Pediatric Well Child Visit

Question 1

At what ages are well child visits scheduled in infants?

Answer 1

1, 2, 4, 6, 9 months

Question 2

At what ages are well child visits scheduled in early childhood?

Answer 2

12, 15, 18, 24 months
3 and 4 years
1-2 years thereafter

Question 3

What is the importance of assessing growth in a child

Answer 3

gives insight into child’s overall well-being

Question 4

1 rule in assessing growth in a child

Answer 4

Requires >1 pt to compare growth !

Question 5

what measurements are included in assessment of growth?

Answer 5

Wt
Length/Ht
Head circumference

Question 6

Wt, Ht, or head circumference growth that crosses __ lines lower than what it’s been is concerning

Answer 6

2 percentage

Question 7

What is a sign of nutritional deficiency?

Answer 7

wt affected 1st, then ht, then head circumference

Question 8

What are some causes of inadequate intake (too few calories w/ normal metabolic demand) (7)

Answer 8

Poor maternal milk supply
Breastfeeding difficulties
Improper or inappropriate intake of other nutrients (restricted diet)
Neurologic dz
Anatomic abnormalities
Poor signaling of hunger
Persistent vomiting

Question 9

What are some causes of Inadequate absorption (4)

Answer 9

Celiac dz
Pancreatic insufficiency (CF)
Chronic diarrhea/illness
Cow milk protein intolerance

Question 10

What are Psychosocial factors that affect growth? (7)

Answer 10

Parental depression, anxiety, mood/behavioral d/o
Substance abuse in parents
Attachment difficulties
Disability of chronic illness in family member
Poverty
Poor caretaker understanding
Depression