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Peds/Geriatrics > Well Child Care > Flashcards

Well Child Care Flashcards

1
Q

Schedule of well child care visits (13)

A

3-5 days, 1 month, 2 mo, 4 mo, 6 mo, 9 mo, 12 mo, 15 mo, 18 mo, 24 mo, 30 mo, 3 years, then yearly annual health supervision visits

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2
Q

define colic

A

crying more than 3 hours/day, 3 days/week for more than 3 weeks in an otherwise well-fed, healthy baby

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3
Q

likes to play with others, knows/recognizes familiar faces. babbles, and can roll over in both directions

A

6 months

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4
Q

crawling milestone, can sit without support. may be afraid of strangers. picks up things between thumb and index finger

A

9 months

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5
Q

can sit without support

A

9 months

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6
Q

holds head steady without support and may be able to roll over from tummy to back

A

4 months

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7
Q

babbles

A

6 months

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8
Q

may be able to roll over from tummy to back

A

4 months

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9
Q

coos, makes gurgling sounds

A

2 months

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10
Q

pays attention to faces, turns head toward sounds, begins to smile at people

A

2 months

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11
Q

rolls over in both directions

A

6 months

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12
Q

coos, makes gurgling sounds, can hold head up, begins to smile at people, pays attention to faces

A

2 months

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13
Q

picks up things between thumb and index finger

A

9 months

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14
Q

says mama an dada, can follow simple directions, and pulls to stand

A

12 months

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15
Q

runs easily, can name most familiar objects, talks well enough for strangers to understand most of the time

A

3 years

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16
Q

may be afraid of strangers

A

9 months

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17
Q

milestone for walking

A

18 months

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18
Q

milestone for crawling

A

9 months

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19
Q

says several single words, walks alone, simple pretend play

A

18 months

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20
Q

speaks very clearly, can use toilet on own, counts 10 or more objects

A

5 years

21
Q

hops and stands on 1 foot up to 2 seconds

A

4 year

22
Q

when should children reach adult proficiency w/ language

A

by 7-8 years of age

23
Q

hepatitis B doses

A

3 - birth, 1-2 months, and 6-18 months

24
Q

DTaP doses

A

5- 2 mo, 4 mo, 6 mo, 15-18 mo, and 4-6 years of age

25
Q

Hib dose

A

PedVaxHIB has 3 dose series at 2 mo, 4 mo, and booster dose at 12-15 months. ActHIB has 4 dose series at 2 mo, 4 mo, 6 mo, and booster dose at 12-15 months

26
Q

poliovirus vaccine

A

IPV SQ or IM in 4 doses- 2 mo, 4 mo, 6-18 months, and 4-6 years

27
Q

MMR vaccine

A

2 doses- 12-15 months, 4-6 years of age

28
Q

contraindication to MMR vaccine

A

pregnancy, immunodeficient, hematologic or solid tumors, or if patients experience thrombocytopenia within 6 weeks of prior MMR vaccine they should not receive a subsequent dose. Is a Live vaccine

29
Q

Varicella doses

A

2 doses SQ or IM at 12-15 months and 4-6 years

30
Q

contraindications to varicella

A

pregnant, immonocompromised, previous anaphylactoid reaction to neomycin or gelatin.

31
Q

what to avoid after varicella vaccine?

A

avoid salicylates for at least 6 weeks after varicella vaccine d/t concerns over Reye syndrome

32
Q

pneumococcal vaccine

A

4 doses- 2 mo, 4 mo, 6 mo, and 12-15 months

33
Q

meningococcal vaccine

A

children aged 2-10 yers who have an indication , recommended for all adolescents aged 11-18 years

34
Q

hepatitis A

A

if patient is 1-18 years, 2 IM doses at least 6 months apart. if 19 or over, 2 IM doses 6-18 months apart. RECOMMENDED at 12-23 months, second at 18 months (if first was at 12 months)

35
Q

Influenza vaccine

A

should be given annually in fall in all children 6 or more months of age. if 6 months- 8 years, may require 2 doses INITIALLY. Give 2 doses if first influenza vaccine. Give 2nd dose 28 days following initial dose

36
Q

2 types of influenza vaccine

A

Inactivated given IM or live given intranasally

37
Q

rotavirus

A

3 doses at 2, 4, 6 or 2 doses at 2 and 4

38
Q

which vaccines are live

A

influenza (also attenuated), MMR, rotavirus, and varicella

39
Q

HPV

A

Gardasil has 3 doses- time 0, 2, and 6 months of F/U. Cervarix in 3 doses at time 0, 1 and 6 months of F/U. recommended for girls and boys starting at 11-12 years of age

40
Q

vaccines at birth

A

Hep B (1 of 3)

41
Q

vaccines at 1-2 months

A

Hep B (2 of 3)

42
Q

vaccines at 2 months and 4 months

A

DTaP (1-2 of 5), Hib (1-2 of 4), Polio (1-2 of 4), Pneumococcal (1-2 of 4), Rotavirus (1-2 of 3),

43
Q

vaccines at 6 months

A

DTaP (3 of 5), Hib (3 of 4), Pneumococcal (3 of 4), and Rotavirus (3 of 3). Can also get Influenza in 6 months or older, Follow with second dose after 28 days.

44
Q

vaccines at 6-18 months

A

Hep B (3 of 3), Polio (3 of 4)

45
Q

vaccines at 12-15 months

A

Pneumoccoal (4 of 4), Hib (4 of 4), MMR (1 of 2), Varicella (1 of 2)

46
Q

vaccine from 12-23 months

A

Hep A, followed by second dose 6 months later

47
Q

vaccine from 15-18 months

A

DTaP (4 of 5)

48
Q

vaccine at 4-6 years

A

DTaP (5 of 5), Polio (4 of 4), MMR (2 of 2), Varicella (2 of 2)

Peds/Geriatrics (3 decks)

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