Paediatrics - MIlestones, Screenings and Vaccinations

Question 1

When are the childhood screenings done

Answer 1

6-8 weeks
8 months
2 years
3-4 years

Question 2

What is done at screenings

Answer 2

check milestones
check vaccinations
deliver health promotion and health and safety
target interventions and supervision to risk groups

Question 3

What does school entry provide opportunity for

Answer 3

personal social and emotional development
physical development
communication skills (including hearing and vision assessment)

Question 4

What are the milestones at 1 month

Answer 4

able to raise head form surface when lying on tummy
pays attention to someones face in their direct line of vision
moves arms and legs in an energetic manner
likes to be held and rocked

Question 5

What are the milestones at 2 months

Answer 5

smiles and coos
rolls part way to side when lying on back
grunts and sighs when unhappy

Question 6

What are the mile stones at 3 months

Answer 6

eyes follow a moving object
able to hold head erect
grasps objects when placed in their hand
babbles

Question 7

What are the mile stones at 4 months

Answer 7

holds a rattle for an extended period of time
laughs out loud
sits supported for short periods of time
recognizes bottle and familiar faces

Question 8

What are the milestones at 5 months

Answer 8

reaches for and holds objects
stands firmly when held
stretches our arms to be picked up
likes to play peek a boo

Question 9

What are the milestones at 6 months

Answer 9

turnover from back to stomach
turns towards sounds
sits with a little support
persistently reaches for objects out of their reach
listens to own voice
crows and squeals
reaches for and grabs objects and brings them to mouth
holds sucks bites cookies or crackers, being chewing

Question 10

What are milestones at 7 months

Answer 10

can transfer object from one hand to other
can sit for a few mins unsupported
pats and smiles at image in mirror
creeps (pulling body with arms and leg kicks)
is shy at first with strangers

Question 11

What are milestones at 8 months

Answer 11

can sit steadily for about 5 minutes
crawls on hands and knees
grams things with thumb and first two fingers
likes to be near parent

Question 12

What are the milestones at 9 months

Answer 12

says ma-ma or da-da
repsonds ot name
can stand for a short time 
able to hit two objects together on their own
copies soudns

Question 13

What are the mile stones at 10 months

Answer 13

able to pull self up at side of crib or playpen

can drink from a cup when it is held

Question 14

What are the milestones at 11 months

Answer 14

can walk holding onto furniture

can find an object placed under another object

Question 15

What are the milestones at 12 months

Answer 15

waves bye bye
can walk with one hand held
says 2 words besides mama and dada
enjoys some solid foods
finger feeds self
likes to have an audience

Question 16

What are the milestones at 15 months

Answer 16

walks by self
stops creeping
shows desires by pointing and gesturing
scribbles on paper after shown
begins using spoon
cooperates with dressing

Question 17

What are the milestones at 18 months

Answer 17

can build a tower with 3 blcoks
likes to climb and take things apart
can say 6 words
tries to put on shows
drinks form cup held in both hands
likes to help parent

Question 18

What are the milestones at 2 years

Answer 18

able to run
walks up and down stairs using alternate feet
says about 50 words
sometimes uses 2 word sentences
points to object in book

Question 19

What are milestones at 3 years

Answer 19

can repeat 2 numbers in a row
knows their own gender
dresses self except for buttoning
can copy a circle
can follow 2 commands of on, under or behind
knows most parts of the body
jumps lifting both feed off ground
can build tower with 9 blocks

Question 20

What are milestones at 4 years

Answer 20

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

Question 21

What are milestones at 5 years

Answer 21

can follow 3 commands
can copy a square
can skip

Question 22

Why are vaccinations important

Answer 22

prevent certain infectious diseases where risk of vaccinations are lower than that of disease

reduces or eliminates infectious disease from community by reducing number of susceptible vectors

risks are population risks that are difficult to apply to an individual

Question 23

What vaccines are available

Answer 23

diphtheria 
tetanus
HIB
typhoid
polio
BCG
pertusis
rota virus
pneumococcus
HPV
measles
mumps
rubella
hepatitis A
hepatitis B
meningitis B and C
influenza
varicella
covid 19

Question 24

What are recent changes to polio vaccine

Answer 24

previously oral

now inactivated polio vaccines

Question 25

What are changes to meningitis vaccines

Answer 25

haemophilus influenza B

meninococcus

Question 26

When is BCG vaccine given

Answer 26

shortly after birth if high risk

Question 27

When is hep B vaccine given

Answer 27

not routine
normal in some other coutnires
3 diseases from 6 weeks of age
liver cancer protection

Question 28

Why may some refuse childhood immunizations

Answer 28

religious or philosophical grounds
prevent painful assault on child
benefits don’t outweigh the risks

Question 29

What questions should you ask yourself if there is refusal of childhood immunizations

Answer 29

does refusal put child at extreme personal risk (neglect)

does refusal put others at risk sufficient to warrant intervention on public health grounds