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Special Pops PEDS 1 > Screenings > Flashcards

Screenings Flashcards

1
Q

what is the importance of anticipatory guidance?

A

answering commonly asked questions
anticipate parent concerns
opportunity for education
sharing resources that are available

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2
Q

what are common topics of preventative care?

A 
illness/injury update
growth 
developmental milestones
socialization and emotional concerns
nutrition
sleep
home environment
risk/safety 
immunizations
screening needs
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3
Q

what are common problems brought to you by parents?

A

crying infant
temper tantrums, aggressive behavior
sleep and eating problems
fever

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4
Q

self settling should begin around what age?

A

2 months

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5
Q

risks are ___ specific

A

age

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6
Q

what are recommendations for screenings?

A

standardized and performed at ket dev. ages performed

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7
Q

when should STI and HIV screenings be performed?

A

STI: high risk
HIV: age 17

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8
Q

visual acuity tests should begin at age __

A

3

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9
Q

when should an ophthalmoscope exam be performed?

A

6-12 mo

likely not sufficient until 3 y.o

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10
Q

at age 0-3 months what eye exams will you perform?

A

red reflex
inspection
pupil exam

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11
Q

at age 3-6 what eye exams will you perform?

A

red reflex
inspection
pupil exam
FIXATION

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12
Q

at age 6-12 months what eye exam wil you perform?

A 
red reflex
inspection
pupil exam
fixation
cover/uncover
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13
Q

at age 3 y.o. what eye exam will you perform?

A 
red reflex
inspection
pupil exam
fixation
cover/uncover
VISUAL ACUITY
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14
Q

___ problems are one of the most common conditions present at birth

A

hearing

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15
Q

children should be able to hear as low as ___ dB and hear pitch from___-___ Hz

A

20

250-8000

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16
Q

when is the 1st hearing screening performed?

A

new born with the auditory brainstem response (ABR) test or the evoked otoacoustic emissions (EOAE) test

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17
Q

when should you Screen infants who require neonatal intensive care w/ ABR technology ?

A

before they are d/c

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18
Q

when shoudl you screen Screen infants who were born outside a hospital or birthing center or who were d/c before receiving hearing screening?

A

by 1 month of age

19
Q

when shoudl you Refer for a formal audiologic evaluation?

Intervention services should start by no later than____

A

no later than 3 mo of age or w/in 3 mo of d/c from NICU

6 mo old

20
Q

Screening w/ standard hearing test are performed at what key developmental ages:

A

Infancy
Early Childhood: 4 y/o
Middle Childhood: 5, 6, 8, 10 y/o

21
Q

What are RF for hearing problems?

A
  • FHX of permanent hearing loss
  • NICU care of >5 days
  • Infxns assoc. w/ hearing loss
  • Craniofacial abnormalities
  • Chemotherapy
  • Chronic or recurrent OME for at least 3 mo
  • PE findings assoc. w/ sensorineural or conductive hearing loss
  • Head trauma
22
Q

When should you Use validated developmental screening tools

A

Infancy - 9 months

Early Childhood – 18 and 30 months

Any time when the parent or provider has a concern

23
Q

what si the screening tool used for Autism Screening

A

MCHAT

24
Q

according to the AAP and Bright Futures autism screenings are recommend when?

when does the CDC recommend screening?

A

At 18 and 24 months & any time parent raises concern

18, 24, and 30 months

25
Q

when should BP screenings begin?

A

age 3

26
Q

what are the recommendations for assessing BP?

A

SBP and DBP < 90th: normal BP

SBP and/or DBP > 90th: Repeat measurements x2, average readings

BP > 90th: See National Heart, Lung, and Blood Classification of HTN in Children and Adolescents chart

27
Q

what are the tx for Normal or prehypertensive?

Hypertensive?

A

Healthy diet, Physical activity
If overweight→ counseling and referral if needed

Consider meds, change diet/physical activity level

28
Q

when are laboratory screenings collected?

A

at least 24 hrs after birth but <7 days of age

29
Q

__% children in US live in housing w/ deteriorating lead paint

A

25

30
Q

Blood lead levels as low as __ mcg/dL have been assoc. w/ adverse effects on cognitive development, growth, and behavior in children 5 y/o and younger

A

10

31
Q

__% of American children enrolled in Medicaidw/ blood levels >__ mcg/dL

A

83

20

32
Q

how often are Medicaid enrollees screened for lead?

A

by 12 months age

24 months

36-72 months if not tested earlier

33
Q

when are Refugees and Internationally adopted children screened for lead?

A

Upon arrival in US

Repeat in children < 6 y/o in 3-6 mos after permanent placement

34
Q

When does the AAP/Bright Futures for non-Medicaid children recommend Screening for lead?

A

According to local or state HD recs,

otherwise at 12 and 24 mo unless lead exposure can be confidently excluded

Know risk factors

35
Q

who is at risk for Lead poisoning?

A

Housing built before 1950 = prime source of lead contamination

36
Q

when should a child be screened for Iron Deficiency Anemia

A

Performed @ 12 mo.

37
Q

what are some consequences of iron deficiency anemia?

A

developmental delays

behavioral disturbances that may persist past school age unless the deficiency is treated

38
Q

Population at Risk for iron deficiency anemia

A

Infants on WIC

Infants and children of migrants or recent refugees

Preterm or low birth weight infants
Breastfed infants >6 mo not getting adequate iron from supplementary foods

Infants who do not receive sufficient iron after 4-6 months of age

Infants fed cow’s milk <12 mo, children >12 mo who drink >24 oz milk/day

Infants and children at risk because of special health care needs

Children who follow strict vegetarian diet without iron supplementation

Adolescent females who have begun menstruating

Children/teens with other risk factors

39
Q

what are the Recommendations for iron def. anemia?

A

4, 18, and 24 months

Annually between 3 and 21 years

40
Q

when does the AAP and Bright Futures recommend iron def. anemia screening:

A

All infants at 12 months

All non-pregnant females (11-21) every 5-10 years

Anyone at risk

41
Q

when are TB Screening Recommended?

A

All HIV-infected children/teens annually

All incarcerated teens annually

42
Q

when are Risk Assessment Recommendations for TB?

A

Infancy: by 1 month; at 6 months

Early Childhood: 12, 18, and 24 months; 3 and 4 y/o

Middle Childhood and Adolescent: Annually

43
Q

when should a child be screened for dyslipidemia?

A

children and teens at high risk

44
Q

when should dyslipidemia screenings be perform?

A

24 months and 4 y/o
6, 8, and 10 years
Annually 11-21 y/o

All teens once between 18 and 21 y/o
Screen children and teens at high risk

Special Pops PEDS 1 (11 decks)

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