paediatric consultation

Question 1

how often does the GP visit the patient during the 1st year of life ?

Answer 1

monthly basis

Question 2

at 6 months and 12 months - what examinations are done? (4)

Answer 2

1. FBC
2. urine test - albumin + sediments
3. hearing
4. vision

Question 3

at age 1 month and 4 month, what is examined specifically ?

Answer 3

hip joints

Question 4

at which month is the hip joint assessed ? (2)

Answer 4

1 month

+

4 month

Question 5

what examinations are done during the 1st year of life? (3)

Answer 5

1. evaluation of physical development
2. assessment of childs mental health
3. general advice on how to feed and raise child

Question 6

what does evaluation of physical development inc?(4)

Answer 6

1. height
2. body mass
3. circumference of head
4. circumference of chest

Question 7

what is the frequency of obligatory examinations between ages 1 - 2 yrs ?

Answer 7

FOUR times

x 4

Question 8

obligatory examinations between ages 1 - 2 yrs include…

Answer 8

physical development

neurological and mental development

Question 9

what is the frequency of obligatory examinations between ages 2 - 7 yrs

Answer 9

TWO times

x 2

Question 10

obligatory examinations between ages 2 - 7 yrs include…

Answer 10

same as 1 - 2 years

Question 11

at 3 yrs what obligatory examinations are done? (2)

Answer 11

FBC

urine test

Question 12

in 2 - 7 yrs age period what other additional tests/ examinations should be done? (2)

Answer 12

1. referral to dentist for prophylactic dental examinations

2. . intestinal parameters should be examined p/ year during this period

Question 13

what is the frequency of obligatory examinations between ages 7 - 8 yrs?

Answer 13

ONCE p/ year

Question 14

what tests are done between ages 7 and 8 yrs?(6)

Answer 14

1. physical development
2. mental development
3. measure arterial BP
4. Test visual acuity
5. test colour perception
6. refer to dentist for prophylactic dental examinations

Question 15

apart from physical development, what else is assessed in paediatric consultations ?

Answer 15

risk factors

Question 16

risk factors inc?

Answer 16

biological

social

any RF that contributes to development of disease

behavioural problems

Question 17

when does the first GP home visit take place for a newborn ?

Answer 17

day of discharge from maternity hospital

Question 18

special attention is paid to giving directions concerning what? ( during peads consultation of newborn ) (3)

Answer 18

1. umbilical care
2. skin care
3. ensuring optimal environment

Question 19

advice or info given re: Umbilical care

Answer 19

umbilical residue completely dries by 3rd/ 4th day

7/8th day - falls off leaving a small moist wound

heals completely by end of 2nd week

entire residue should be kept dry and clean until it completely falls off

Question 20

at what day does the umbilical residue completely dry up?

Answer 20

3rd / 4th

Question 21

what happens on 7th / 8th day with regards to umbilical stuff?

Answer 21

falls off leaving a small moist wound

Question 22

when does umbilical wound heal?

Answer 22

end of second week

Question 23

what care should be taken to umbilical wound until it completely falls off?

Answer 23

keep it clean and sanitised

Question 24

advice or info given re: skin care

Answer 24

newborn babys skin is gentle

vulnerable

not well protected

Question 25

how often should a baby be bathed ?

Answer 25

errrrryday

Question 26

at what temp should room be kept for newborn?

Answer 26

20 - 22 c

Question 27

point to be considered when informing and supporting parents on how to raise a child ?

Answer 27

• good communication
• logical
• relevant to age of childs age
• practical
• demonstrations
• written information . i.e leaflets

Question 28

after providing info to parents - what should be done ?

Answer 28

ask for feedback to ensure mutual understanding

Question 29

what should always be the focus of attention during a peads consultation ?

Answer 29

NUTRITION

Question 30

what considerably effects the health status of humans from an early age?

Answer 30

food habits

Question 31

should breastfeeding be encouraged?

Answer 31

Yes

Question 32

what is the feeding of choice for babys?

Answer 32

breast feeding

Question 33

at what age is BF considered to be the perfect source of nutrition for babys?

Answer 33

4 - 6 months

Question 34

at what age is BF considered to be a supplementary source of nutrition for babys?

Answer 34

–> 1 year

Question 35

how does BF benefit the mother? (4)

Answer 35

1. stimulates postpartum uterine involution
2. potentiates the normalization of womans weight
3. protects against breast cancer
4. strengthens psychological relationship between mother and child

Question 36

when is BF done?

Answer 36

1. on a timely schedule

2. on demand

Question 37

at what age does bottle feeding start ?

Answer 37

4 months

Question 38

at what age is fruit and vegetable mash introduced ?

Answer 38

4 months

Question 39

at 1 year what food can be introduced?

Answer 39

egg and meat

Question 40

how should artificial feeding be applied?

Answer 40

voluntarily

in small doses

by means of a small spoon

Question 41

during the second 1/2 of the 1st year, parents should?

Answer 41

take care of the childrens speech development

Question 42

neurological development can include

Answer 42

teaching personal hygiene

habits regarding physiological needs

Question 43

common side effects of immunisations

Answer 43

slight raise in temp

redness around injection site

headache

LOA

Question 44

rare side effects of vaccines

Answer 44

allergic reaction

Question 45

purpose of paediatric consultation (4)

Answer 45

1. promotion of childs optimal development and good health
2. prevention of disease and accidents
3. prevent neglect and malnutrition
4. early ID and possible eradication of potential problems