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Pediatrics > Well Child Promotion > Flashcards

Well Child Promotion Flashcards

1
Q

definition of FTT?

A

inadequate physical growth

drops >2 percentile lines OR

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2
Q

at how many months should a child be able to open hands spontaneously (fine motor)

A

3 months

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3
Q

at how many months should a child be able to transfer objects? (fine motor)

A

6 months

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4
Q

at how many months should a child be able to support weight on forearms? (gross motor)

A

3 months

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5
Q

at how many months should a child be able to sit momentarily? (gross motor)

A

6 months

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6
Q

at how many months should a child be able to come when called? (social skills)

A

12 months

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7
Q

at how many months should a child be able to play pat-a-cake, peek-a-boo? (social skills)

A

9 months

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8
Q

at how many months should a child be able to imitate sound? (language)

A

9 months

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9
Q

at how many months should a child be able to smile appropriately? (social skills)

A

3 months

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10
Q

at how many months should a child be able to coo and laugh? (language)

A

3 months

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11
Q

at how many months should a child be able to babble? (language)

A

6 months

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12
Q

at how many months should a child be able to pull to stand? (gross motor)

A

9 months

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13
Q

at how many months should a child be able to show likes and dislikes? (social skills)

A

6 months

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14
Q

at how many months should a child be able to walk with one hand held? (gross motor)

A

12 months

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15
Q

at how many months should a child be able to release an object on command? (fine motor)

A

12 months

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16
Q

at how many months should a child be able to imitate sound? (language)

A

9 months

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17
Q

at how many months should a child be able to say 1-2 meaningful words? (language)

A

12 months

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18
Q

at how many months should a child be able to feed from a spoon? (fine motor)

A

18 months

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19
Q

at how many months should a child be able to walk up stairs with assistance? (gross motor)

A

18 months

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20
Q

at how many months should a child be able to mimic actions of others? (social skills)

A

18 months

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21
Q

at how many months should a child be able to say 2-3 word sentences? (language)

A

24 months

22
Q

at how many months should a child be able to build a tower of 6 blocks? (fine motor)

A

24 months

23
Q

at how many months should a child be able to run? (gross motor)

A

24 months

24
Q

at how many months should a child be able to play with others? (social skills)

A

24 months

25
Q

at how many months should a child be able to say at least 6 words? (language)

A

18 months

26
Q

What ages to perform well child checks?

A 
Newborn (3-5 days)
2 weeks
4 weeks
2,4,6,9,12,15 months
Yearly 2 years onwards
Acute care as needed
27
Q

Grasping reflex stimulated by?

A

palms touched

28
Q

Grasping reflex response?

A

grasps tightly

29
Q

duration of grasping reflex?

A

weakens at 3 months ; disappears at a year

30
Q

Moro reflex stimulation?

A

sudden move; loud noise

31
Q

Moro reflex response?

A

startles; throws out arms and legs and pulls toward body

32
Q

duration of moro reflex?

A

disappears at 3 to 4 months

33
Q

Rooting reflex stimulation?

A

cheek stroked or side of mouth touched

34
Q

rooting reflex response?

A

turns toward source; opens mouth and sucks

35
Q

rooting reflex disappears when?

A

3-4 months

36
Q

tonic neck reflex stimulated by?

A

placed on back and head turned to one side

37
Q

tonic neck reflex response?

A

ipsilateral arm extension; contralateral flexion ; “fencer”

38
Q

duration of tonic neck reflex?

A

disappears at 2 months

39
Q

parachute reflex stimulated by?

A

suspend child by trunk ; manually produce forward flexion

40
Q

parachute reflex response?

A

upper extremity extension (like pronator drift)

41
Q

parachute reflex duration?

A

appears before onset of walking

42
Q

well child red flags?

A
  • sucks poorly, feeds slowly
  • doesn’t blink when shown a bright light
  • doesn’t focus and follow an object moving side to side
  • rarely moves arms and legs ; seems stiff
  • seems excessively loose in limbs, or floppy
  • doesn’t respond to loud sounds
43
Q

SIDS risk factors?

A 
family hx
prematurity
ethnicity
smoke exposure
nutritional deficiency
prone sleep position
soft sleeping surface
overheating
autonomic regulation
recent illness
44
Q

tooth eruption when?

A

6-12 months

45
Q

all 20 primary teeth by what age?

A

3 yoa

46
Q

visual acuity 20/20 by what age?

A

4 yoa

47
Q

mature gait by how old?

A

2-5 years

48
Q

who to screen for gonorrhoea?

A

all sexually active females

sexually active MSM

49
Q

who to screen for trichomoniasis and syphilis?

A

if high risk

50
Q

who to screen for chlamydia?

A

all sexually active females

sexually active MSM

51
Q

who to screen for HIV?

A

15 yrs of age unless risk factors identified earlier

52
Q

who to screen for cervical HPV?

A

starting at 21 yrs of age if hx of sexual activity

Pediatrics (4 decks)

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