H&P Final Exam- Infants Flashcards

1
Q

What is documented during a Well-Visit? (11)

A
  1. VS
  2. Growth
  3. Health Habits
  4. Dev (Fine, Gross, Comm, Social/Prob solving)
  5. Social Hx
  6. FHx
  7. PE
  8. Assess
  9. Anticipatory Guidance
  10. Immunizations
  11. Plan for next visit
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2
Q

Gross- hold head up
push when prone

Fine-follows midline

A

Motor Skills 2mo

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3
Q

Motor skills 4mo

A

Gross- Hold head steady, unsupported
pushes down w/feet
pushes up to elbow when prone

Fine- hold a toy
hands to midline
brings hands together and to mouth

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4
Q

Motor skills 6mo

A

Gross-ROLL OVER
sit (supported)
hands to feet-feet to mouth

Fine- reaching
RAKE GRASP
passes object from hand-to-hand

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5
Q

Motor skills 9mo

A

Gross- stands holding on
pull up to stand
stand alone
SIT UNSUPPORTED
CRAWLS

FIne-PINCER GRASP
banging 2 cubes together

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6
Q

Motor skills 12mo

A

Gross- pulls to stand
INDEPENDENT STEPS

Fine-PUT OBJECTS INTO A CUP

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7
Q

Motor Skills 15mo

A

Gross- WALK WELL
START TO RUN
stoop and recover

Fine- Dump things from a cup
BUILD A TOWER

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8
Q

Motor Skills 18mo

A

Gross-KICK A BALL
walk up/down stairs
throw a ball
DRESS SELF

Fine- Build a tower 2-4 cubes
turn pages of a book
USE A SPOON
point

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9
Q

Motor skills 2yrs

A

Gross-throw a ball overhead
JUMPS WITH BOTH FEET

Fine- copies straight line, scribble

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10
Q

Motor Skills 30mo

A

Gross- Walk backward. hops on ONE foot

Fine- copies a circle, “fist” holds a crayon

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11
Q

Motor skills 3y

A

Gross- Rides tricycle w/pedals
SELF DESTRUCTIVE PHASE

Fine- builds 9-10 cubes. “fingers” holds a crayon`

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12
Q

Communication/ Language
2mo

A

vocalizes. “cos”.
Throaty sounds.
turns toward sound

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13
Q

Communication/ Language
4mo

A

Babble, raspberries

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14
Q

Communication/ Language
6mo

A

inhaled speech sounds,
converses w/noises & facial expressions

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15
Q

Communication/ Language
9mo

A

“mama”/”dada” -nonspecific

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16
Q

Communication/ Language
12mo

A

jargon begins,
1 word other than “mama/dada”

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17
Q

Communication/ Language
15mo

A

3-6words.
consonant sounds- t,d,n,w,h

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18
Q

Communication/ Language
18mo

A

Several single words;
says “no” points

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19
Q

Communication/ Language
2y

A

Points to things when named; 2-3 word phrases, up to 4 word phrases, vowels uttered correctly, follows simple instructions; repeats words heard

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20
Q

Communication/ Language
3y

A

Can name most familiar things; intelligible 4-6word phrases/sentences, says name, age,sex,names a friend
talks well. Conversations 2-3 sentences

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21
Q

Social/Emotional/Cognitive
2mo

A

Social/Emotional-
recognize parents; begin to smile

Cognitive-
regards faces, begin to follow w/eyes; boredom!

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22
Q

Social/Emotional/Cognitive
4mo

A

Social/Emotional-
smiles spontaneously at people;
play;
copies facial expressions

Cognitive-
responds to affection,
reaches for toys,
watches faces closely,
recognizes familiar ppl & things at a distance

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23
Q

Social/Emotional/Cognitive
6mo

A

Social/Emotional-
knows familiar faces, notices strangers,
plays with others,
looks at self in the mirror

Cognitive-
brings objects to mouth,
curiosity
reaches & explores
passes objects b/w hands

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24
Q

Social/Emotional/Cognitive
9mo

A

Social/Emotional-
fear of strangers
clingy to familiar adults
favorite toys

Cognitive-
watches for hidden objects
looks for hidden objects
peek-a-boo

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25
Q

Social/Emotional/Cognitive
12mo

A

Social/Emotional-
shows fear
cries when parent leaves
hands you toys/book he wants to hear

Cognitive-
explore by shaking, banging, throwing objects
copies gestures
looks at correct picture when named

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26
Q

Social/Emotional/Cognitive
15mo

A

Social/Emotional/-
imitate others
‘mine’
hugs a doll close-contact
interacting for self w/in mirror

Cognitive-
seeking help
getting parent’s attention by grabbing hand or place an object in hand

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27
Q

Social/Emotional/Cognitive
18mo

A

Social/Emotional-
hand things to others
temp tantrums
stranger fear
feeds a doll
clings to caregiver
points
explores alone

Cognitive-
knows objects/use
points to 1-3 body parts
follows 1 step command

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28
Q

Social/Emotional/Cognitive
2y

A

Social/Emotional-
excited around other children
more independence
defiant behavior
parallel play

Cognitive-
sort shapes/colors
follow 2-step directions
names items by pic in a book (kitty, dog, baby)

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29
Q

Social/Emotional/Cognitive
3y

A

Social/Emotional-
interactive play
coop w/other kids
inventive fantasy play

Cognitive-
3 part commands
knows some colors
understands same/different & counting
fantasy play

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30
Q

Developmental Screening tool Shaw wants us to know?

