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Peds Screens etc > Screening 0-18 months > Flashcards

Screening 0-18 months Flashcards

1
Q

What are the UNIVERSAL screenings for the newborn visit?

A
  1. Metabolic and hemoglobinopathy
  2. Hearing: all newborns should receive an initial hearing screening before being discharged from hospital or within 1 month of life
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2
Q

What are the SELECTIVE screenings for the newborn visit?

A
  1. Blood pressure

2. Vision

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3
Q

What is the risk assessment for blood pressure in the newborn visit?

A

Children with specific risk conditions

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4
Q

What is the risk assessment for Vision in the newborn visit?

A

abnormal fundoscopic examination

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5
Q

What if the risk assessment for blood pressure is POSITIVE in the newborn visit?

A

Get the blood pressure

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6
Q

What if the risk assessment for vision is POSITIVE in the newborn visit?

A

Ophthalmology referral

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7
Q

What are the UNIVERSAL screenings for the first week?

A
  1. Metabolic and hemoglobinopathy

2. Hearing

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8
Q

What is the action for Metabolic and hemoglobinopathy at the first week?

A

If not done previously (e.g. newborn delivered at home or discharged from NICU), conduct screening as required by state

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9
Q

What is the action for Hearing at the first week?

A

If not done at birth, it should be done within the first month of life.
Obtain family history of hearing loss or conditions associated with hearing impairment and identify any risk factors for progressive hearing loss.

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10
Q

What are the SELECTIVE screenings for the first week?

A
  1. Blood pressure

2. Vision

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11
Q

What is the risk assessment for blood pressure in the first week?

A

children with specific risk conditions or change in risk

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12
Q

What is the risk assessment for Vision in the first week?

A

Abnormal fundoscopic examination or prematurity with risk conditions

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13
Q

What if the risk assessment for blood pressure is POSITIVE in the first week?

A

Blood pressure

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14
Q

What if the risk assessment for vision is POSITIVE in the first week?

A

Ophthalmology referral

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15
Q

What are the UNIVERSAL screenings for the first month?

A
  1. Metabolic and hemoglobinopathy

2. Hearing

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16
Q

What is the action for Metabolic and hemoglobinopathy at the first month?

A

If not done previously conduct screening as required by state.

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17
Q

What is the action for Hearing at the first month?

A

If not done previously conduct screening as required by state.

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18
Q

What are the SELECTIVE screenings for the first month?

A
  1. Blood pressure
  2. Vision
  3. Tuberculosis
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19
Q

What is the risk assessment for blood pressure in the first month?

A

Children with specific conditions or change in risk

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20
Q

What is the risk assessment for Vision in the first month?

A

Parental concern or abnormal fundoscopic examination or prematurity with risk conditions

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21
Q

What is the risk assessment for Tuberculosis in the first month?

A

+ on risk screening conditions

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22
Q

What if the risk assessment for blood pressure is POSITIVE in the first month?

A

Blood pressure

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23
Q

What if the risk assessment for Vision is POSITIVE in the first month?

A

Ophthalmology referral

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24
Q

What if the risk assessment for Tuberculosis is POSITIVE in the first month?

A

Tuberculin skin test

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25
Q

What are the UNIVERSAL screenings for the second month?

A
  1. Metabolic and hemoglobinopathy

2. Hearing

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26
Q

What is the action for Metabolic and hemoglobinopathy at the second month?

A

If not done previously, verify documentation of newborn metabolic screening results, appropriate rescreening, and needed follow-up

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27
Q

What is the action for Hearing at the second month?

A

If not done previously, verify documentation of newborn hearing screening results and appropriate rescreening.

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28
Q

What are the SELECTIVE screenings for the second month?

A
  1. Blood pressure

2. Vision

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29
Q

What is the risk assessment for blood pressure in the second month?

A

Children with specific conditions or change in risk

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30
Q

What is the risk assessment for Vision in the second month?

A

Parental concern or abnormal fundoscopic examination or prematurity with risk conditions

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31
Q

What if the risk assessment for blood pressure is POSITIVE in the second month?

A

Blood pressure

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32
Q

What if the risk assessment for Vision is POSITIVE in the second month?

A

Ophthalmology referral

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33
Q

What are the UNIVERSAL screenings for the fourth month?

A

None

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34
Q

What are the SELECTIVE screenings for the fourth month?

