Well Child Visit -Yang Flashcards
What are the fastest and second fastest periods of growth for children?
fastest=newborn (birth –> 1 year)
2nd=adolescent
How long should a baby’s head circumference be measured during well child exams?
up to 3 years (head stops growing by then)
What is the average head circumference of a newborn?
35 cm
When will most infants regain their brithweight? Double their brith weight? Triple?
regain=2 weeks
double -6 months
triple =1 year
What is the recommended way to divide food money in order to improve overall nutrition?
1/5 for fruits and veggies 1/5 for meat and eggs 1/5 for milk and cheese 1/5 for bread and cereal 1/5 for sugar and other adjuncts
What needs to be supplemented in exclusively breast fed infants?
Vitamin D
What is human breast milk rich in that may allow for less viral diarrheal disease in breast fed infants?
Secretory IgA
True or false: Mastitis is a contraindication for breast feeding
false.
continue to breast feed but make sure mom is on an antibiotic that is ok for baby
What nutrients is goat’s milk low in? What can this cause in exclusively goat milk fed infants?
- low in vitamin D, iron, folic acid
- can cause megaloblastic anemia due to the folate deficiencyy
What nutrients is goat’s milk low in? What can this cause in exclusively goat milk fed infants?
- low in vitamin D, iron, folic acid
- can cause megaloblastic anemia due to the folate deficiency
What can cow’s milk given before 1 yo cause?
iron deficiency anemia secondary to GI irritation and hematochezia
What can cow’s milk given before 1 yo cause?
iron deficiency anemia secondary to GI irritation and hematochezia
*What is head lag? When should a baby no longer do this?
head lag is when you lift a baby from supine by the arms and they cannot straighten their head
should be gone by 6 months
What is the MCHAT?
Modified checklist for Autism in Toddlers
-85% sensitive and 93% specific for Autism in 16-48 months
What is the mnemonic for assessing development in adolescents?
BiHEADSSS
Body image, home, education, Activities, Drugs, sex, suicide and depression and safety
Can you change a child’s temperament?
No. we can only modify behaviors
What is the difference between primary and secondary enuresis? Which is more common?
Primary=persistent=have never been dry. Due to inadequate toilet training
Secondary=regressive=continent for 1 year and then begin to bed wet. can be due to a stressful event
What scary thing can a temper tantrum lead to? Why does this happen?
Breath holding spells and seizures.
children can hold their breath until they become cyanotic and then lose consciousness and have a seizure
What age group is iron deficiency anemia common in? What are some signs/symptoms of this?
- 9 months-24 months (especially if only breast feeding or drinking cows milk too early)
- pallor, pica (eating dirt) ,
How is iron deficiency in children treated? For how long?
- modify diet to contain iron rich foods.
- supplement with iron ferrous salts (oral is preferred)
- treat for 3 months. 1 to correct the anemia and 2 to replace the iron stores
What should iron supplements be taken with?
Vitamin C source –> help absorption
NOT MILK –> blocks Fe absorption
When should a pediatric patient with iron deficiency anemia receive a blood transfusion?
ONLY if symptomatic:
- tachycardic
- hypoxic
- hypovolemic
What is the treatment for a blood lead level 70? When is chelation necessary?
-70=immediate evaluation and treatment
What are some PE findings in lead poisoning?
-x-ray: bright lead deposits in epiphyseal plates or bright spots in the bowel
