Pediatric Flashcards
1
Q
Discuss the timing of visits for newborn babies
A
- Within 1 week
- 1 month
- 2 months
- 4 months
- 6 months
- 12-13 months
- 18 months
- 2-3 years
- 4-5 years
- Every 1-2 years from 6-17
- Use the Rourke Baby Record from 0-5 and then Greig Health Record afterwards
2
Q
Discuss weight and height measurement for children
A
- each visit should track weight, height and head circumference (until 2yo)
Differentiating - Failure to gain weight with normal height velocity than failure to thrive
- Height velocity less than 5cm/year with normal weight then constitutional delay, genetic short stature or endocrine disorder
- Failure to gain weight and height velocity <5cm/year then chronic disease
3
Q
Discuss benefits of breastfeeding for child and mother
A
- recommend breast feed exclusively until at least 6 months Child - Gastrointestinal infection - Respiratory infection - Overweight and obese habitus - SIDS Mother - Breast cancer - Uterine cancer - Ovarian cancer - improve bonding - decreased cost
4
Q
Discuss normal feeding for infants
A
Breast milk or Formula - Newborn 150cc/kg/day - Infant 2-4mon 600-900cc/day - Infant 4-8 750-1080cc/day - Infant 9mon 720-960cc/day Add In - 400IU of Vitamin D for exclusively breastfeeding Solid Food - Solid foods by 6 months - iron rich foods -> vegetables -> fruits
5
Q
Discuss foods to avoid during infancy
A
- Fruit juices
- Homogenized cow’s milk until 9-12 months
- Skim milk after 2 years
- Avoid prolonged feeding or bottle in bed
- Honey until 1 year of age due to botulism
6
Q
Discuss the vaccine schedule for kids under 2
A
2 Months - Diptheria - Tetanus - Pertussis - Polio - Pneu-C-13 - Rotavirus (oral) 4 Months - Diptheria - Tetanus - Pertussis - Polio - Pneu-C-13 - Rotavirus 6 Months - Diptheria - Tetanus - Pertussis - Polio 12 Months - Pneu-C-13 - Menigococcal - MMR (subcutaneous) 15 Months - MMRV (subcutaneous) 18 Months - Diptheria - Tetanus - Pertussis - Polio
7
Q
Discuss vacination schedule for kids >2
A
4-6 Years - MMRV - Tetanus - Diptheria - Pertussis - Polio (TdAP) Grade 7 - Hep B - Meningococcal - HPV-4 14-16 - TdAP
8
Q
Discuss the vaccination schedule in adults
A
24-26 Years - TdAP >34 Years - Td Booster every 10 years 65 Years - Pneu-P-23 - Influenza
9
Q
Discuss the vaccine contraindications and which are live attenuated vaccines
A
Contraindications - Anaphylaxis - Significant immunosuppression (live vaccines) - Pregnancy (live vaccines) Attenuated - BCG - MMRV - Yellow fever - Typhoid Ty21a
10
Q
Discuss the gross motor milestones
A
1 month - lifts head to 45 degrees 2 Months - lifts head up when on stomach 6 Months - sits without support - rolls from back to side 9 Months - Pulls to stand 12 Months - stand alone - walks 18 Months - walks up steps - kicks ball 2 Years - Jumps - Throws ball overhand
11
Q
Discuss the milestones for fine motor
A
1 month - follow to midline 2 Months - follows past midline 6 Months - Transfers between hands 9 Months - thumb-finger grasp 12 Months - puts block in cup - scribbles 18 Months - builds tower of 4 2 Years - builds tower of 6
12
Q
Discuss the milestones for language
A
1 month - startles to loud noises 2 Months - coos - squeals - laughs 6 Months - babbles - dada, mama nonspecific 9 Months - uses dada/mama specifically 12 Months - 2-3 words 18 Months - combines words - speech half understandable 2 Years - knows 6 body parts - names 1 picture
13
Q
Discuss the milestones for social cognition
A
1 month - smiles spontaneously 2 Months - smiles responsively - recognizes caregivers 6 Months - feeds self - stranger anxiety 9 Months - waves bye - indicates wants 12 Months - imitates activity - play ball 18 Months - wash and dry hands - brush teeth with help 2 Years - names friend - puts on clothing
