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Community And Wellness > Pediatric growth And Development Mielstones > Flashcards

Pediatric growth And Development Mielstones Flashcards

1
Q

What is the main point of a Well child visit?

A
  • Comprehensive assessment of child’s health
  • Focus on child’s wellness and disease prevention
  • Patient education
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2
Q

What is the timeframe for Infancy?

A
  • Neonate
    • birth to 1 month
  • Infancy 1 month to 1 year
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3
Q

What is the timeframe for Early childhood?

A

Toddler
-1 to 3 years
Pre-school
-3 to 6 years

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4
Q

What is the timeframe for Middle Childhoof?

A

School-age

-6 to 12 years

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5
Q

What is the timeframe for Late Childhood?

A

Adolescents

- 13-18 years

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6
Q

What is the correct way to document pediatric age?

A

Document in months
- up to 24 months
Document in years
- reserved for child older than 24 months

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7
Q

What are the different elements of a well child visit?

A 
History
Growth and Nutrition
Development/behavioral assessment “Milestones”
Anticipatory guidance 
Physical examination
Recommended screening test
Oral Health
Immunizations
Risk factor identification
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8
Q

What are the recommended timeframes for a well child visit?

A 
1 month
2 months
4 months
6 months
9 months 
12 months
15 months
18 months
2 years old
2 1/2 years old 
3 years old
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9
Q

What direction does a child pattern of growth happen?

A

Head-to-tow direction

Inward to outward pattern

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10
Q

What type of measurements occur at a pediatric visit?

A 
Weight
Height/ Length
	- placed in the supine position 
Head circumference 
	- every visit until ages 2-3 if steady growth 
Body mass Index
	- age 2 and older 
Blood pressure 
	- 3 and older
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11
Q

What percentage of weight can newborns lose in the first week of life?

A

5-10%

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12
Q

When must a newborn gain back the weight they lost in the first week of life?

A

7-10 days, must by 2 weeks

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13
Q

What is more suspicious in a child?

- Weight gain 
- Weight Loss
A

Weight Loss

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14
Q

When should an infants weight be doubled?

A

At 6 months

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15
Q

When should an infants weight be tripled?

A

At 12 months

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16
Q

What is the head circumference measurement a reflection of?

A

Brain growth

- most rapid in the first 6 months

17
Q

List and define the APGAR score

A 
A: activity (muscle tone)
P: Pulse (Heart rate)
G: Grimace (reflex response)
A: Appearance (color)
R: Respirations  (Breathing)
18
Q

List score 2 for APGAR

A 
A: Pink
P: >100bpm
G: Cries and pulls away
A: Active movement 
R: Strong cry
19
Q

List score 1 for APGAR

A 
A: extremities blue
P: <100bpm
G: grimaces or weak cry
A: arms, legs flexed
R: slow, irregular
20
Q

When does the AAP recommend developmental and behavioral screenings?

A

9 months
18 months
24/30 months

21
Q

List score 0 for APGAR

A 
A: Pale or blue
P: No pulse
G: No response to stimulation
A: No movement 
R: No breathing
22
Q

What should you inquire about a child after the developmental assessment is over?

A
  • academic achievement
  • behavior
  • Teacher, counselor, coach, religious leader
23
Q

What are the Denver developmental screening tests II

A
  • they are used to asses the development of children from birth to 6 years old
  • can not adequately asses the complexities of sociology-emotional development
24
Q

What are the 4 domains of developmental domains assessed?

A
  1. Gross motor milestone
  2. Fine motor-adaptive milestone
  3. Language milestone
  4. Personal-social milestones
25
Q

Describe the Gross motor milestones

A
  • They involve the big muscles

- Precedes development of fine motor skills

26
Q

What are the fine motor-adaptive skills milestones

A
  • hand eye coordination-involves use of smaller muscles in hands and fingers
  • becomes the most noticeable after 4 years old
27
Q

What are the language development milestone

A

Speech
Language
Articulation

28
Q

Describe the aspects of the language developmental milestones

A
  1. Expressive
    • ability to produce words
  2. Receptive
    • ability to understand spoken words
      • hear and react to spoken word
  3. Articulation
    • Latest skill to develop
    • may see as early as 9-12 months
      (Mama, dada)
29
Q

Describe the “Personal-Social Skills” developmental milestones

A
  • Ability to care for self and interact with others
  • affected by cultural/ societal influences
  • begin as preferences and develop into modeling after others
  • measure by Erikson’s developmental staging
30
Q

What type of developmental milestones occur at week 2?

A
  • Gross motor
    • moves head side to side
  • Fine motor
    • N/A
  • Language
    • Alerts to bell
  • Personal/ Social
    • Regards face
31
Q

What type of developmental milestones happen at 1 month?

A
  • Gross motor
    • Holds head erect/raises chin
    • lift head when prone
    • able to perform lateral head movements
  • Fine motor
    • Hands closed most of the time
    • can follow objects to midline
  • Language
    • cries. Gurgles
  • Personal/social
    • if upset, able to calm down
    • Recognizes parents voices
    • smiles spontaneously
    • follows parents with eyes

Community And Wellness (39 decks)

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