well child test 2 Flashcards
what are the components to a well child visit
Measurements Sensory screening Developmental / behavioral health History Physical examination Anticipatory guidance Procedures Oral health
what screen do 12 yo and up fill out
depression and anxiety.
when is screen for autism done
18 month and 24 month
at what check ups is screening for post partum depression done
1 month, 2 month, 4 month, and 6 month
when is the “Ages and Stages Questionnaires – Social/Emotional” done
ages 9 month, 18 month, and 24 month
define normotension
. Normotension falls between the 50th and 90th percentiles, based on the child’s sex, age, and height.
when do we start checking bp
Blood pressure starts to be measured at the 3 year old well-child visit.
what ages do we check length, weight, and head circumference
0-2 yo
when do we check weight, height, and bmi
2-20 yo
what BMI percentile is under weight
<5th
what is a healthy BMI range
5th to 85 th
what is an overweight BMI
> 85th to 95th
what is an obese BMI
> 95th
what age do we start vision screen?
3yo
at what vision do we refer
20/40
do we refer color blindness?
yes ish
what age do we usepure tone audiometry for testing
4 and up
what do you do if they fail the first pure tone audiometry test
clean ears and repeat
refer is failed 2nd attempt
Developmental milestone surveillance should occur at what ages
0-5 yo
what makes up the Developmental milestones
come to find out it has nothing to do with mile long stones
(1) communication skills,
(2) social skills,
(3) cognitive skills,
(4) gross motor skills,
(5) fine motor skills.
at what age do we interview the patient alone
11 yo
important PE on HEENT
plagiocephaly (0-12 months), strabismus (eye movements should be conjugate by 4 months of age), dental caries/decay.
important PE on CV –
listen for murmurs in seated and supine position.
important PE on Breast and GU –
assess pubertal status (Tanner stage), presence of hernia, evidence of STI.
important PE on Hips –
assess for developmental dysplasia of the hip (Barlow and Ortolani maneuvers) until the child is walking.
important PE on Spine –
Adam’s forward bend test for scoliosis (11-18 years).
t/f Dental caries are actually a communicable disease.
T, don’t put your kids stuff in your mouth the put it back in their mouth! that is gross but we all do it
when would you need fluoride supplements
if the fluoride content in water is less than 0.7 mg/Liter.
when do we wean off bottle and paci
12-15 mo (good luck with that one! we stuffed a bear with KK’s and now she hates the bear)
what is the last part of the visit
labs and shots
when do you screen for anemia
12 mo
value less than 10 is anemia
when do we screen for lead
12 months of age. Children with Medicaid are screened again at 24 months of age.
a level above 5 is bad
when do we test cholesterol
around 10 yo
what are normal cholesterol levels in patient 18 and younger
total cholesterol under 170 mg/dL,
LDL under 130 mg/dL,
and HDL above 35 mg/dL.
when do you screen for hiv
17 yo
when is the first pap smear done
21 yo by obgyn
