Promoting Child Health Flashcards
Why is newborn screening important?
- Many infants with disease are asymptomatic at birth
- Tests for metabolic and endocrine disease, SCID, sick cell, CF
How is newborn screening done?
Via a heel poke blood sample in day 1 to 7 after birth
What other screening is very important in infants, besides blood tests?
Hearing and vision screening to ensure early identification and intervention
What is the two step screening protocol for hearing?
- Otoacoustic emission (OAE)
- If failed, automated auditory brainstem response (AABR)
What are risk factors for visual issues in infants that warrant referral to ophthamology?
- Developmental delay
- Family history of eye problems
- Retinopathy of prematurity
What is SIDS?
Sudden and unexpected death of an infant < 1 year of age, usually during sleep. which remains unexplained after thorough investigation
What three factors are thought to increase the risk for SIDS?
- Critical developmental period (2-4 months of age)
- Vulnerable infant (preterm birth, maternal smoking)
- Exogenous stressors (prone position, bed sharing, head covering, overheating)
What are 5 ways to reduce the risk of SIDS?
- Smoke-free environment
- Sleeping supine
- Avoid heavy blankets or pillows
- Sleep in the same room
- Breast-feeding
The most important way to reduce the risk of death by injury is…
Car seat safety and seat belts
Children living in poverty are at a higher risk of…
- Asthma
- Mental illness
- Low birth weight
- Learning difficulties
- Obesity
- Hospitalizations
- Iron deficiency anemia
- Burns/injuries
What are three initiatives HCPs can use to address poverty in children?
- Improving screening methods
- Referral to resources
- Follow-up
What is the ITHELLPS acronym?
Used to screen for SDOH issues:
I: income
T: transportation
H: housing
E: education
L: literacy
L: legal status
P: personal safety
S: support