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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
Q

Draws 2- to 3- part person

Draws 4- to 6- part person

Draws 8- to 10- part person

A

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
Q

Uses 2-word sentences (noun + verb), 50+ words in vocabulary, 50% intelligibility

300+ words, 75% intelligibility

A

Uses 2-word sentences (noun + verb), 50+ words in vocabulary, 50% intelligibility - (24 mo)

300+ words, 75% intelligibility - (3 yr – 3 yr 6mo)

27
Q

Copies circle

Copies squares

Copies triangle

A

Copies circle - 3 yr – 3 yr 6mo

Copies squares - 4-5 yrs

Copies triangle - 5-6 yrs

28
Q

100% intelligibility

A

4-5 yrs

29
Q

Skips

A

6-7 yrs

30
Q

Rides bicycles independently

A

7-8 yrs

31
Q

Time of newborn screen

A

Obtained > 24 h of age

& >24 h of feeding

32
Q

Vision tests in

infancy

toddler/preschool

3 yr

A

Infancy:

  • Red reflex
  • Object tracking, Conjugate gaze

Toddler/preschool:

  • Corneal light reflex
  • Cover-uncover test

3 y:

•Visual acuity

33
Q

Leand and Iron screening

A

Lead- At 1 and 2 yrs

Iron- 1 yr repeat if risk factors

34
Q

Cholesterol/ Lipid screening

A

@ 9-11y & 17-21y

35
Q

BP screening starts annually at _____

A

BP screening starts annually at 3 years

36
Q

Autism- Universal screening @ ____ & ____

A

Autism- Universal screening @ 18m & 24m

37
Q

roll back-to-front, sit upright w/ pelvis support

A

5 mo

38
Q

Developmental Red Flags

A
  • Primitive reflexes persisting beyond age by which should have normally disappeared
  • Fisting beyond 3-4m
  • Echolalia beyond 30m

Loss of previosuly acquired skill

39
Q

name 3 Adolescence stages

and features of each stage

A

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
Q

no pincer grasp is a red flag in development at what age

A

15 mo

41
Q

define

  • Developmental surveillance:
  • Developmental screening:
A

•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
Q
  • General developmental screening @ ______?
  • Autism screening @ ___?
A
  • General developmental screening @ 9m, 18m, 24m or 30m
  • Autism screening @ 18m & 24m
43
Q

ASD (M Chart) risk stratification??

who is low, medium high?

need referral?

A
44
Q

pincer grasp by ___ mo?

A

12 mo

45
Q

Live vaccines in Pregnancy & children??

A

Pregnancy – NO LIVE

But children can get them without issues

46
Q

name vaccinations

  • SC:
  • IM or SC:
  • Nasal:
  • Oral:

Live vaccines

A

•SC: MMR, Varicella, MMRV

•IM or SC: IPV & PPSV

  • Nasal: LAIV
  • Oral: Rotavirus

Live vaccines: MMR or MMRV, Varicella, Rotavirus, LAIV

47
Q

define abuse vs neglect

A

Abuse: acts of commission

Neglect: acts of omission

48
Q

list types of maltreatment

A

•A. Neglect ~ 78%

  • B. Physical abuse ~ 18% ! M>F
  • C. Sexual abuse ~ 9% ! F>M D.
  • Psychological maltreatment ~ 8%
49
Q

•Most common manifestation of physical abuse

A

bruises

50
Q

Retinal hemorrhages are importat in what type of trauma

A

Abusive Head Trauma

CM - Pediatrics (3 decks)

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