A
  1. Blood pressure
  2. Vision
  3. Hearing
  4. Anemia
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35
Q

What is the risk assessment for blood pressure in the 4 month?

A

Children with specific conditions or change in risk

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36
Q

What is the risk assessment for Vision in the fourth month?

A

Parental concern or abnormal fundoscopic examination or abnormal alignment of eyes

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37
Q

What is the risk assessment for Hearing in the fourth month?

A

+ on risk screening conditions

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38
Q

What is the risk assessment for Anemia in the fourth month?

A

Pre-term and low birth weight infants and those not on iron-fortified formula

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39
Q

What if the risk assessment for blood pressure is POSITIVE in the fourth month?

A

blood pressure

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40
Q

What if the risk assessment for Vision is POSITIVE in the fourth month?

A

Ophthalmology referral

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41
Q

What if the risk assessment for Hearing is POSITIVE in the fourth month?

A

Referral for diagnostic audiologic assessment

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42
Q

What if the risk assessment for Anemia is POSITIVE in the fourth month?

A

Hemoglobin or hematocrit

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43
Q

What are the UNIVERSAL screenings for the 6 month?

A

Oral Health

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44
Q

What is the action for Oral Health at the 6 month?

A

Administer the oral health risk assessment

45
Q

What are the SELECTIVE screenings for the 6 month?

A
  1. Blood pressure
  2. Vision
  3. Hearing
  4. Lead
  5. Tuberculosis
46
Q

What is the risk assessment for blood pressure in the 6 month?

A

Children with specific conditions or change in risk

47
Q

What is the risk assessment for Vision in the 6 month?

A

Parental concern or abnormal fundoscopic examination or abnormal alignment of eyes

48
Q

What is the risk assessment for Hearing in the 6 month?

A

+ on risk screening conditions

49
Q

What is the risk assessment for Lead in the 6 month?

A

+ on risk screening conditions

50
Q

What is the risk assessment for Tuberculosis in the 6 month?

A

+ on risk screening conditions

51
Q

What if the risk assessment for blood pressure is POSITIVE in the 6 month?

A

Blood pressure

52
Q

What if the risk assessment for Vision is POSITIVE in the 6 month?

A

Ophthalmology referral

53
Q

What if the risk assessment for Hearing is POSITIVE in the 6 month?

A

Referral for diagnostic audiologic assessment

54
Q

What if the risk assessment for Lead is POSITIVE in the 6 month?

A

Lead screen

55
Q

What if the risk assessment for Tuberculosis is POSITIVE in the 6 month?

A

Tuberculin skin test

56
Q

What are the UNIVERSAL screenings for the 9 month?

A
  1. Development

2. Oral health

57
Q

What is the action for Oral Health at the 9 month?

A

Administer the oral health risk assessment

58
Q

What is the action for Development at the 9 month?

A

Structured developmental screen

59
Q

What are the SELECTIVE screenings for the 9 month?

A
  1. Blood pressure
  2. Vision
  3. Hearing
  4. Lead
60
Q

What is the risk assessment for blood pressure in the 9 month?

A

Children with specific conditions or change in risk

61
Q

What is the risk assessment for Vision in the 9 month?

A

Parental concern or abnormal fundoscopic examination or abnormal cover/uncover test

62
Q

What is the risk assessment for Hearing in the 9 month?

A

+ on risk screening conditions

63
Q

What is the risk assessment for Lead in the 9 month?

A

+ on risk screening conditions

64
Q

What if the risk assessment for blood pressure is POSITIVE in the 9 month?

A

blood pressure

65
Q

What if the risk assessment for Vision is POSITIVE in the 9 month?

A

Ophthalmology referral

66
Q

What if the risk assessment for Hearing is POSITIVE in the 9 month?

A

Referral for diagnostic audiologic assessment

67
Q

What if the risk assessment for Lead is POSITIVE in the 9 month?

A

Lead screen

68
Q

What are the UNIVERSAL screenings for the 12 month?

A
  1. Anemia

2. Lead

69
Q

What is the action for Anemia at the 12 month?

A

Hematocrit or hemoglobin

70
Q

What is the action for Lead at the 12 month?

A

Lead screen

71
Q

What are the SELECTIVE screenings for the 12 month?

A
  1. Oral health
  2. Blood pressure
  3. Vision
  4. Hearing
  5. Lead
  6. Tuberculosis
72
Q

What is the risk assessment for oral health in the 12 month?

