Preventive Pediatrics Flashcards

1
Q

what are the 4 steps of EINC

A
  1. Immediate and thorough drying of the newborn
  2. early skin-to-skin contact between mother and newborn
  3. properly timed cord clamping and cutting
  4. non-separation of newborn and mother for early breastfeeding
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2
Q

Exclusive breastfeeding is up to?

A

6 months

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3
Q

What is the definition of PPS of a healthy term newborn?

A
  • term newborn
  • with uncomplicated antepartum, intrapartum and postpartum course
  • AGA
  • 5 minute Apgar score >7
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4
Q

every newborn should be seen at least ___ hours prior to leaving the institution/hospital

A

4 hours

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5
Q

What are the danger signs in a newborn?

A
  • refusal to feed
  • no spontaneous movement
  • fast and difficulty of breathing
  • vomiting
  • abdominal distention
  • fever or low body temperature
  • severe jaundice
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6
Q

for newborns discharged before 24 hours after delivery, an appointment should be made with a health care practitioner within _____ hours of discharge

A

24-72 hours

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7
Q

When are the following usually done during adolescent health visit?

Visual screening
Hearings creening
Scoliosis

A

Visual acuity - at 10, 12 and 15 yo
Hearings creening - once during early, middle and late adolescence
Scoliosis - once at 10-12 yo (Females) or 13-14 (Males)

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8
Q

Recommended hours of sleep for 6-12 years old and 13-18 years old

A

9-12 hours per day for 6-12 yo
8-10 hours per day for 13-18 yo

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9
Q

developmental screening is done at what age/s during well child visit?

A

9, 18, 24 and 30 months, then yearly thereafter

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10
Q

At what age/s is autism spectrum disorder screening done?

A

at 18 and 24 months old

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11
Q

for preterm newborns, LBW and sick neonates should have a repeat newborn screening at the ___ of life

A

28th day of life

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12
Q

expanded newborn screening can detect how many diseases?

A

28 diseases

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13
Q

most presenting signs of retinoblastoma

A

leukocoria and strabismus

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14
Q

Premature infants whose AOG at birth meets the criteria for ROP screening

A
  1. 32 weeks AOG or younger age
  2. Weighing Less than or equal to 1500 grams
  3. older than 32 weeks or higher than 1500 grams but had a stormy course in the NICU

**risk factor: severe sepsis, PRBC transfusion within the first 10 days of life d/t anemia, oxygen use, prematurity with an unstable clinical course placing infants at high risk

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15
Q

Describe the timing of ROP Screening

A

<28 weeks AOG: done at 31 weeks or prior to discharge, whichever comes earlier
>28 weeks AOG: 20th day of life or prior to discharge, whichever comes earlier

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16
Q

Iron supplementation based on target population

A

LBW: 0.3 mL OD at 2 months-6 months
Infants 6-11 mos: 0.6 mL OD for 3 mos
1-5 yo: 5 mL OD for 3 months or once a week for 6 months
Adolescents: 1 tablet OD (containing 60 mg elemental Iron + 400 mcg folic acid)

17
Q

DOH recommends deworming for all children at age __ to __ years

A

1 to 12 years old

18
Q

Deworming must not be done in children with ??? (6 conditions/scenarios)

A
  • Severe malnutrition
  • High grade fever
  • Profuse diarrhea
  • Abdominal pain
  • Serious illness
  • Previous hypersensitivity to antihelminthic drug
19
Q

first dental visit is recommended to be done at the time of ______ and no later than ___ months

A

eruption of the first tooth and no later than 12 months

20
Q

most effective method in reducing dental caries prevalence in children

A

twice daily brushing of teeth

21
Q

who are the children at risk for IDA

A
  • poor nutritional history
  • past or family history of anemia
22
Q

At what time intervals is CBC should be done in children at risk for IDA

A

6-24 months
2-6 years
10-19 years