Peds- Vaccines and Milestones

Question 1

Age of DTaP doses

Answer 1

5 doses: 
2mo
4mo
6mo
15-18mo
4-6yrs

Question 2

Contraindications for DTaP vaccine

Answer 2

• Anaphylaxis following DTaP
• Unstable neurologic disorgers (infantile spasms, uncontrolled epilepsy)
• Encephalopathy following DTaP

Question 3

Management of DTaP with contraindications

Answer 3

Diphtheria and Tetanus toxoids should be administer without pertussis

Question 4

Sexier following DTaP

Answer 4

Triggered by fever or by pertussis vaccine component, rare, short (<5min) and self-limited.

Personal nor FHx of uncomplicated seizure following vaccine is NOT a contraindication. Benefit outweigh risk. Administer all doses.

Question 5

2 month old gross and fine motor milestones

Answer 5

Gross:
Lifts Head

Fine:
Hands unfisted 50% time
Tracks past midline

Question 6

2 month old language and social milestones

Answer 6

Alerts to voice/ sound
Coos

Social Smile
Recognizes parents

Question 7

4mo gross and fine motor milestones

Answer 7

Gross:
Sits with trunk support
Begins rolling

Fine:
Hands mostly open
Reaches midline

Question 8

4mo language and social milestones

Answer 8

Laughs
Turns to voice

Enjoys looking around

Question 9

6mo gross and fine motor milestones

Answer 9

Gross:
Sits momentarily propped on hands (unsupported by 7mo)

Fine:
Transfers objects
Raking grasp

Question 10

6mo language and social milestones

Answer 10

Responds to name
Babbles

Stranger anxiety

Question 11

9mo gross and fine motor milestones

Answer 11

Gross:
Pulls to stand
Cruises

Fine:
3-finger pincer
Holds bottle or cup

Question 12

9mo language and social milestones

Answer 12

Says “dada” “mama”

Waves”bye”
Plays “pat-a-cake”

Question 13

12mo gross and fine motor milestones

Answer 13

Gross:
stands well
Walks first steps independently
Throws ball

Fine:
2-finger pincer

Question 14

12mo language and social milestones

Answer 14

Says first words other than dada/mama

Separation anxiety
Comes when called