A

ASQ
ages & stages questionnaire

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31
Q

3 measurements of physical growth

A

head circumfrence
length
weight

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32
Q

What to look for in growth curves?

A

Trends!

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33
Q

What trends to look for in growth curve?
ie. what is FTT…etc

A

FTT- drop below 2 SD’s

underwt <5%
overwt >85%
obese >95%

Head size out of proportion to ht/wt
head >99%

Global decrease in all velocities= BAD!

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34
Q

Recommended source of nutrition for infants?
& benefits.

A

Breast milk

  • decreases OM
  • some VGE
  • passive immunity
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35
Q

Supplement needed if breast feeding only?

A

Vit D

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36
Q

Supplement neded if preterm or deficient?

A

Iron

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37
Q

Benefits of formula?

A

No Vit D supplement
Contains Iron
many different options

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38
Q

When can you start solid foods?

A

6mo

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39
Q

What to start with/ what dont you want to give?

A

start w/ cereal, veggies, fruits, purees from a spoon
not rice

40
Q

Signs of anaphylaxis

A

hives, itchy skin rash, swelling, wheezing, N/V/D, pale skin

41
Q

When is a baby ready for finger foods?

A

Pincer grasp

42
Q

Key mantra for feeding babies?

A

Fed is best

43
Q

What must be avoided until age 1 & why?

A

Honey
Botulism

44
Q

Transition from bottle to sippy cup?

A

After age 1

45
Q

Examples of choking hazards?

A

raw carrots, nuts, hard candies. popcorn, whole grapes, marshmallows, cherries w/pits, hot dogs

46
Q

When do babies sleep ‘throughout the night’

A

3-4mo

47
Q

1 risk factor for SIDS

A

co sleeping

48
Q

Other risk factors for SIDS (7)

A
  • young maternal age
  • maternal smoking
  • late/no prenatal care
  • premie/low birth wt
  • prone sleeping position
  • soft sleeping surface/blankets
  • overheating
49
Q
  1. VS
  2. Growth
  3. Health Habits
  4. Dev (Fine, Gross, Comm, Social/Prob solving)
  5. Social Hx
  6. FHx
  7. PE
  8. Assess
  9. Anticipatory Guidance
  10. Immunizations
  11. Plan for next visit
A

What is documented during a Well-Visit? (11)

50
Q

Motor Skills 2mo

A

Gross- hold head up
push when prone

Fine-follows midline

51
Q

Gross- Hold head steady, unsupported
pushes down w/feet
pushes up to elbow when prone

Fine- hold a toy
hands to midline
brings hands together and to mouth

A

Motor skills 4mo

52
Q

Gross-ROLL OVER
sit (supported)
hands to feet-feet to mouth

Fine- reaching
RAKE GRASP
passes object from hand-to-hand

A

Motor skills 6mo

53
Q

Gross- stands holding on
pull up to stand
stand alone
SIT UNSUPPORTED
CRAWLS

FIne-PINCER GRASP
banging 2 cubes together

A

Motor skills 9mo

54
Q

Gross- pulls to stand
INDEPENDENT STEPS

Fine-PUT OBJECTS INTO A CUP

A

Motor skills 12mo

55
Q

Gross- WALK WELL
START TO RUN
stoop and recover

Fine- Dump things from a cup
BUILD A TOWER

A

Motor Skills 15mo

56
Q

Gross-KICK A BALL
walk up/down stairs
throw a ball
DRESS SELF

Fine- Build a tower 2-4 cubes
turn pages of a book
USE A SPOON
point

A

Motor Skills 18mo

57
Q

Gross-throw a ball overhead
JUMPS WITH BOTH FEET

Fine- copies straight line, scribble

A

Motor skills 2yrs

58
Q

Gross- Walk backward. hops on ONE foot

Fine- copies a circle, “fist” holds a crayon

A

Motor Skills 30mo

59
Q

Gross- Rides tricycle w/pedals
SELF DESTRUCTIVE PHASE

Fine- builds 9-10 cubes. “fingers” holds a crayon`

A

Motor skills 3y

60
Q

vocalizes. “cos”.
Throaty sounds.
turns toward sound

A

Communication/ Language
2mo

61
Q

Babble, raspberries

A

Communication/ Language
4mo

62
Q

inhaled speech sounds,
converses w/noises & facial expressions

A

Communication/ Language
6mo

63
Q

“mama”/”dada” -nonspecific

A

Communication/ Language
9mo

64
Q

jargon begins,
1 word other than “mama/dada”

