulness, eye contact, calm when picked up, respond differently to soothing vs alerting touch

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6
Q

what history questions to ask at neonatal WCC

A

labor and delivery, childcare, blood type, Coombs test, ins/outs, general progression since birth

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7
Q

what verbal language history questions to ask at neonatal WCC

A

communicate discomfort through crying, facial expression, movement? Move to or calm to parent voice?

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8
Q

gross motor questions to ask at neonatal WCC

A

move in response to visual or auditory stimuli? Arm and leg movements symmetrical when startled/reflex?

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9
Q

Fine motor questions to ask at neonatal WCC

A

Keep hands in fist? Palmar grasp reflex?

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10
Q

What ROS questions to ask at neonatal WCC

A

head shape, eye discharge, umbilical stump, ENT, breathing, muscle strength, genitals/rectum

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11
Q

neonatal WCC PE general

A

congenital anomalies, alertness, distress, interaction w/ parent

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12
Q

neonatal WCC PE skin

A

lesions, jaundice

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13
Q

neonatal WCC PE Head

A

fontanelles, size, birth trauma

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14
Q

neonatal WCC PE eyes

A

pupils (opacification and red reflex), fixate and follow response for visual acuity, inspect eyes and eyelids

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15
Q

neonatal WCC PE ears

A

shape and position of pinnae, patency of auditory canals, presence of pits or tags

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16
Q

neonatal WCC PE nose

A

septal deviation, patency

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17
Q

neonatal WCC PE oral

A

Epstein pearls, natal teeth, cleft lip/palate

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18
Q

neonatal WCC PE heart

A

auscultate heart sounds, murmurs, palpate femoral pulses

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19
Q

neonatal WCC PE abdomen

A

umbilical cord and vessels

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20
Q

neonatal WCC PE genitalia/rectum

A

descended testes, external genitalia abnormalities, position and patency of anus

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21
Q

neonatal WCC PE MSK

A

deformities of spine/hand/foot, palpate clavicles, symmetry of limb posture and movement, muscle tone

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22
Q

neonatal WCC PE hip dysplasia

A

perform Ortolani and Barlow

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23
Q

neonatal WCC PE neurological

A

primitive reflexes

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24
Q

neonatal WCC universal screening

A

hearing, bilirubin, congenital heart disease, newborn screen completed

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25
Q

neonatal WCC immunizations

A

hepatitis B

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26
Q

1 month old anticipatory guidance question, maternal

A

postpartum depression

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27
Q

1 month WCC history

A

interval history, ins/outs, maternal fatigue/depression, update family/social history

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28
Q

1 month WCC social development questions

A

eye contact, tracking, self-comforting behaviors (bring hands to mouth), fussy when bored, calm when picked up or spoken to, look briefly at objects

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29
Q

1 month WCC verbal language development questions

A

brief short vowel sounds, alert to unexpected sound, quiet or turn to your voice, signs of sensitivity to environment, different types of cries for hunger and tiredness

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30
Q

1 month WCC gross motor development questions

A

move both arms and legs together, hold chin up when prone

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31
Q

1 month WCC fine motor development questions

A

open fingers slightly at rest

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32
Q

Infant development is generally

A

orderly and predictable

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33
Q

what has to disappear before motor skills can emerge

A

primitive reflexes

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34
Q

infant WCC timeline

A

1, 2, 4, 6, 9 months

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35
Q

purpose of WCC

A

identify parent concerns, track growth and development, prevention, develop team approach between provider and parents

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36
Q

when should children who use medicaid be tested for lead exposure

A

12 months and 24 months, and all refugee children upon entry from 6 months to 16 years

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37
Q

what is considered a pathologic lead level

A

> 5 mcg/dl

38
Q

when does first tooth eruption typically occur

39
Q

when should an infant respond to own name

40
Q

when should an infant coo

41
Q

when should an infant start babbling

42
Q

when should an infant show different types of cries for hunger and tiredness

43
Q

how many stools per day should a 1 month old have

44
Q

how many wet diapers per day should a 1 month old have

A

around 6-8

45
Q

how many oz of formula per day should a 1 month old consume

46
Q

feeding frequency for 1 month old

A

every 1-3 during the day and q 3 hrs during the night

47
Q

when should tummy time be started

48
Q

when should an infant smile at own reflection

49
Q

when should and infant be able to roll over from back to stomach

50
Q

when should an infant be able to sit briefly unsupported

51
Q

when should an infant be able to pass a toy from one hand to the other

52
Q

when should an infant be raking objects

53
Q

when should an infant bang small objects on a surface

54
Q

what screenings should occur at 6 months

A

maternal depression, oral health

55
Q

when should oral health guidance start

56
Q

how much juice should a 6 month old get

A

2-4 oz per day

57
Q

when should an infant start making basic gestures

58
Q

when should an infant start looking for dropped objects

59
Q

when should an infant start playing peekaboo

60
Q

when should an infant turn consistently when name is called

61
Q

when should an infant say “mama” nonspecifically

62
Q

when should an infant copy sound that parent makes

63
Q

when should an infant sit well without support

64
Q

when should an infant pull to stand

65
Q

when should an infant start crawling

66
Q

when should an infant pick things up with 3 fingers and thumb

67
Q

when should an infant let go of objects intentionally

68
Q

what special observation occurs at 9 months

A

to see how parents are handling infant’s increased autonomy

69
Q

when is the parachute reflex tested

70
Q

what screening should happen at 9 months

A

development, oral health

71
Q

feeding schedule for 9 month old

A

3 meals and 2-3 snacks per day

72
Q

when should rear-facing car seat be used

A

until at least 2 y/o

73
Q

when should a baby have no head lag when pulled to sit

74
Q

when should an infant show differential recognition to caregivers

75
Q

when should an infant start self-feeding

76
Q

when should an infant have flexed posture

77
Q

when should a baby start inferior pincer grasp

78
Q

when should an infant start drinking from a cup

79
Q

when should an infant start poking with index finger

80
Q

when is autism screening recommended

A

18 months and 24 months

81
Q

when should family health history be updated

82
Q

when should postpartum depression be screened for

A

1, 2, 4, 6 months

83
Q

what is the caloric requirement for a 1 month old

A

100 cal/kg/day

84
Q

when does moro reflex disappear

85
Q

when does palmar grasp reflex disappear

A

2-3 months

86
Q

when does babinski reflex disappear

87
Q

4 categories of developmental milestones

A

language, cognitive, gross motor, fine moto

88
Q

when do most babies start sleeping through the night

A

4-6 months

89
Q

eye movements should be assessed at which visit

90
Q

when should discipline be discussed as anticipatory guidance

Pediatrics 1 (4 decks)

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