Scheduled Health Appointments

Question 1

What assessments should a child have <72 hours?

Answer 1

• Full physical exam - NIPE
  
  • Heart
  • Hips
  • Eyes
  • Testes

Question 2

What assessments should a child have at 7 days?

Answer 2

Guthrie heel prick test

Question 3

What assessments should a child have at 2 weeks?

Answer 3

• New baby review – information on
  
  • Safe sleeping
  • Vaccinations
  • Feeding
  • Caring
  • Development

Question 4

What assessments should a child have at 4 weeks?

Answer 4

Hearing review - Automated Otoacoustic Emission (AOAE)

Question 5

What assessments should a child have at 6 weeks?

Answer 5

• Full physical exam (NIPE - GP)
  
  • DDH
  • Testicles
  • Heart
  • Weight
  • Length
  • Vaccination discussion

Question 6

What assessments should a child have at 8 weeks?

Answer 6

• 1^st immunisations
  
  • ‘6-in-1’
  • MenB
  • Rotavirus

Question 7

What assessments should a child have at 12 weeks?

Answer 7

• 2^nd immunisations
  
  • ‘6-in-1’
  • Pneumococcal
  • Rotavirus

Question 8

What assessments should a child have at 16 weeks?

Answer 8

• 3^rd immunisations
  
  • ‘6-in-1’
  • MenB

Question 9

What assessments should a child have at 1 year?

Answer 9

• Health review
  
  • Development
    
    • Gross motor - must be stand independently and ideally walking unsteadily
    • Fine motor - pincer girp
    • Hearing, Speech and Laungaue - 2-3 words other than mama/dad
  • Behaviour - drinking from cup with 2 hands, positive fear of strangers
  • Healthy eating
• 4^th immunisations
  
  • 1^st MMR
  • Hib and MenC
  • Boosters
    
    • Pneumococcal
    • MenB

Question 10

What assessments should a child have at 2 years?

Answer 10

Health review - development, behaviour, healthy eating

Question 11

What assessments should a child have at 3 years and 4 months?

Answer 11

• 5^th immunisations
  
  • DTP
  • Polio
  • 2^nd MMR

Question 12

What assessments should a child have at 4 years?

Answer 12

Vision check

Question 13

What assessments should a child have at school entry?

Answer 13

• Height
• Weight
• Hearing check

Question 14

What assessments should a child have at 10 years?

Answer 14

• Height
• Weight

Question 15

What assessments should a child have at 12-14 years?

Answer 15

• 6^th immunisations
  
  • 2x HPV (6, 11, 16, 18) → spaced 6-24m apart

Question 16

What assessments should a child have at 14 years?

Answer 16

• 7^th immunisations
  
  • DTP
  • MenACWY

Question 17

What are the side effects of the MMR vaccine?

Answer 17

• Malaise
• Fever
• Rash 5-10 days after 1^st dose → goes after 2-3 days

Question 18

What are the contraindications for the MMR vaccine?

Answer 18

• Immunosuppression
• Neomycin allergy
• Other live vaccine <4w prior
• IVIG <3months prior
• Avoid pregnancy 1 month following vaccination

Question 19

Which children are given the BCG vaccine?

Answer 19

• Born in high risk area - i.e. London
• 1 grandchild born in a apart of the world with endemic TB

Question 20

Which children are given the HBV vaccine?

Answer 20

• If mother is infected with HBV at birth

Question 21

What diseases are prevented by the ‘6-in-1’ vaccine

Answer 21

• Polio Parents
• Whooping cough (Pertussis) Will
• Influenzae (HiB) Immunise
• Tetanus Toddlers
• B - Hepatitis Because
• Diphtheria Death

Question 22

What diseases are prevented by the ‘6-in-1’ vaccine

Answer 22

• Polio - Parents
• Whooping cough (Pertussis) - Will
• Influenzae (HIB) - Immunise
• Tetanus - Toddlers
• B Hepatitis - Because
• Diphtheria - Death