A
  1. Does not have a dental home

2. Primary water source is deficient in fluoride

73
Q

What is the risk assessment for blood pressure in the 12 month?

A

Children with specific conditions or change in risk

74
Q

What is the risk assessment for vision in the 12 month?

A

Parental concern or abnormal fundoscopic examination or abnormal cover/uncover test

75
Q

What is the risk assessment for hearing in the 12 month?

A

+ on risk screening conditions

76
Q

What is the risk assessment for lead in the 12 month?

A

+ on risk screening conditions

77
Q

What is the risk assessment for tuberculosis in the 12 month?

A

+ on risk screening conditions

78
Q

What if the risk assessment for oral health is POSITIVE in the 12 month?

A
  1. Referral to dental home or, if not available, oral health risk assessment
  2. Oral fluoride supplementation
79
Q

What if the risk assessment for blood pressure is POSITIVE in the 12 month?

A

blood pressure

80
Q

What if the risk assessment for vision is POSITIVE in the 12 month?

A

Ophthalmology referral

81
Q

What if the risk assessment for Hearing is POSITIVE in the 12 month?

A

Referral for diagnostic audiologic assessment

82
Q

What if the risk assessment for Lead is POSITIVE in the 12 month?

A

Lead screen

83
Q

What if the risk assessment for Tuberculosis is POSITIVE in the 12 month?

A

Tuberculin skin test

84
Q

What are the UNIVERSAL screenings for the 15 month?

A

None

85
Q

What are the SELECTIVE screenings for the 15 month?

A
  1. Blood pressure
  2. Vision
  3. Hearing
86
Q

What is the risk assessment for blood pressure in the 15 month?

A

Children with specific conditions or change in risk

87
Q

What is the risk assessment for Vision in the 15 month?

A

Parental concern or abnormal fundoscopic examination or abnormal cover/uncover test

88
Q

What is the risk assessment for Hearing in the 15 month?

A

+ on risk screening conditions

89
Q

What if the risk assessment for blood pressure is POSITIVE in the 15 month?

A

blood pressure

90
Q

What if the risk assessment for Vision is POSITIVE in the 15 month?

A

Ophthalmology referral

91
Q

What if the risk assessment for Hearing is POSITIVE in the 15 month?

A

Referral for diagnostic audiologic assessment

92
Q

What are the UNIVERSAL screenings for the 18 month?

A
  1. Development

2. Autism

93
Q

What is the action for Development at the 18 month?

A

Structured developmental screen

94
Q

What is the action for Autism at the 18 month?

A

Autism Specific Screen

95
Q

What are the SELECTIVE screenings for the 18 month?

A
  1. Oral health
  2. Blood pressure
  3. Vision
  4. Hearing
  5. Anemia
  6. Lead
  7. Tuberculosis
96
Q

What is the risk assessment for Oral health in the 18 month?

A
  1. Does not have a dental home

2. Primary water source is deficient in fluoride

97
Q

What is the risk assessment for blood pressure in the 18 month?

A

Children with specific conditions or change in risk

98
Q

What is the risk assessment for Vision in the 18 month?

A

Parental concern or abnormal fundoscopic examination or abnormal cover/uncover test

99
Q

What is the risk assessment for Hearing in the 18 month?

A

+ on risk screening conditions

100
Q

What is the risk assessment for Anemia in the 18 month?

A

+ on risk screening conditions

101
Q

What is the risk assessment for Lead in the 18 month?

A

If no previous screen or change in risk

102
Q

What is the risk assessment for Tuberculosis in the 18 month?

A

+ on risk screening conditions

103
Q

What if the risk assessment for oral health is POSITIVE in the 18 month?

A
  1. Referral to dental home or, if not available, oral health risk assessment
  2. Oral fluoride suspension
104
Q

What if the risk assessment for blood pressure is POSITIVE in the 18 month?

A

Blood pressure

105
Q

What if the risk assessment for vision is POSITIVE in the 18 month?

A

Ophthalmology referral

106
Q

What if the risk assessment for hearing is POSITIVE in the 18 month?

A

Referral for diagnostic audiologic assessment

107
Q

What if the risk assessment for anemia is POSITIVE in the 18 month?

A

Hematocrit or Hemoglobin

108
Q

What if the risk assessment for lead is POSITIVE in the 18 month?

A

Lead screen

109
Q

What if the risk assessment for Tuberculosis is POSITIVE in the 18 month?

A

Tuberculin skin test

Peds Screens etc (3 decks)

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