Promoting Child Health Flashcards

1
Q

Why is newborn screening important?

A
  • Many infants with disease are asymptomatic at birth
  • Tests for metabolic and endocrine disease, SCID, sick cell, CF
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2
Q

How is newborn screening done?

A

Via a heel poke blood sample in day 1 to 7 after birth

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3
Q

What other screening is very important in infants, besides blood tests?

A

Hearing and vision screening to ensure early identification and intervention

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4
Q

What is the two step screening protocol for hearing?

A
  • Otoacoustic emission (OAE)
  • If failed, automated auditory brainstem response (AABR)
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5
Q

What are risk factors for visual issues in infants that warrant referral to ophthamology?

A
  • Developmental delay
  • Family history of eye problems
  • Retinopathy of prematurity
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6
Q

What is SIDS?

A

Sudden and unexpected death of an infant < 1 year of age, usually during sleep. which remains unexplained after thorough investigation

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7
Q

What three factors are thought to increase the risk for SIDS?

A
  1. Critical developmental period (2-4 months of age)
  2. Vulnerable infant (preterm birth, maternal smoking)
  3. Exogenous stressors (prone position, bed sharing, head covering, overheating)
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8
Q

What are 5 ways to reduce the risk of SIDS?

A
  1. Smoke-free environment
  2. Sleeping supine
  3. Avoid heavy blankets or pillows
  4. Sleep in the same room
  5. Breast-feeding
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9
Q

The most important way to reduce the risk of death by injury is…

A

Car seat safety and seat belts

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10
Q

Children living in poverty are at a higher risk of…

A
  • Asthma
  • Mental illness
  • Low birth weight
  • Learning difficulties
  • Obesity
  • Hospitalizations
  • Iron deficiency anemia
  • Burns/injuries
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11
Q

What are three initiatives HCPs can use to address poverty in children?

A
  1. Improving screening methods
  2. Referral to resources
  3. Follow-up
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12
Q

What is the ITHELLPS acronym?

A

Used to screen for SDOH issues:
I: income
T: transportation
H: housing
E: education
L: literacy
L: legal status
P: personal safety
S: support

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