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Peds and Geriatrics- PA Sp23 > Vaccination Schedule > Flashcards

Vaccination Schedule Flashcards

1
Q

Do you give vaccines at 3-5 day visit?

A

No

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2
Q

Are vaccines given at 2 weeks- 1 month old visit?

A

No

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3
Q

What type of screening does mom need and what visits does she get those at?

A

PPD
2 weeks- 1 month and 2 month visit

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4
Q

What visit are the following vaccines given?
Rotavirus (oral) #1
Hep B #2
DTaP #1
IPV #1
Hib #1
PCV 13 #1

A

2-month-old visit

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5
Q

How long should FOC be checked in peds patients?

A

until 2 years old

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6
Q

What is the average potty training age?

A

27 months

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7
Q

When do BMI measurements begin in peds?

A

2 years old

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8
Q

What visit are the following vaccines given?
Rotavirus #2
Hep B #3
DTaP #2
IPV #2
Hib #2
PCV 13 #2

A

4- month- old visit

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9
Q

What visit are the following vaccines given?
Hep B #4
DTaP #3
IPV #3
Hib #3
PCV 13 #3

A

6- month-old visit

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10
Q

Do kids get vaccines at the 9-month visit?

A

Not unless they are on a delayed schedule

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11
Q

What visit are the following vaccines given?
Varicella
MMR
Hep A #1

A

12- month- old visit

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12
Q

What lab work should be done at 12-month visit?

A

Hgb/Hct (via fingerstick)
lead levels (via LERAQ questionnaire)

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13
Q

Describe the anterior fontanelle

A

kite shaped, 1-5 cm, closes by 6-24 months

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14
Q

Describe the Posterior fontanelle

A

triangular, 1 cm, closes by 2-4 months

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15
Q

What is the moro reflex?

A

Appears= birth
Disappears= 2-4 months
“Startle”

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16
Q

What is the tonic reflex?

A

Appears= birth
Disappears= 3 months
“fencing”— head to one side, arm stretches out on same side while other elbow bends

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17
Q

What is the grasp reflex?

A

Appears= birth
Disappears= 5-6 months (palm), 12 months (toe)
Stroking hand or foot causes grasp relfex

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18
Q

What is the rooting reflex?

A

Appears= birth
Disappears= 3 months
stroke corner of mouth baby will turn head and root in that direction

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19
Q

What is the suck reflex?

A

Appears= 36 weeks in utero
Disappears= never
roof of mouth touch which causes baby to suck

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20
Q

When is the peak incidence of SIDS?

A

2-4 months

21
Q

How long should baby be breastfed according to AAP?

A

exclusive BF for 1st 6 months of life + Vit D drops

22
Q

How many calories are burned per day while BF?

A

~500 calories/ day

23
Q

What are the 3 R’s of child abuse?

A

recognize
respond
report

24
Q

Physical abuse

A

when a child i purposely physically injured or put at risk of harm by another person

25
Q

Sexual abuse

A

sexual activity with child. can be direct contact or noncontact

26
Q

Emotional abuse

A

injuring a child’s self-esteem or emotional well-being (verbal or emotional assault)

27
Q

Medical abuse

A

someone gives false information about illness in a child that requires medical attention, putting the child at risk of injury and unnecessary medical care

28
Q

Neglect

A

failure to provide adequate food, clothing, shelter, clean living conditions, affection, supervision, education, or dental/ medical care

29
Q

A <1 month old has a fever. What should be done?

A

full septic work up, LP

30
Q

A 1-3 month old has a fever. What should be done?

A

emergent and requires evaluation

31
Q

A >3 month old has a fever. What should be done?

A

usually viral, teething, or immunizations

32
Q

RUSH to call PA if…

A
  • fever 100.4+ and <3 months
  • fever 100.4+ and not better with meds
  • Recent vaccination and 102+ temp for 24+ hours
  • Isn’t acting like themselves
33
Q

What is considered concerning but not emergent in reards to fever?

A
  • fever < 5 days and acting normal
  • fever 102.5 in a child 3 mo- 3 yrs
  • Recent vaccination, low-grade temp <24 hours
34
Q

What visit are the following vaccines given?
DTaP
Hib
PCV 13

A

15 month visit

35
Q

What visit are the following vaccines given?
Hep A #2 (if 6 months from #1)

A

18 month visit

36
Q

What visit are the following vaccines given?
Hep A #2 (IF NOT DONE AT 18 MONTH VISIT)

A

2 year visit

37
Q

What visits should a child get autism screening?

A

18 months and 2 years

M-CHAT/R/F

38
Q

When should a child get vision screening?

A

3 years and on

39
Q

What lab work should a child get at 2 year visit?

A

Lead level

40
Q

What visit are the following vaccines given?
DTaP/ IPV
MMR
Varicella
hep A (if not yet received)

A

4 year visit

41
Q

When should hearing screening begin?

A

5-8 year old visit and go to 18 year old visit

42
Q

When should you begin discussing HPV vaccine?

A

9-year-old visit

Continue discussing at 10-12 and 13-18

43
Q

BP and HR should be part of the assessment beginning at what age?

A

4 years to 18 years +

44
Q

What visit are the following vaccines given?
Meningitis Vaccine

A

10-12 years old- ideally at 11-12 years of age

45
Q

What visit are the following vaccines given?
Meningitis #2

A

age 16

46
Q

What visit are the following vaccines given?
Meningitis B

A

Age 16-23

47
Q

What tanner stage are 10-12 years old in (normally)?

A

1-2

48
Q

What tanner stage are 13-18 years old in (normally)

A

3-5

49
Q

What age is an autism diagnosis typically made around?

A

15-30 months

Peds and Geriatrics- PA Sp23 (2 decks)

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