Well Child Care Flashcards
Schedule of well child care visits (13)
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
define colic
crying more than 3 hours/day, 3 days/week for more than 3 weeks in an otherwise well-fed, healthy baby
likes to play with others, knows/recognizes familiar faces. babbles, and can roll over in both directions
6 months
crawling milestone, can sit without support. may be afraid of strangers. picks up things between thumb and index finger
9 months
can sit without support
9 months
holds head steady without support and may be able to roll over from tummy to back
4 months
babbles
6 months
may be able to roll over from tummy to back
4 months
coos, makes gurgling sounds
2 months
pays attention to faces, turns head toward sounds, begins to smile at people
2 months
rolls over in both directions
6 months
coos, makes gurgling sounds, can hold head up, begins to smile at people, pays attention to faces
2 months
picks up things between thumb and index finger
9 months
says mama an dada, can follow simple directions, and pulls to stand
12 months
runs easily, can name most familiar objects, talks well enough for strangers to understand most of the time
3 years
may be afraid of strangers
9 months
milestone for walking
18 months
milestone for crawling
9 months
says several single words, walks alone, simple pretend play
18 months
speaks very clearly, can use toilet on own, counts 10 or more objects
5 years
hops and stands on 1 foot up to 2 seconds
4 year
when should children reach adult proficiency w/ language
by 7-8 years of age
hepatitis B doses
3 - birth, 1-2 months, and 6-18 months
DTaP doses
5- 2 mo, 4 mo, 6 mo, 15-18 mo, and 4-6 years of age
Hib dose
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
poliovirus vaccine
IPV SQ or IM in 4 doses- 2 mo, 4 mo, 6-18 months, and 4-6 years
MMR vaccine
2 doses- 12-15 months, 4-6 years of age
contraindication to MMR vaccine
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
Varicella doses
2 doses SQ or IM at 12-15 months and 4-6 years
contraindications to varicella
pregnant, immonocompromised, previous anaphylactoid reaction to neomycin or gelatin.
what to avoid after varicella vaccine?
avoid salicylates for at least 6 weeks after varicella vaccine d/t concerns over Reye syndrome
pneumococcal vaccine
4 doses- 2 mo, 4 mo, 6 mo, and 12-15 months
meningococcal vaccine
children aged 2-10 yers who have an indication , recommended for all adolescents aged 11-18 years
hepatitis 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)
Influenza vaccine
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
2 types of influenza vaccine
Inactivated given IM or live given intranasally
rotavirus
3 doses at 2, 4, 6 or 2 doses at 2 and 4
which vaccines are live
influenza (also attenuated), MMR, rotavirus, and varicella
HPV
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
vaccines at birth
Hep B (1 of 3)
vaccines at 1-2 months
Hep B (2 of 3)
vaccines at 2 months and 4 months
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),
vaccines at 6 months
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.
vaccines at 6-18 months
Hep B (3 of 3), Polio (3 of 4)
vaccines at 12-15 months
Pneumoccoal (4 of 4), Hib (4 of 4), MMR (1 of 2), Varicella (1 of 2)
vaccine from 12-23 months
Hep A, followed by second dose 6 months later
vaccine from 15-18 months
DTaP (4 of 5)
vaccine at 4-6 years
DTaP (5 of 5), Polio (4 of 4), MMR (2 of 2), Varicella (2 of 2)
