child health screening

Question 1

new born screening

Answer 1

examination and blood spot screening for PKU, congenital hypothyroidism, cystic fibrosis, MCADD and sickle cell disorder

Question 2

when are babies ears screened

Answer 2

before 28 days

Question 3

6-8 week review

Answer 3

feeding - breast/bottle/both
parental concerns ?
development
measurements - weight, OFC, length

Question 4

27-30 month review

Answer 4

development - fine and gross motor, vision and hearing, speech and language and social interactions
physical measurements - height and weight

Question 5

when do children get orthoptist screening

Answer 5

4-5 years

Question 6

what are the main components of child health screening

Answer 6

immunisations
developmental monitoring
health promotion

Question 7

why are immunisations important in children. Who, What, When

Answer 7

effective public health measure, eradication of disease
all children and additional ones if at high risk, dont give live vaccines in immunocompromised except in HIV, postpone if unwell. give in relation to chronolgical age - dont correct for preterm - no link with autism

Question 8

how do we monitor growth ?

Answer 8

3 key measurements:
weight - kgs
height or length - cm head circumference

Question 9

what is FTT or weight faltering?

Answer 9

child growing too slowly in form and usually in function for the expected rate at his or her age, significantly low rate of weight gain

Question 10

causes of FTT?

Answer 10

maternal -( poor milk production, poorly prepared feeds, inadequate care)
infant - (prematurity, small for dates, oropalatal abnormalities - cleft palate, neuromuscualar disease - cerebral palsy, genetic disorders)
increased metabolic demands ( thyroid disease, malignancy, renal disease, heart disease, anemia, infection, crohns/IBD)
excessive nutrient loss ( malabsorption, short bowel syndrome, coeliac disease, pancreatic insufficiency, persistent diarrhoea, food allergy)
non-organic cause ( poverty, child neglect, feeding disorders)