Well Child Flashcards
1
Q
Age appropriate developmental achievement of the child 5
A
i. Physical
ii. Motor
iii. Cognitive
iv. Emotional
v. Social
2
Q
i. periodic assessment of medical & oral health
A
a. Health Supervision Visit
3
Q
what timeline are the growth curves based on
A
gestational age
4
Q
what do the growth curves include 4
A
height
weight
BMI
head circumfrence until 3
5
Q
overweight %
A
85-95%
6
Q
obese %
A
95+%
7
Q
underweight %
A
< 5%
8
Q
microcephaly
A
<3%
9
Q
macrocephaly
A
> 97%
10
Q
gestational preterm
A
< 37 weeks
11
Q
gestational term
A
37-42 weeks
12
Q
gestational post term
A
> 42 weeks
13
Q
normal birth-weight
A
> 2,500
14
Q
low birth weight
A
< 2500
15
Q
very low birth weight
A
< 1,500
16
Q
extremely low birth weight
A
<1,000
17
Q
what does the term infant mean
A
1st year
18
Q
the team neo natal
A
1-28 days
19
Q
postnatal
A
29 days - 1 year
20
Q
when to check apgar score
A
0-5 main
21
Q
what is the apgar score
A
0-10
22
Q
what is a normal apgar score
A
> 7
23
Q
components of apgar (5)
A
i. Heart rate
ii. Respiratory
iii. Muscle tone
iv. Nostril stimuli
v. Color
24
Q
- Newborn screen
A
a. Population wide testing for metabolic diseases
25
a. Vernix Caseosa
i. Cheesy white covering
26
i. Causes by blocked Sebaceous glands
a. Milia
27
i. Congenital dermal melanocytes
| ii. Common in the lumbarspine
a. Mongolian Spot
28
i. Yellow Eosinophic papules
a. Erythema Toxicum
29
A raised boney ridge at a suture line suggest
crainiosynopstosis
30
i. Separate bones from one another
a. Sutures
31
i. Where major sutures intersect
a. Fontanells
32
i. Suken Fontanells
| may indicate
dehydration
33
Large fontanels can be the first sign of hypo
thyroids
34
when do the posterior fontelels close
1-2 momths
35
when do the anterior fontels close
18 months
36
Caput succedaneum
1. Swelling (Can cross suture lines)
37
i. Cephlohematoma
1. Swelling / blood (cannot cross suture lines)
38
Hypetelorism
wide eyes
39
Infants < 1 month are (breathers)
nose
40
how to look in a kids ears
down and back
41
i. Small white benign inclusion cysts
a. Epsteins Perls
42
Small white benign inclusion cysts On the gingival ridge
a. Bohn nodes
43
Ankyloglossia
i. Congenital short lingual frenulum
44
you want to examine the neck of an infant in what position
supine
45
a. Congenital torticollis
i. Bleeding into the SCM
ii. Appears in 2-3 weeks post birth
iii. Disappears over months
46
fracture that may happen during birth
a. Clavicle fracture
47
Most common dysthymia
PSVT
48
i. Diminished femoral pulse
a. Coarctation of the aorta
49
a. Urethrial opening
| Hypospadis
1. Below (ventral)
| 2. Check BEFORE circumcision
50
1. Abnormal dorsal placement
i. Epispadias
51
first poop
Meconium:
52
Single palmer crease AKA: simian crease associated
downs
53
4 risks for disloacted peds hip
a. Premature
b. Breech
c. White
d. 1st born female
54
1. Tests for an unstable hip
i. Baelow test
55
Tests for a posterior dislocated hip
i. Ontolani
56
palmer grasp
birth - 4 months
57
plantra grasp
birth - 8 months
58
i. Asymmetry could indicate BP injury
moro reflex
59
moro reflex AKA
startle reflex
60
moro reflex timeline
birth - 4 months
61
ATNR timeline
birth - 2 months
62
posstive support describe
push to stand up
63
i. Absence suggests transverse spinal cord lesion
a. Galant Reflex
64
i. Baby goes into lateral flexion towards the stimuli
a. Galant Reflex
65
stepping reflex timelne
4 days- 1 month
66
a. Always check for the red reflex
yes
67
when to start annual vision screen
between the ages of 1-3
68
when do you do a universal hearing screen
prior to leaving the hospital
69
the most common cause of childhood blindness
Amblyopia
70
when do you check a kids BP
3 years old unless they have risk factors
71
when do they screen for hemoglobin
9 and 12 months
72
when do you do do the MCHAT screen for atusim
18 and 24 monsths
73
1st dentist visit
between 1 and 2
74
rear racing carseat until when
2
75
booster seat until when
4' 9"
76
when can you sit in the front
> 13 years old
77
i. fixes on objects
ii. responds to sound
iii. spontaneous smile
1 month
78
i.Lifts head when prone
| follows to midline
2 months
79
follows past midline
4 months
80
sits with support separation anxiety
6 months
81
cawls
pincer grasp
pulls to stand
9 months
82
walks
| slef feeds
1 year
83
3-6 words
climbs stairs
immates
15 months
84
run, walk
| 5-15 words
18 months
85
50 words
| kicks ball
24 months
86
i. Contraindications
| 1. Severe yeast allergy
Hep B
87
a. Leading cause of GI deaths in infants
rotavirus
88
DTAP has what
Diphtheria,
tetanus
Pertussis
89
what can cause
i. Pericarditis
ii. Coma
iii. Paralysis
Diphtheria
90
what bacteria is associated with broken bones
tetanus
91
what are the contraindications for HIB vaccine
6 months
92
i. Meningitis
ii. Epiglottitis
complications to what vaccine
HIB
93
a. risk for febrile seizure if administered with influenza vaccine
1. PVC 13 (pneumococcal)
94
i. pregnancy
| is a contraindication to what vaccines
polio
varicilla
Hep A
95
if someone is wanting to get pregnant within 28 days whar vaccine should they NOT take
MMR
96
GBS is a complication to what vaccine
MMR
97
HPV vaccine protects against what strains
6, 11
| 16, 18
98
a. Peripheral cyanosis may be normal for 1-2 days post birth
truth
