Screenings Flashcards

1
Q

what is the importance of anticipatory guidance?

A

answering commonly asked questions
anticipate parent concerns
opportunity for education
sharing resources that are available

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2
Q

what are common topics of preventative care?

A
illness/injury update
growth 
developmental milestones
socialization and emotional concerns
nutrition
sleep
home environment
risk/safety 
immunizations
screening needs
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3
Q

what are common problems brought to you by parents?

A

crying infant
temper tantrums, aggressive behavior
sleep and eating problems
fever

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4
Q

self settling should begin around what age?

A

2 months

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5
Q

risks are ___ specific

A

age

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6
Q

what are recommendations for screenings?

A

standardized and performed at ket dev. ages performed

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7
Q

when should STI and HIV screenings be performed?

A

STI: high risk
HIV: age 17

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8
Q

visual acuity tests should begin at age __

A

3

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9
Q

when should an ophthalmoscope exam be performed?

A

6-12 mo

likely not sufficient until 3 y.o

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10
Q

at age 0-3 months what eye exams will you perform?

A

red reflex
inspection
pupil exam

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11
Q

at age 3-6 what eye exams will you perform?

A

red reflex
inspection
pupil exam
FIXATION

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12
Q

at age 6-12 months what eye exam wil you perform?

A
red reflex
inspection
pupil exam
fixation
cover/uncover
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13
Q

at age 3 y.o. what eye exam will you perform?

A
red reflex
inspection
pupil exam
fixation
cover/uncover
VISUAL ACUITY
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14
Q

___ problems are one of the most common conditions present at birth

A

hearing

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15
Q

children should be able to hear as low as ___ dB and hear pitch from___-___ Hz

A

20

250-8000

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16
Q

when is the 1st hearing screening performed?

A

new born with the auditory brainstem response (ABR) test or the evoked otoacoustic emissions (EOAE) test

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17
Q

when should you Screen infants who require neonatal intensive care w/ ABR technology ?

A

before they are d/c

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18
Q

when shoudl you screen Screen infants who were born outside a hospital or birthing center or who were d/c before receiving hearing screening?

A

by 1 month of age

19
Q

when shoudl you Refer for a formal audiologic evaluation?

Intervention services should start by no later than____

A

no later than 3 mo of age or w/in 3 mo of d/c from NICU

6 mo old

20
Q

Screening w/ standard hearing test are performed at what key developmental ages:

A

Infancy
Early Childhood: 4 y/o
Middle Childhood: 5, 6, 8, 10 y/o

21
Q

What are RF for hearing problems?

A
  • FHX of permanent hearing loss
  • NICU care of >5 days
  • Infxns assoc. w/ hearing loss
  • Craniofacial abnormalities
  • Chemotherapy
  • Chronic or recurrent OME for at least 3 mo
  • PE findings assoc. w/ sensorineural or conductive hearing loss
  • Head trauma
22
Q

When should you Use validated developmental screening tools

A

Infancy - 9 months

Early Childhood – 18 and 30 months

Any time when the parent or provider has a concern

23
Q

what si the screening tool used for Autism Screening

24
Q

according to the AAP and Bright Futures autism screenings are recommend when?

when does the CDC recommend screening?

A

At 18 and 24 months & any time parent raises concern

18, 24, and 30 months

25
when should BP screenings begin?
age 3
26
what are the recommendations for assessing BP?
SBP and DBP < 90th: normal BP SBP and/or DBP > 90th: Repeat measurements x2, average readings BP > 90th: See National Heart, Lung, and Blood Classification of HTN in Children and Adolescents chart
27
what are the tx for Normal or prehypertensive? Hypertensive?
Healthy diet, Physical activity If overweight→ counseling and referral if needed Consider meds, change diet/physical activity level
28
when are laboratory screenings collected?
at least 24 hrs after birth but <7 days of age
29
__% children in US live in housing w/ deteriorating lead paint
25
30
Blood lead levels as low as __ mcg/dL have been assoc. w/ adverse effects on cognitive development, growth, and behavior in children 5 y/o and younger
10
31
__% of American children enrolled in Medicaidw/ blood levels >__ mcg/dL
83 | 20
32
how often are Medicaid enrollees screened for lead?
by 12 months age 24 months 36-72 months if not tested earlier
33
when are Refugees and Internationally adopted children screened for lead?
Upon arrival in US Repeat in children < 6 y/o in 3-6 mos after permanent placement
34
When does the AAP/Bright Futures for non-Medicaid children recommend Screening for lead?
According to local or state HD recs, otherwise at 12 and 24 mo unless lead exposure can be confidently excluded Know risk factors
35
who is at risk for Lead poisoning?
Housing built before 1950 = prime source of lead contamination
36
when should a child be screened for Iron Deficiency Anemia
Performed @ 12 mo.
37
what are some consequences of iron deficiency anemia?
developmental delays | behavioral disturbances that may persist past school age unless the deficiency is treated
38
Population at Risk for iron deficiency anemia
Infants on WIC Infants and children of migrants or recent refugees Preterm or low birth weight infants Breastfed infants >6 mo not getting adequate iron from supplementary foods Infants who do not receive sufficient iron after 4-6 months of age Infants fed cow’s milk <12 mo, children >12 mo who drink >24 oz milk/day Infants and children at risk because of special health care needs Children who follow strict vegetarian diet without iron supplementation Adolescent females who have begun menstruating Children/teens with other risk factors
39
what are the Recommendations for iron def. anemia?
4, 18, and 24 months Annually between 3 and 21 years
40
when does the AAP and Bright Futures recommend iron def. anemia screening:
All infants at 12 months All non-pregnant females (11-21) every 5-10 years Anyone at risk
41
when are TB Screening Recommended?
All HIV-infected children/teens annually All incarcerated teens annually
42
when are Risk Assessment Recommendations for TB?
Infancy: by 1 month; at 6 months Early Childhood: 12, 18, and 24 months; 3 and 4 y/o Middle Childhood and Adolescent: Annually
43
when should a child be screened for dyslipidemia?
children and teens at high risk
44
when should dyslipidemia screenings be perform?
24 months and 4 y/o 6, 8, and 10 years Annually 11-21 y/o All teens once between 18 and 21 y/o Screen children and teens at high risk