Peds Evaluation Tools Flashcards
age of infant when you use ASQ
2 months- 60 months
of Questions/Responder of ASQ
30 + 8-9 areas for comments/parent
what does ASQ screen for
- Communication
- gross motor
- fine motor
- problem solving
- personal/social development
age of infant when you use PEDS Questionnaire
birth- 8 y/o
of Questions/Responder of PEDS Questionnaire
10
for parent
age of infant when you use Denver II
2 weeks- 6 y/o
of Questions/Responder of Denver II
Administered by trained professional (~20 minutes)
age of infant when you use CDI (child development inventories)
18 months- 6 y/o
of Questions/Responder of CDI
300 questions (~40 minutes) / parent
what does CDI screen for
8 areas:
- social
- self help
- gross motor
- fine motor
- expressive language
- language comprehension
- letters
- numbers
age of infant when you use M-CHAT
16-30 months
of Questions/Responder of M-CHAT
20 items in first step / parent
what does M-CHAT screen for
Specific for autism spectrum* disorders rather than broad spectrum developmental assessment
what is the 2 step assessmetn of M-CHAT
- M-CHAT-R
2. M-CHAT-R/F
age of infant when you use Edinburgh postnatal Depression scale (EPDS)
used for mom
of Questions/Responder of EPDS
10 regarding current mood/feelings / postpartum mom
what does EPDS screen for
assess risk of postpartum depression
a score of ____ on EPDS might indicate depression
10+
EPDS assess suicide risk with question number ___
question #10
AAP recommends standardized developmental screenings at what ages
9, 18, 30 months (may be done at 24 months)
AAP recommends screening for autism at waht age
18 and 24 months
When do you use the WHO Growth charts and when do you use the CDC Growth charts
WHO: birth-24 months
CDD: 2-20 y/o
when do you plot weight, length (supine), and head circumference?
birth-2 y/o
what are the ranges of BMI for kids
5-85th normal
85-95th is overweight
95+ is obese
why do we use combo vaccines
to minimize pokes
-increase likelihood of series completion
what steps should you take to reduce injection pain with vaccines
during breast feeding, vapo-coolant spray, EMLA
Parents were more likely to vaccinate their baby when the provider used what type of approach?
Presumptive rather than participartory
who has the lowest rate of measles vaccine
US
can you get chronic arthritis from vaccines (rubella)
no
can you get SIDS from vaccines
no
-actually slightly more protected
what vaccines dont cause (12)
- asthma
- DM1
- MS
- Chronic arthritis
- IBS
- SIDS
- AIDS
- Encephalitis
- Mad cow Disease (vCJD)
- birth defects
- Stroke
- Autism
Why can a baby get multiple vaccines at one time
- Infant has theoretical capacity to respond to ~10,000 vaccines at a time
- Most vaccines contain
What Vaccines Might Cause (8)
- SV40 and cancer
- Guillain-Barre Syndrome
- Encephalopathy
- NVIC
- Brachial neuritis
- Alopecia
- syncope- mostly adolescents
- narcolepsy
alopecia may be associated with what vaccine
Hep B
Brachial neuritis may be associated with what vaccine
tentanus toxoid containing vaccine
encephalopathy may be associated with what vaccine
DTP and DTaP
Guillain-Barre Syndrome may be associated with what vaccine
swine flu vaccine
*not elevated risk w/ meningococcal conjugate vaccine
Vaccines do cause (10)
- Redness, arm/leg swelling at injection site (risk very low)
- Fever & rash with MMR & varicella vaccine
- Anaphylaxis
- Protracted, inconsolable crying (~3 hours)
- Death – extremely rare (normally caused by immunocompromised system)
- Poliomyelitis – 1 per 2.4 million doses from oral poliovirus vaccine (immunocompromised)
- Febrile seizures –doses for MMR and Varivax given together
- Immune thrombocytopenic purpura (ITP)
- Intussusception
- Joint aches, arthralgias
joint aches, arthralgia typically occurs with what vaccine
rubella
Immune thrombocytopenic purpura (ITP) can occur with what vaccine
dose of MMR
*very rare
Febrile seizures can occur with what vaccine
doses of MMR and Varivax given together
