13: Bright Futures Flashcards
What age?
Universal lead screening (high prevalence area or on Medicaid).
2
Which visit for these Bright Futures guidelines?
- School readiness (structured learning, socialize with other children, fears, friends, fluency).
- Healthy personal habits (daily routines that promote health).
- TV/Media (Limits).
- Child and family involvement and safety in the community (activities outside the home, community projects, educational programs, domestic violence).
- Safety (booster seats, supervision, outdoor safety, guns).
4
What age does this start?
Fluoride supplementation if primary water is deficient.
18 months
What age does this start?
Visual acuity measurement.
3
What is the first priority at each visit?
Attend to concerns of the parents.
Which visit for these Bright Futures guidelines?
- Family support (parental well-being, adjustment to growing independence).
- Language Development (how child communicates, expectations for language).
- Temperament and behavior (sensitivity, approachability, adaptability, intensity).
- Toilet training (what parents have tried, techniques, personal hygiene).
- TV viewing (limits, promotion of reading, physical activity, safe play).
- Safety (car seats, parental safety belts, bike helmets, outdoor safety, guns).
2
What age does this start?
Fasting lipid profile if positive for risk factors.
2
What age does this start?
Lead screening if no previous screening.
18 months
What age does this start?
Risk for anemia indicates need for H and H.
18 months
What age does this start?
Risk for TB indicates need for TB skin test.
18 months
Which visit for these Bright Futures guidelines?
- Family routines (parental consistency, day and evening routines, family activities).
- Language (interactive communication through song, play and reading).
- Social development (play with other children, limited reciprocal play, imitation of others, choices).
- Preschool considerations (readiness for early childhood programs, playgroups, or play dates).
- Safety (water, car seats, outdoor health and safety, pets, fires, burns).
30 months
Which visit for these Bright Futures guidelines?
- Communication and social development (individuation, separation, communication of wants, shared attention).
- Sleep routines and issues.
- Temper tantrums and discipline (conflict predictors, distraction, praise, consistency).
- Healthy teeth (brushing, bottle usage).
- Safety (car seats, parental safety belts, poison, fire).
15 months
Which visit for these Bright Futures guidelines?
- Family support (parental well-being, adjustment to growing independence).
- Development and behavior (adaptation to nonparental care, return to clinging).
- Language promotion/hearing (encouragement of language, simple words and phrases, reading, singing, talking).
- Toilet training readiness (recognizing the signs, expectations).
- Safety (car seats, parental safety belts, falls, burns, guns, poison, fire).
18 months
What age does this start?
Hearing screen with audiometry.
4
What age?
Autism specific screen.
- 18 months
- 24 months
