Week 1: Family Centred Care, G&D, Communication

Question 1

Kids do better when their _______ do better

Answer 1

Parents

Question 2

Family is defined by the

Answer 2

childbearing person

Question 3

Children are most sensitive to SDH in….

Answer 3

First 3 years of life

Question 4

What are the 10 ACE’s (adverse childhood experiences)?

Answer 4

Abuse: physical, emotional, sexual
Neglect: physical, emotional
Household challenges: mental illness, parent Substance abuse, parent mental illness, divorce, incarceration, domestic violence

Question 5

What are some protective factors for a high ACE score?

Answer 5

stability. Children need stability and routine. SES, adequate nutrient, basic needs, healthcare access

Question 6

What is a way you could ask a question to best provide culturally considerate care?

Answer 6

What do I need to know to best provide care to you? What is important to you?

Question 7

Why is the indigenous population at higher risk for health concerns, things like immunization rates, infectious diseases, diabetes, death, MVCs, self harm, and suiccide?

Answer 7

Intergenerational trauma, SDOH, discrimination, and deep distrust towards Western culture and therefore our healthcare system

Question 8

How can you advocate for a pediatric patient?

Answer 8

Get to know patient needs by asking, spaces patient may not be near family, ensure patient and family best interests are being met

Question 9

Neonate

Answer 9

Birth-27/28 days

Question 10

Infancy

Answer 10

0-12 months

Question 11

Toddler

Answer 11

1-3 years

Question 12

School age/childhood

Answer 12

6-11y

Question 12

Preschool

Answer 12

3-6y

Question 13

Adolescence

Answer 13

11-18y

Question 14

When do we stop correcting for premature birth and its’ implications on developmental milestones?

Answer 14

Baby should be caught up by 2 years.

Question 14

Directional patterns of G&D

Answer 14

Cephalocaudal development (hear to toe)
Proximodistal (midline to periphery)

Question 14

When do we use height or length to measure a child?

Answer 14

height when they can stand, length when they can’t (baby)

Question 14

What is a good indicator of health ?

Answer 14

Weight. Baby will lose weight in first 24 hrs

Question 14

Growth charts

Answer 14

We only worry when kids fall off their own trajectory. These charts measure individual growth against population norms. Percentiles show how a child’s measurement deviates from the 50th percentile.

Question 14

Who uses more energy or O2? Kids or adults?

Answer 14

Kids!

Question 15

What type of intervention is key in abnormal growth patterns?

Answer 15

EARLY

Question 15

When does a Nipissing test get used?

Answer 15

Assess devo status in the first 6 years at 13 different stages

Question 15

What areas does a Nipissing district developmental screen look at?

Answer 15

Vision, hearing, speech/language, communication, gross motor function, cognitive, social/emotional, and self help. Done routinely

Question 16

4-6wk

Answer 16

Motor: head lift, turn side to side
Language: cries
Adaptive: smiles

Question 17

4mo

Answer 17

Motor: no head lag, grasping Language: pleasure Adaptive: smiles, laughs, pleasure

Question 18

5mo

Answer 18

Motor: voluntary grasp, both hands, toe play Language: primitive (ah, goo) Adaptive: smiles at self

Question 19

12mo

Answer 19

Motor: stands holding, walk with support Language: 2-3 words with meaning Adaptive: names of objects, interest in pictures

Question 19

8mo

Answer 19

Motor: sits no support, transfers objects between hands, rolls supine to prone Language: syllables (dad, mama) Adaptive: responds to no

Question 20

10mo

Answer 20

Motor: Sits well, creeping, stands holding, pick up small things Language: Adaptive: Waves bye bye, plays patty cake, peek a boo

Question 21

15mo

Answer 21

Motor: walk alone Language: several intelligible words Adaptive: requests by pointing, imitates

Question 22

2Y

Answer 22

Motor: stairs solo, runs, scribble, jump Language: 2-3 word phrases Adaptive: organized play, points to body

Question 22

18mo

Answer 22

Motor: walks up and down stairs holding, remove clothes Language: many intelligible words Adaptive: carries out simple commands

Question 23

3Y

Answer 23

Motor: pretend play, large ball, tricycle Language: who, what, when where. Create long sentences 5+ words Adaptive: favourites, take turns

Question 23

30 months

Answer 23

Motor: kicks ball, rolling ball (ball play) Language: more than 350 words, action Adaptive: concern for others

Question 24

4Y

Answer 24

Motor: Somersaults, climbing Language: stories with beginning, middle, end, simple rhymes Adaptive: solve problems with others, complex imaginative play

Question 24

5Y

Answer 24

Motor: jump rope, skate, swim Language: past, present, future event, alphabet Adaptive: please friends, friendships important, toilet training DONE