Well Child Promotion

Question 1

definition of FTT?

Answer 1

inadequate physical growth

drops >2 percentile lines OR

Question 2

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

Answer 2

3 months

Question 3

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

Answer 3

6 months

Question 4

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

Answer 4

3 months

Question 5

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

Answer 5

6 months

Question 6

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

Answer 6

12 months

Question 7

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

Answer 7

9 months

Question 8

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

Answer 8

9 months

Question 9

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

Answer 9

3 months

Question 10

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

Answer 10

3 months

Question 11

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

Answer 11

6 months

Question 12

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

Answer 12

9 months

Question 13

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

Answer 13

6 months

Question 14

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

Answer 14

12 months

Question 15

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

Answer 15

12 months

Question 16

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

Answer 16

9 months

Question 17

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

Answer 17

12 months

Question 18

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

Answer 18

18 months

Question 19

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

Answer 19

18 months

Question 20

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

Answer 20

18 months

Question 21

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

Answer 21

24 months

Question 22

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

Answer 22

24 months

Question 23

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

Answer 23

24 months

Question 24

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

Answer 24

24 months

Question 25

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

Answer 25

18 months

Question 26

What ages to perform well child checks?

Answer 26

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

Question 27

Grasping reflex stimulated by?

Answer 27

palms touched

Question 28

Grasping reflex response?

Answer 28

grasps tightly

Question 29

duration of grasping reflex?

Answer 29

weakens at 3 months ; disappears at a year

Question 30

Moro reflex stimulation?

Answer 30

sudden move; loud noise

Question 31

Moro reflex response?

Answer 31

startles; throws out arms and legs and pulls toward body

Question 32

duration of moro reflex?

Answer 32

disappears at 3 to 4 months

Question 33

Rooting reflex stimulation?

Answer 33

cheek stroked or side of mouth touched

Question 34

rooting reflex response?

Answer 34

turns toward source; opens mouth and sucks

Question 35

rooting reflex disappears when?

Answer 35

3-4 months

Question 36

tonic neck reflex stimulated by?

Answer 36

placed on back and head turned to one side

Question 37

tonic neck reflex response?

Answer 37

ipsilateral arm extension; contralateral flexion ; "fencer"

Question 38

duration of tonic neck reflex?

Answer 38

disappears at 2 months

Question 39

parachute reflex stimulated by?

Answer 39

suspend child by trunk ; manually produce forward flexion

Question 40

parachute reflex response?

Answer 40

upper extremity extension (like pronator drift)

Question 41

parachute reflex duration?

Answer 41

appears before onset of walking

Question 42

well child red flags?

Answer 42

- 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

Question 43

SIDS risk factors?

Answer 43

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

Question 44

tooth eruption when?

Answer 44

6-12 months

Question 45

all 20 primary teeth by what age?

Answer 45

3 yoa

Question 46

visual acuity 20/20 by what age?

Answer 46

4 yoa

Question 47

mature gait by how old?

Answer 47

2-5 years

Question 48

who to screen for gonorrhoea?

Answer 48

all sexually active females | sexually active MSM

Question 49

who to screen for trichomoniasis and syphilis?

Answer 49

if high risk

Question 50

who to screen for chlamydia?

Answer 50

all sexually active females | sexually active MSM

Question 51

who to screen for HIV?

Answer 51

15 yrs of age unless risk factors identified earlier

Question 52

who to screen for cervical HPV?

Answer 52

starting at 21 yrs of age if hx of sexual activity