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Development, screening, immunization Flashcards

1
Q

types of development

A
  1. physical
  2. psychomotor
  3. cognitive
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2
Q

Regular medical check ups on which days

A
  • 0-3 day: neonatology dep
  • <10 days : 1st visit at home
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3
Q

0-3 day: neonatology dep medical check up

A
  • Apgar scores
  • major/minor deformities
  • “PKU” testing: Guthrie, 26 metabolic disease)
  • audiology screening: BERA test
  • ophtalmology screening: red reflex test
  • physical hip check: Barlow&Ortolani test
  • cardiology screening: 4 limb pulse oximetry
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4
Q

<10 days: 1st visit at home

A

feeding?
increasing weight?
jaundice?
stool? wet nappies?
umbilical cord?
heart murmur?
femoral pulse? etc.

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5
Q

When are regular medical check ups scheduled
(which months)

A

1., 2., 3, 4, 6, 9, 12, 15, 18 month
* > 2 year annually

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6
Q

if patient is above 2 years how often is medical checkup?

A

annually

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7
Q

Examinations during regular medical check ups

A

complete physical examination
* weight, length/height, head and chest circumf.
* number of teeth, size of fontanell
* blood pressure, heart rate
* vision, hearing

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8
Q

Physical development
* weight gain per week and per month

A

weight gain:
cc. 150 g/week
cc. 600 g/month

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9
Q

physical development
birth weight at 6 month and at 12 month

A

6 month: 2x birth weight
* 12 month: 3x birth weight

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10
Q

psychomotor development stages during first 2 years (part 1)

A
  • head erect, steady (6w)
  • elevates self by arms (2m)
  • rolls from side to back (2m)
  • grasps cube (3m, 3w)
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11
Q

psychomotor development stages during first 2 years (part 2)

A
  • rolls from back to side (4.5m)
  • sits alone(7m)
  • crawls(7m)
  • pulls to stand (8m)
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12
Q

psychomotor development stages during first 2 years (part 3)

A
  • plays pat a cake (9m)
  • stands alone(11m)
  • walks alone
  • builds tower of cubes (13m)
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13
Q

psychomotor development stages during first 2 years (part 4)

A
  • scribbles (14m)
  • walks up stairs with help
  • jumps in place
  • walk on tiptoe (25m)
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14
Q

cognitive development stages

A
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15
Q

screening includes

A
  • tests after birth
  • ultrasound ~ 4-6 weeks: brain, abdomen, hip
  • orthopedic manual examination: hip, feet
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16
Q

prevention for preterm babies

A

iron and folic acid

17
Q

Prevention

A

breast feeding vs. formula feeding (important cytokine, antibody which gives better immunity, less autoimmune… etc)
* vitamin D
* vitamin K (prevent cogulopathy), given after delivery
* preterm babies: iron and folic acid

18
Q

first mandatory vaccine
what is it
when is it given

A

0-4 weeks: BCG (tuberculosis)

19
Q

what mandatory vaccines given at 2 months of age

A

month 2:
Pentaxim (DTPa+IPV+Hib) + Prevenar 13 (pneumococcus)

20
Q

what mandatory vaccines given at 3 months of age

A

Pentaxim (DTPa+IPV+Hib)

21
Q

what mandatory vaccines given at 4 months of age

A

Pentaxim (DTPa+IPV+Hib) + Prevenar 13 (pneumococcus)

22
Q

what mandatory vaccines given at 12 months of age

A

Prevenar 13 (pneumococcus)

23
Q

what mandatory vaccines given at 13 months of age

A

Varivax (varicella)

24
Q

what mandatory vaccines given at 15 months of age

A

MMR (measles, mumps, rubella)

25
Q

what mandatory vaccines given at 16 months of age

A

Varivax (varicella)

26
Q

what mandatory vaccines given at 18 months of age

A

Pentaxim (DTPa+IPV+Hib)

27
Q

vaccine given at 6 years of age

A

Tetraxim (DTPa+IPV)

28
Q

When is BCG vaccine given

A

0-4 weeks

29
Q

When is Pentaxim ( DTPa+IPV,Hib) vaccine given

A
  • month 2, 3, 4, 18 months
30
Q

When is prevenar 13 vaccine (pneumococcus) given

A

month 2, 4, 12

31
Q

when is varivax (varicella) vaccine given

A

month 13 , 16

32
Q

When is MMR vaccine

A

month 15

33
Q

Tetraxim (DTPa+IPV) vaccine at which year given

A

6 years of age

34
Q

List of Recommended vaccines

A
  • rota virus
  • meningococcus (C, B, ACWY)
  • hepatitis (A,B)
  • tick-born encephalitis
  • seasonal influenza
35
Q

List of mandatory vaccines

A
  1. BCG
  2. Pentaxim (DTPa+IPV+Hib)
  3. Prevenar 13 (pneumococcus)
  4. Varivax (varicella)
  5. MMR (measles, mumps, rubella)
  6. Tetraxim (DTPa+IPV)

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