Pediatric growth And Development Mielstones

Question 1

What is the main point of a Well child visit?

Answer 1

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

Question 2

What is the timeframe for Infancy?

Answer 2

• Neonate
  
  • birth to 1 month
• Infancy 1 month to 1 year

Question 3

What is the timeframe for Early childhood?

Answer 3

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

Question 4

What is the timeframe for Middle Childhoof?

Answer 4

School-age

-6 to 12 years

Question 5

What is the timeframe for Late Childhood?

Answer 5

Adolescents

- 13-18 years

Question 6

What is the correct way to document pediatric age?

Answer 6

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

Question 7

What are the different elements of a well child visit?

Answer 7

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

Question 8

What are the recommended timeframes for a well child visit?

Answer 8

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

Question 9

What direction does a child pattern of growth happen?

Answer 9

Head-to-tow direction

Inward to outward pattern

Question 10

What type of measurements occur at a pediatric visit?

Answer 10

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

Question 11

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

Answer 11

5-10%

Question 12

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

Answer 12

7-10 days, must by 2 weeks

Question 13

What is more suspicious in a child?

- Weight gain 
- Weight Loss

Answer 13

Weight Loss

Question 14

When should an infants weight be doubled?

Answer 14

At 6 months

Question 15

When should an infants weight be tripled?

Answer 15

At 12 months

Question 16

What is the head circumference measurement a reflection of?

Answer 16

Brain growth

- most rapid in the first 6 months

Question 17

List and define the APGAR score

Answer 17

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

Question 18

List score 2 for APGAR

Answer 18

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

Question 19

List score 1 for APGAR

Answer 19

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

Question 20

When does the AAP recommend developmental and behavioral screenings?

Answer 20

9 months
18 months
24/30 months

Question 21

List score 0 for APGAR

Answer 21

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

Question 22

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

Answer 22

• academic achievement
• behavior
• Teacher, counselor, coach, religious leader

Question 23

What are the Denver developmental screening tests II

Answer 23

• 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

Question 24

What are the 4 domains of developmental domains assessed?

Answer 24

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

Question 25

Describe the Gross motor milestones

Answer 25

• They involve the big muscles

- Precedes development of fine motor skills

Question 26

What are the fine motor-adaptive skills milestones

Answer 26

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

Question 27

What are the language development milestone

Answer 27

Speech
Language
Articulation

Question 28

Describe the aspects of the language developmental milestones

Answer 28

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)

Question 29

Describe the “Personal-Social Skills” developmental milestones

Answer 29

• 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

Question 30

What type of developmental milestones occur at week 2?

Answer 30

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

Question 31

What type of developmental milestones happen at 1 month?

Answer 31

• 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