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Unit 1 Flashcards

1
Q

Birth vaccine

A

B

Hepatitis B

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2
Q

2 months old vaccine

A

To B Dr HIP

B- hepatitis B

D-1 DTap
R-rotavirus

H- H influenza type B (HiB)
I-inactivated polio (IPV)
P-pneumococcal (PCV13

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3
Q

4 months old vaccine

A

For Dr HIP

D-2 DTap
R-rotavirus

H- H influenza type B (HiB)
I-inactivated polio (IPV)
P-pneumococcal (PCV13

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4
Q

6 months old vaccine

A

B Dr HIP in 6 months

B- hepatitis B

D-3 DTap
R-rotavirus

H- H influenza type B (HiB)
I-inactivated polio (IPV)
P-pneumococcal (PCV13

In- influenza (yearly)

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5
Q

1-1.5 years vaccine

A

I mad HPV

M-MCR
A-hep A
D-4DTap

H- H influenza type B (HiB)
P-pneumococcal (PCV13)
V-varicella

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6
Q

4-6 years old vaccine

A

Very DIM at 4-6pm

V-varicella

D-5 DTap
I-inactivated polio (IPV)
M-me

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7
Q

Ages for well child checks

A

2 days
2 mo
4 mo
6 mo

9mo
12mo
15mo
18mo

2yr
3yr
4yr

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8
Q

Walk at how old?

A

12 months

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9
Q

Check for head lifting/neck control when

A

2 months

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10
Q

Roll when

A

4 months

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11
Q

Sit at what age

A

6 months

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12
Q

Crawl and pull to stand when

A

9 months

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13
Q

Walks well when

A

15 months

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14
Q

Throws objects

A

18 months

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15
Q

24 months

A

Up and down stairs

Runs

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16
Q

3 years

A

Tricycle

Jump in place

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17
Q

4 years

A

Up and down stairs alternating feet

Balance on 1 foot for 4 seconds

Hops

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18
Q

5 years

A

Skips

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19
Q

Assess in newborn

A

Hearing
Bilirubin
Congenital Heat disease’s

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20
Q

Assess in 3-5 day old

A

Hearing if failed

Blood

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21
Q

Assess at 1

A

Hearing
Blood
Maternal depression screening

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22
Q

Milestones for 2mo

A 
Lift head 45•
Turn side to back
Drops toys
Turns to sound
Following objects past midline
Social smile; regards faces

Parents little baby: looks up, smiles because he sees both his parents, one on either side of baby’s visual field

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23
Q

Milestone for 4 months

A

Lift head 90• and raises up to chest
Turns runny to back
Reaches for objects >puts objects in mouth
Coos

Fat happy baby: baby is rolling and laughing and cooing because he just discovered midline and is reaching for cake that he will cram into his mouth

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24
Q

Milestones for 6 months

A 
Sits up with no lag
Rolled over (both directions)
Scoops-thumb opposition grasp
Reaches 1 hands; transfer objects between hands
Babbles
Recognizes familiar faces “bye bye”

Street corner baby- sitting up on sidewalk, traversing a rake from Hans to hang while babbling, says bye bye to people he thinks he recognizes

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25
Q

Milestones for 9 months

A 
Pulls to stand-stands alone; walks with support
Thing and index finger grasp
Imitate peek-a-boo
Follows 1 step verbal commands
Pat-a-cake
Peakaboo

Watch dog baby- crawls to window, pulls to stand to see out, sees dog in yard and says peakaboo, parents tell baby come here and she crawls away from window

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26
Q

Milestones for 12 month

A 
Walks
Pincer grasp
Tower 2 cubes
Specific meaning mama/dada
1-2 wood vocal
Points to desired object

Playful zombie baby- walking after mama and dada, pointing at them and snapping pincer, repeating 1 word ponder and over (bbbbrrraaaaiiinnmsss)

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27
Q

Milestones for15 month

A

Walks well
Imitate
Controlled release of blocks ( can stack 2)

Little sister baby- wants to be just Like big sister, walks confidently to the blocks and imitate a 2- block tower

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28
Q

Milestones for 18 months

A 
Up and flown stairs with help
Throws
Tower of 3-4 blocks
Dumps toys from cup
Carries doll
Scribbles
Sears and feeds self
4-20: words
2 step commands

