Well child care Flashcards
CDC recommends using _____ charts for 0-2
years old & _____ charts for 2 years & older
WHO; CDC
Chart measurements for newborn visit
- Length/Height & Weight
- Head Circumference
- Weight for Length
Hearing loss, undetected, leads to impairments in ______
speech, language, and cognitive development.
____ofchildrenliveinahomewithanadultsmoker
1/3
Ask-Tell-Ask for smoking cessation
- Askfamiliesifthereisasmokerathome
- Tellthemaboutthebenefitofcessationforthechild
- Referthefamilymembertoappropriateresources
Most common type of burn in children
Scalding
Recommend hot water heaters be set to ____
120°F (Max)
SPF recommendation for kids
SPF of 30 (both UVA/UVB) is recommended,
sunny or not, during the day
Fire/smoke detector guidance for well child exam
- Most fire-related deaths result from smoke inhalation
- Smoke detectors can prevent 85% of the injuries and
deaths caused by fires in the home - Families should discuss a fire plan with children and
practice emergency evacuation from the home
Baby Blues (aka postpartum blues, postpartum depression)
- Time-limited period of heightened emotional reactivity
– Most are happy, some are emotionally labile - May be transiently tearful for hours, then recover
completely, only to be tearful again the next day - ~50% of women within the first week after birth
Symptoms of postpartum depression
– insomnia, weepiness, depression, anxiety, poor concentration, irritability
Interval History
This interval history should summarize events affecting the child’s or teen’s health since the last visit. When obtaining an interval history, ask the child’s family about events or changes that may have occurred since the last visit.
First priority of new baby visits
Attent to the concerns of the parents
Topics of discussion for infant safety during visit with the parents:
Social determinants of health risks (living situation and food security)
parent and family health and well-being (post-partum checkup)
Infant behavior and development (parent-infant relationship)
Nutrition and feeding
Safety (Car seats, safe sleep, etc)
Nutritional Adequacy guidance
- Screening for nutritional problems and guidance for age-
appropriate dietary choices at every health supervision visit - Human milk feeding is the preferred method for infant
feeding for the first year of life
– Vitamin D supplementation should be given - 400 IU po qd
- Where used, formula should be Iron-fortified