A

Communication/ Language
12mo

65
Q

3-6words.
consonant sounds- t,d,n,w,h

A

Communication/ Language
15mo

66
Q

Several single words;
says “no” points

A

Communication/ Language
18mo

67
Q

Points to things when named; 2-3 word phrases, up to 4 word phrases, vowels uttered correctly, follows simple instructions; repeats words heard

A

Communication/ Language
2y

68
Q

Can name most familiar things; intelligible 4-6word phrases/sentences, says name, age,sex,names a friend
talks well. Conversations 2-3 sentences

A

Communication/ Language
3y

69
Q

Social/Emotional-
recognize parents; begin to smile

Cognitive-
regards faces, begin to follow w/eyes; boredom!

A

Social/Emotional/Cognitive
2mo

70
Q

Social/Emotional-
smiles spontaneously at people;
play;
copies facial expressions

Cognitive-
responds to affection,
reaches for toys,
watches faces closely,
recognizes familiar ppl & things at a distance

A

Social/Emotional/Cognitive
4mo

71
Q

Social/Emotional-
knows familiar faces, notices strangers,
plays with others,
looks at self in the mirror

Cognitive-
brings objects to mouth,
curiosity
reaches & explores
passes objects b/w hands

A

Social/Emotional/Cognitive
6mo

72
Q

Social/Emotional-
fear of strangers
clingy to familiar adults
favorite toys

Cognitive-
watches for hidden objects
looks for hidden objects
peek-a-boo

A

Social/Emotional/Cognitive
9mo

73
Q

Social/Emotional-
shows fear
cries when parent leaves
hands you toys/book he wants to hear

Cognitive-
explore by shaking, banging, throwing objects
copies gestures
looks at correct picture when named

A

Social/Emotional/Cognitive
12mo

74
Q

Social/Emotional/-
imitate others
‘mine’
hugs a doll close-contact
interacting for self w/in mirror

Cognitive-
seeking help
getting parent’s attention by grabbing hand or place an object in hand

A

Social/Emotional/Cognitive
15mo

75
Q

Social/Emotional-
hand things to others
temp tantrums
stranger fear
feeds a doll
clings to caregiver
points
explores alone

Cognitive-
knows objects/use
points to 1-3 body parts
follows 1 step command

A

Social/Emotional/Cognitive
18mo

76
Q

Social/Emotional-
excited around other children
more independence
defiant behavior
parallel play

Cognitive-
sort shapes/colors
follow 2-step directions
names items by pic in a book (kitty, dog, baby)

A

Social/Emotional/Cognitive
2y

77
Q

Social/Emotional-
interactive play
coop w/other kids
inventive fantasy play

Cognitive-
3 part commands
knows some colors
understands same/different & counting
fantasy play

A

Social/Emotional/Cognitive
3y

78
Q

ASQ
ages & stages questionnaire

A

Developmental Screening tool Shaw wants us to know?

79
Q

head circumfrence
length
weight

A

3 measurements of physical growth

80
Q

Trends!

A

What to look for in growth curves?

81
Q

FTT- drop below 2 SD’s

underwt <5%
overwt >85%
obese >95%

Head size out of proportion to ht/wt
head >99%

Global decrease in all velocities= BAD!

A

What trends to look for in growth curve?
ie. what is FTT…etc

82
Q

Breast milk

  • decreases OM
  • some VGE
  • passive immunity
A

Recommended source of nutrition for infants?
& benefits.

83
Q

Vit D

A

Supplement needed if breast feeding only?

84
Q

Iron

A

Supplement neded if preterm or deficient?

85
Q

No Vit D supplement
Contains Iron
many different options

A

Benefits of formula?

86
Q

6mo

A

When can you start solid foods?

87
Q

start w/ cereal, veggies, fruits, purees from a spoon
not rice

A

What to start with/ what dont you want to give?

88
Q

hives, itchy skin rash, swelling, wheezing, N/V/D, pale skin

A

Signs of anaphylaxis

89
Q

Pincer grasp

A

When is a baby ready for finger foods?

90
Q

Fed is best

A

Key mantra for feeding babies?

91
Q

Honey
Botulism

A

What must be avoided until age 1 & why?

92
Q

After age 1

A

Transition from bottle to sippy cup?

93
Q

raw carrots, nuts, hard candies. popcorn, whole grapes, marshmallows, cherries w/pits, hot dogs

A

Examples of choking hazards?

94
Q

3-4mo

A

When do babies sleep ‘throughout the night’

95
Q

co sleeping

A

1 risk factor for SIDS

96
Q
  • young maternal age
  • maternal smoking
  • late/no prenatal care
  • premie/low birth wt
  • prone sleeping position
  • soft sleeping surface/blankets
  • overheating
A

Other risk factors for SIDS (7)