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CM - Pediatrics > Well child, Growth and Development, Abuse > Flashcards

Well child, Growth and Development, Abuse Flashcards

1
Q

Can incorporate solid foods at what age

A

6 months

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2
Q

Cup drinking at what age

A

9 mo

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3
Q

first dental checkup

A

12 month

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4
Q

Toilet training begins at what age

A

18 month

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5
Q

Playing w/ siblings and peers is discussed at what age

A

3 yr

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6
Q

•Acceptable & unacceptable behaviors from adults (ex. harm)

A

5 yrs

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7
Q

4 mo milestones

A
  • No head lag sitting up
  • Rolls front-to-back
  • Shakes rattle
  • LOL’s
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8
Q

6 mo milestones

A
  • Tripod sitting- Sits momentarily propped on hands
  • Rakes pellet
  • Babbling

feed sself crackers

Stops for “no”

Gestures for “up”

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9
Q

7 mo milestones

A

Sits w/o support (steady)

Refuses excess food

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10
Q

Rolls back to front

Responds to name

“Ah-goo”

Expresses anger

what age milestones

A

5 mo

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11
Q

9mo milestines

A
  • Pull to stand
  • Crawling
  • “Mama” - non-specific
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12
Q

10 mo miletsones

A

Drinks (not sucks) from cup

Enjoys “peek-a-boo”

Waves “bye-bye” back

Says “dada” nonspecific

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13
Q

11 mo milestones

A

Walk, one hand held

Cruises furniture holding on w/ one hand

Says first word/vocalizes to songs

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14
Q

12 mo miletsones

A

Independent steps

Scribbles after demo

2 cubes

Cooperates in dressing- Takes hat off

Follows one step command w/ gestures

Recognizes name of 2 objects

Points in order to get desired object

•“Mama” – specific

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15
Q
  • Stoops to pick up toy
  • Point to 1 body part

milestone age?

A

15 mo

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16
Q

16 mo milestones

A

Walks backwards

Walks up stairs, one hand held

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17
Q
  • Running
  • Throws ball
  • 4-cube tower
A

18 mo

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18
Q

Goes up stairs holding rail (both feet on each step)

Walks down stairs, holding rail, both feet on each step

Goes upstairs w/ rail alternating feet

milestones??

A

Goes up stairs holding rail (both feet on each step) - 22 mo

Walks down stairs, holding rail, both feet on each step- 24 mo

Goes upstairs w/ rail alternating feet - 2 yr 6 mo

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19
Q

Parallel play

Follows 2 step command

Uses 2-word sentences (noun + verb)

50+ words in vocabulary- 50% intelligibility

A

24 mo

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20
Q

Makes 8 cube tower

A

2 yrs 6 mo

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21
Q

3 yr milestones

A
  • Balance on 1 foot
  • Copies circle
  • 3-part person
  • 200+ word vocab, 75% intelligibility
22
Q

4 yr milestones

A
  • Copies square
  • 4-part person
  • 100% intelligible
  • Hop on 1 foot
23
Q

5 yr milestones

A
  • Copies triangle
  • 10 part person
  • Know R from L
24
Q

7 yr milestones

A
  • Skipping
  • Riding a bicycle
  • School
25
Draws 2- to 3- part person Draws 4- to 6- part person Draws 8- to 10- part person
Draws 2- to 3- part person - 3 yr – 3 yr 6mo Draws 4- to 6- part person - 4-5 yrs Draws 8- to 10- part person - 5-6 yrs
26
Uses 2-word sentences (noun + verb), 50+ words in vocabulary, 50% intelligibility 300+ words, 75% intelligibility
Uses 2-word sentences (noun + verb), 50+ words in vocabulary, 50% intelligibility - (24 mo) 300+ words, 75% intelligibility - (3 yr – 3 yr 6mo)
27
Copies circle Copies squares Copies triangle
Copies circle - 3 yr – 3 yr 6mo Copies squares - 4-5 yrs Copies triangle - 5-6 yrs
28
100% intelligibility
4-5 yrs
29
Skips
6-7 yrs
30
Rides bicycles independently
7-8 yrs
31
Time of newborn screen
Obtained \> 24 h of age & \>24 h of feeding
32
Vision tests in infancy toddler/preschool 3 yr
_Infancy:_ * Red reflex * Object tracking, Conjugate gaze _Toddler/preschool:_ * Corneal light reflex * Cover-uncover test _3 y:_ •Visual acuity
33
Leand and Iron screening
Lead- At 1 and 2 yrs Iron- 1 yr repeat if risk factors
34
Cholesterol/ Lipid screening
@ 9-11y & 17-21y
35
BP screening starts annually at \_\_\_\_\_
BP screening starts annually at 3 years
36
Autism- Universal screening @ ____ & \_\_\_\_
Autism- Universal screening @ 18m & 24m
37
roll back-to-front, sit upright w/ pelvis support
5 mo
38
Developmental Red Flags
* Primitive reflexes persisting beyond age by which should have normally disappeared * Fisting beyond 3-4m * Echolalia beyond 30m Loss of previosuly acquired skill
39
name 3 Adolescence stages and features of each stage
**Early adolescence 10 - 13y:** * Preoccupation w/ self * “Am I normal?” * Concrete cognition **Middle adolescence 14 – 16y:** * Importance of peers * “Am I liked?” * Cognition & creativity: immature **Late adolescence 17 – 21y:** * Individual relationship \> Peers * “Am I loved?” * Completion of cognitive development – Abstract thinking – Idealistic – Understand consequences of actions
40
no pincer grasp is a red flag in development at what age
15 mo
41
# define * Developmental surveillance: * Developmental screening:
**•Developmental surveillance:** * Identification of developmental delay or children at risk for delays * Performed at every well child visit **• Developmental screening:** * Administration of standardized test to detect disorder * General developmental screening @ 9m, 18m, 24m or 30m * Autism screening @ 18m & 24m * OR at anytime parent or provider has concern * If + screen à further evaluation
42
* General developmental screening @ \_\_\_\_\_\_? * Autism screening @ \_\_\_?
* General developmental screening @ 9m, 18m, 24m or 30m * Autism screening @ 18m & 24m
43
ASD (M Chart) risk stratification?? who is low, medium high? need referral?
44
pincer grasp by ___ mo?
12 mo
45
Live vaccines in Pregnancy & children??
Pregnancy – NO LIVE But children can get them without issues
46
name vaccinations ## Footnote * SC: * IM or SC: * Nasal: * Oral: Live vaccines
**•SC:** MMR, Varicella, MMRV **•IM or SC:** IPV & PPSV * **Nasal**: LAIV * **Oral**: Rotavirus **Live vaccines:** MMR or MMRV, Varicella, Rotavirus, LAIV
47
define abuse vs neglect
Abuse: acts of commission Neglect: acts of omission
48
list types of maltreatment
**•A. Neglect ~ 78%** * B. Physical abuse ~ 18% ! M\>F * C. Sexual abuse ~ 9% ! F\>M D. * Psychological maltreatment ~ 8%
49
•Most common manifestation of physical abuse
bruises
50
Retinal hemorrhages are importat in what type of trauma
Abusive Head Trauma

CM - Pediatrics (3 decks)

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