Pediatric growth And Development Mielstones Flashcards
What is the main point of a Well child visit?
- Comprehensive assessment of child’s health
- Focus on child’s wellness and disease prevention
- Patient education
What is the timeframe for Infancy?
- Neonate
- birth to 1 month
- Infancy 1 month to 1 year
What is the timeframe for Early childhood?
Toddler
-1 to 3 years
Pre-school
-3 to 6 years
What is the timeframe for Middle Childhoof?
School-age
-6 to 12 years
What is the timeframe for Late Childhood?
Adolescents
- 13-18 years
What is the correct way to document pediatric age?
Document in months
- up to 24 months
Document in years
- reserved for child older than 24 months
What are the different elements of a well child visit?
History Growth and Nutrition Development/behavioral assessment “Milestones” Anticipatory guidance Physical examination Recommended screening test Oral Health Immunizations Risk factor identification
What are the recommended timeframes for a well child visit?
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
What direction does a child pattern of growth happen?
Head-to-tow direction
Inward to outward pattern
What type of measurements occur at a pediatric visit?
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
What percentage of weight can newborns lose in the first week of life?
5-10%
When must a newborn gain back the weight they lost in the first week of life?
7-10 days, must by 2 weeks
What is more suspicious in a child?
- Weight gain - Weight Loss
Weight Loss
When should an infants weight be doubled?
At 6 months
When should an infants weight be tripled?
At 12 months
What is the head circumference measurement a reflection of?
Brain growth
- most rapid in the first 6 months
List and define the APGAR score
A: activity (muscle tone) P: Pulse (Heart rate) G: Grimace (reflex response) A: Appearance (color) R: Respirations (Breathing)
List score 2 for APGAR
A: Pink P: >100bpm G: Cries and pulls away A: Active movement R: Strong cry
List score 1 for APGAR
A: extremities blue P: <100bpm G: grimaces or weak cry A: arms, legs flexed R: slow, irregular
When does the AAP recommend developmental and behavioral screenings?
9 months
18 months
24/30 months
List score 0 for APGAR
A: Pale or blue P: No pulse G: No response to stimulation A: No movement R: No breathing
What should you inquire about a child after the developmental assessment is over?
- academic achievement
- behavior
- Teacher, counselor, coach, religious leader
What are the Denver developmental screening tests II
- 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
What are the 4 domains of developmental domains assessed?
- Gross motor milestone
- Fine motor-adaptive milestone
- Language milestone
- Personal-social milestones
