Screenings Flashcards
what is the importance of anticipatory guidance?
answering commonly asked questions
anticipate parent concerns
opportunity for education
sharing resources that are available
what are common topics of preventative care?
illness/injury update growth developmental milestones socialization and emotional concerns nutrition sleep home environment risk/safety immunizations screening needs
what are common problems brought to you by parents?
crying infant
temper tantrums, aggressive behavior
sleep and eating problems
fever
self settling should begin around what age?
2 months
risks are ___ specific
age
what are recommendations for screenings?
standardized and performed at ket dev. ages performed
when should STI and HIV screenings be performed?
STI: high risk
HIV: age 17
visual acuity tests should begin at age __
3
when should an ophthalmoscope exam be performed?
6-12 mo
likely not sufficient until 3 y.o
at age 0-3 months what eye exams will you perform?
red reflex
inspection
pupil exam
at age 3-6 what eye exams will you perform?
red reflex
inspection
pupil exam
FIXATION
at age 6-12 months what eye exam wil you perform?
red reflex inspection pupil exam fixation cover/uncover
at age 3 y.o. what eye exam will you perform?
red reflex inspection pupil exam fixation cover/uncover VISUAL ACUITY
___ problems are one of the most common conditions present at birth
hearing
children should be able to hear as low as ___ dB and hear pitch from___-___ Hz
20
250-8000
when is the 1st hearing screening performed?
new born with the auditory brainstem response (ABR) test or the evoked otoacoustic emissions (EOAE) test
when should you Screen infants who require neonatal intensive care w/ ABR technology ?
before they are d/c
when shoudl you screen Screen infants who were born outside a hospital or birthing center or who were d/c before receiving hearing screening?
by 1 month of age
when shoudl you Refer for a formal audiologic evaluation?
Intervention services should start by no later than____
no later than 3 mo of age or w/in 3 mo of d/c from NICU
6 mo old
Screening w/ standard hearing test are performed at what key developmental ages:
Infancy
Early Childhood: 4 y/o
Middle Childhood: 5, 6, 8, 10 y/o
What are RF for hearing problems?
- 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
When should you Use validated developmental screening tools
Infancy - 9 months
Early Childhood – 18 and 30 months
Any time when the parent or provider has a concern
what si the screening tool used for Autism Screening
MCHAT
according to the AAP and Bright Futures autism screenings are recommend when?
when does the CDC recommend screening?
At 18 and 24 months & any time parent raises concern
18, 24, and 30 months