Well Child Checks

Question 1

Specific tools of health screenings

Answer 1

-parent interview/history
-physical exam
-developmental monitoring
-specific, stage-appropriate screenings
-assessment of strengths/weaknesses
-Individualized and evidence based interventions

Question 2

Subjective Data

Answer 2

-Nutrition/Appetite
-Elimination
-Sleep
-Development
-Parent concerns
-Health since last visit

Question 3

Objective Data

Answer 3

-Physical Exam
-Screening
-Denver-Developmental Screening Test, 2nd edition
-Denver II or equivalent for children up to 6 years of age
-Laboratory

Question 4

Management

Answer 4

-Immunization; initiation of primary series
-Illness management w/ meds
-Health promotion strategies with anticipatory guidelines

Question 5

1 year red flags

Answer 5

-not imitating sounds
-is not pulling to stand
-is not indicating desires by point/gesture

Question 6

18 mo red flags

Answer 6

-does not make eye contact
-does not feed self with spoon

Question 7

2 yr red flags

Answer 7

-not walking up stairs
-not using 2-3 word phrases
-not noticing cars, animals

Question 8

3 yr red flags

Answer 8

-not aware of external environment
-cannot ride a tricycle
-does not follow simple directions
-continues baby talk
-does not imitate adult activities

Question 9

4 yr red flags

Answer 9

-does not listen to a story
-does not speak in sentences
-engages in head banging or rocking
-is not toilet trained
-does not draw a human figure

Question 10

5 yr red flags

Answer 10

-magical thinking is still a dominant presence
-No impulse control