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Well- Child Flashcards

1
Q

What is well child visit dedicated too?

A

prevention

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2
Q

What is “more challenging” later on?

A

adolescence visits

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3
Q

What is a medical home?

A

comprehensive “one-stop shop” that has all the care needed, affordable, convienient

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4
Q

What is the Periodicity schedule

A 
Newborn
2 weeks
1 mo
2 mo
4 mo
6 mo
9 mo
12 mo
15 mo
18 mo
24 mo
30 mo
36 mo
annually afterwards
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5
Q

What is the “Texas Health Steps”

A

well child periodicity visits

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6
Q

What are 6 benefits of a well child visit?

A 
Focus on prevention
Tracking growth and development
Screening and surveillance
Opportunity to raise concerns
Team approach
Form long lasting relationships with families
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7
Q

What are the 8 unique components to a well child care?

A 
Growth/ nutrition
Developmental surveillance
Psychosocial history
Mental health screening
Others (vision/hearing)
Immunizations
Unclothed physical exam
Anticipatory guidance/counseling
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8
Q

What are 6 things plotted on a growth chart?

A 
Nutritional history
Weight
Recumbent length
Height
Head circumference
Body mass index
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9
Q

When is body mass index charted?

A

after age 2 yrs

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10
Q

How long is milestone assessed?

A

till age 6yrs

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11
Q

What are the 2 screenings for developmental surveillance?

A

ASQ/PEDS

M-CHAT

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12
Q

What is ASQ/PEDS screening for?

A

aging/staging

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13
Q

When is ASQ/PEDS screened performed?

A

9 mo, 18mo, 24 mo, 36 mo, 48 mo

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14
Q

What is M-CHAT screening for?

A

Autism

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15
Q

When is M-CHAT screening performed?

A

18 and 24 mo

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16
Q

What screening is done in older adolescents?

A

School/social performance, ECI (early childhood intervention)

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17
Q

What is Adverse Childhood experiences (ACE)

A

living in a home of domestic violence, child abuse

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18
Q

What does ACE increase the risk for?

A

cardiovascular events later in life

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19
Q

What are the protective topics for teens?

A

Txt for STD, STI
Reproductive (pregnancy, not abortions)
Contraceptions (except IUDs)
Substance Abuse

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20
Q

What is SSHADESS?

A

a screening tool for teens

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21
Q

What does SSHADESS mean?

A 
S- Strengths
S- School
H- Home
A- Activities
D- Drugs/ substance use
E- Emotions/ eating/ depression
S- Sexuality
S- Safety
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22
Q

What type of questioning should be used at every mental screening?

A

subjective

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23
Q

What age are mental health screenings required?

A

12-18yrs

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24
Q

What mental screening should be used for new/pregnant mothers?

A

PHQ-9

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25
What mental screening should be used for adolescents?
PHQ-9,, PSC, CRAFT, SCARED
26
How should mental screenings be performed?
alone
27
What age should TB be screened?
>12 months
28
What age should anemia be screened?
12 mo and 24 mo
29
What age should lead poisoning be screened?
24mo - 6yrs
30
What age should hyperlipidemia be screened?
age 9-11yr, 18-21yrs
31
What age should HIV be screened?
16-18yr
32
What age should subjective vision be screened?
birth- 30 mo
33
What age should visual acuity screening start?
36 mo
34
What age should subjective hearing be screened?
birth - 36 mo
35
What age should audiometric screening start?
48 mo
36
What age should Tb screening start?
>12mo
37
What is the most critical public health interventions of all time?
immunizations
38
When is the most important opportunity to vaccinate?
every visit
39
What schedule is used for catch-up immunizations?
"catch-up" vaccination schedule
40
How should physical exams be performed?
unclothed
41
What procedure should be used to start a physical exam?
least invasive
42
What are considered more invasive exams?
ears and mouth
43
What isa critical portion of every well child visit?
Anticipatory Guidance
44
What is Anticipatory Guidance?
Education
45
What is the bible for Anticipatory Guidance?
Bright Futures
46
What is Anticipatory Guidance tailored too?
patient's age and family dynamics
47
What are 3 exemptions to vaccines?
Medical reasons Personal Beliefs Religious Beliefs
48
How long does a well child check up suppose to last?
15-20 min (typically 1hr)
49
What age are parents usually asked to step out of the room?
12-13yr
50
How is SSHADESS assessment done?
with the pt clothed
51
What 5 things make up the psychosocial history?
home environment school environment social determinants of health adverse childhood experiences (ACE)
52
What is the best way to communicate with a teen?
Eye contact during greeting | Find their interest
53
What state ranks #1 for uninsured population, children, women 18-44?
Texas
54
What is at a historic low in Texas?
Child uninsurance
55
What states aren't doing so hot in child uninsurance?
Southern States
56
How are most kids covered in the U.S.?
employer/ private insurance
57
How are most kids covered in Texas?
employer
58
What is Medicaid?
public health insurance program
59
Single largest insurer of children nationwide and in Texas
Medicaid
60
Primary sources of health care for low income parents, disabled, and elderly (long term care)
Medicaid
61
Largest sources of behavioral health care?
Medicaid
62
Who is covered by the largest amount of Medicaid?
Children
63
Who does Medicaid cover?
``` Children w/ special health care needs (CSHCN) Children in foster care Elderly in long term care Disabled Pregnant women ```
64
Who makes up the caseload in medicaid?
non-disabled children (68%)
65
Who makes up expenditures?
aged and disability related (68%)
66
Whom does Medicaid cover?
Vulnerable populations
67
Up to what age does Medicaid cover foster care children?
26yr
68
Unique to Medicaid?
EPSDT (Early, Periodic, Screening, Diagnostic, and Treatment)
69
What does EPSDT include?
comprehensive preventive
70
Who does Medicaid not Cover?
- NOT available to all poor or low income Texans - Healthy childless adults "able- bodied" - Parents earning more than $3,800/yr - Undocumented immigrant - Legal immigrants (Green-card holders)
71
What is coverage gap?
those that don't meet ACA premium (138%) and fall below the line
72
Who is in the coverage gap?
Parents of most pts
73
What is ACA premium?
138%
74
How many Texans are in the "coverage gap"
1-2 million
75
What is CHIP?
Public health insurance program
76
What is CHIP match rate?
15% higher than Medicaid
77
What is CHIP designed to cover?
children in "working poor" families
78
What does CHIP cover?
fetus of expectant mothers
79
What program is much larger?
Medicaid
80
Which program is newer?
CHIP (1997)
81
Which program has EPSDT?
Medicaid
82
Which has a better match rate?
CHIP
83
Which has no cost sharing?
Medicaid
84
What is cost sharing?
copayment, premiums, deductibles
85
Which program has cost sharing?
CHIP
86
Which program is less state flexible?
Medicaid
87
Which program has more political will?
CHIP

Pediatrics (7 decks)

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