Sir charming baby- needs to get more to Rapunzel doll, so scribbles note on paper to throw into high 4 block tower, catapult his cup on end, shoves note in with spoon, climbs up the stairs and throws notes at tower

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29
Q

Milestones for 2 years

A 
Jumps with 2 feet
Stands on either foot alone
Kicks ball
Tower 6-7 cubes
Turns 1 book page
Sorry phrases points to name objects/pictures
Verbalize needs to potty
Parallel play

Bad twins- twin A us jumping in the couch, while twin B is standing on 1 foot, twin A points to ball and kicks it towards twin Bs 7 cubes tower, twin B says “you are in trouble” and twin B cops that twin A just said

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30
Q

Milestones for 2.5 years

A 
Walks backwards
Hops on 1 foot
Copies crude circle
Crayon in fist
Refers to self as “I”
Points to objects described by use
Can have a conversation
Helps put things away
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31
Q

Milestones for 3 years

A 
Tricycle
Tower 9-10
Copies circle
3 cube bridge
Holds crayon with fingers
Gives first and last name 
“You me and I”
Dresses with help

James Bond baby-Springs into action… jumps into 3-piece suit, stands in front of mirror abs says first/last name, jumps on his tricycle and rides over 10 blocks to the party, you. Me. Abs I. Is his pickup line

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32
Q

Milestones for 4 years

A 
Stairs (alt feet)
Draws circles for a person
Knows own gender
4-words phrase’s 
Responses to commands
Gives full name
Feeds self @ mealtime
Undressed
Cooperative play
Tells story

Bedtime story baby-really wants to tell mom a story before bedtime, mom says “quickly finish eating so we can do that” she understands, hurried up the stairs, gets undressed, tells her mom “ my story will be called why I love my mommy” complete sentences

33
Q

When do you mom for depression

A

2 months
4 months
6 months

34
Q

Oral health at what age

A

6 months
9 months
12 months

35
Q

What two blood test do 12 months old get

A

Lead

Anemia

36
Q

ASD screening at what ages

A

18 months

24 months

37
Q

Vision screening at what age

A

3 and 4 ages

38
Q

Milestones at 4-5 years old

A 
Runs 
Turns
Stand on 1 leg for si least 10 seconds
Plays outside >30 
Draws Person-no torso
Counts by 4 
Days of the week
Appropriate answers to questions
Dressing self
Toileting self-care
Can’t tell what’s make believe and real

Oz baby- baby knows that Oz is a make believe place, she remember a picture she drew of her momma and us reminded of home, she potty’s, gets dressed, laces up her ruby red shoes, turns around and clicks heels 4 times

39
Q

Establish dental home by

A

12 months

40
Q

Primary teeth erupt when

A

7 months and compete between 30-36 months

41
Q

Oral hygiene

A

Infants gums cleaned daily with moist cloth

Teeth erupt= oral hygiene must be practiced

Children younger than 8 need help brushing and flossing
Weak from bottle between 12-18 months

42
Q

PKU

A

Normal diet >elevated phenylalanine levels >untreated >severe intellectual disability, hyperactivity, seizures, light complexion, eczema

Infants should be screened during the first few days

2nd rest when newborn screening is done before 24 hours and be completed by second week of life

43
Q

Screening for hyperthyroidism congenital acquired screening

A

Shortly after birth

Measure either total T4 or TSH levels

44
Q

Sickle cell screening

A

Identity by universal screening >results indicating possible require prompt confirmation

45
Q

Sickle cell anemia/sickle B thalassemia

A

Only hemoglobin S, F, and A2

46
Q

Sickle B thalassemia

A

Majority of hemoglobin and less amount of hemoglobin A and elevated A2

47
Q

Sickle hemoglobin C

A

Equal amounts of hemoglobin S and C S>C

48
Q

Gold standard screening for SS

A

Hemoglobin electrophoresis
HPLC
DNA analysis

49
Q

HiB

A

2
4
6
12-15 sometimes

Uncommon adverse effects

50
Q

IPV dose, defer, and contraindications

A

2
4
6
4-6 years

Defer if mod-severe illness or pregnant!

Contraindicated with polymyxin B, neomyxin, streptomycin

Uncommon adverse reactions

51
Q

Hep A when, precaution, AR

A

12-15 months give second dose 6montha later

Precaution in pregnancy and mid-severe illness
AR-mild injection sure to, HA, loss of appetite

52
Q

RV when, contraindications

A

2
4
6

Risk of intussusption (don’t give if hx of), latex allergy, SCID, mod-severe gasteroenteritis

53
Q

Influenza

A

All older than 6

If under 9 and no previous dose then give two doses 6 months apart

Contraindicated in type 1 egg allergy

AR- fever, malaise, myalgia

54
Q

Varicella when, contraindications, AR

A

12-15 months
4-6 years

Contra in child with acquired treated related cell immunodeficiency, T cell abnormalities
(Can be given to HIv kids who aren’t immunocompromised), pregnancy, febrile seizure’s hx

AR- minor site ex

55
Q

Pcv13 when, defer, AR

A

2
4
6
12-15 months

Fever is mod-severe illness (with it without fever)

AR- fever, injection site, irritability, decreased sleep, when given with flu =seizures

56
Q

DTap when, defer, AR

A 
2
4
6
15-18 months
4-6 years

Defer if progressive Neuro vascular dx until Neuro status clarified

Ar- fever, inconsolable cry, hypotonic-hyporesponsive episodes

57
Q

MMR when, defer, contraindications, AR

A

12-15 months
4-6 years

Defer for 3-11 months after IG admin

Contra in pregnant women, trying to become prego, immunocompromised, children receiving high dose steroids, latex neomycin and gelatin allergy

AR- fever, fever seizures, transient thrombocytopenia, measles inclusion body encephalitis

58
Q

HepB when, contraindicated, AR

A

Birth
2
6

Contra in serious allergic ex yeast

Ar- uncommon

59
Q

I-P-A “beer”

A

IPV
Pcv13
HepA

Defer mod-severe illness

60
Q

A painful vaccine to me

A 
Hep A
Pcv13
Varicella
Tdap 
Meningococcal

Minor site reaction

61
Q

The mental defects matter

A

Tdap
MMR
Dtap
Meningococcal

Defer Neuro; febrile seizures

62
Q

Baby is happy

A

Hep B
IPV
HiB

No reactions

63
Q

Vagina iZ a hateful monster

A 
Varicella
IPV
Zoster
Hep A
HPV
MMR
64
Q

Don’t give this vaccine if Al logic to yeast

A

Hep b

65
Q

Don’t give this vaccine if Type 1 egg allergy

A

Influenza

66
Q

Don’t give this vaccine if GI issues/ intussception

A

Rotavirus

67
Q

Don’t give this vaccine if Allergy to neomycin

A

MMR

Ipv

68
Q

Don’t give this vaccine if Allergy to streptomycin/polymyxin

A

Ipv

69
Q

Don’t give this vaccine if Allergy to gelatin/latex

A

MMR

70
Q

Don’t give this vaccine if hiv

A

Hep b
Influenza
Pcv13
Tdap

Don’t give hiv pt live viruses

71
Q

Contraindicated during pregnancy vaccines

A

MMR
Ipv
Varicella
Hep a

72
Q

Hep A

A

Given at 12 months

2 dose series with minimal interval of 6 months

73
Q

MMR

A

Stay at 12 months second dose 4-6 years

M can be given 4 weeks after the 1st

74
Q

Universal screenings for each age

Selective for those at risk or if the clinicians has a concern

A

Yes

Bright futures handout!!!! Know all of the stuff!!

75
Q

Surveillance

A

Continuous or ongoing process in which a skillful trained clinicians professionally observed an infant or child they provide care for

Will determine if the parents have concerns about the child and will take a developmental history

76
Q

Screen hearing

A

4 years old

77
Q

Autism at 18 and 24 but development tools for 9, 18, and 30 months

A

More prevalent in males

78
Q

Dental home at what age

A

12 months

20 teeth at 36 months later

Fluoride varnish for high risk

Limit juice
Don’t prop bottle

79
Q

Screen for newborn

A 
PKU
Sickle cell
Congenital Hypothyroid
Congenital heart disease
Hearing 
Vision

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