Child Health Flashcards

1
Q

Gross motor skills at 6 weeks

A

head control in vertical

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2
Q

fine motor skills at 6 weeks

A

follows torch with eyes

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3
Q

language skills at 6 weeks

A

stills to voice

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4
Q

social skills at 6 weeks

A

social smile

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5
Q

gross motor skills at 3 months

A

no head lag on pulling to sit

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6
Q

fine motor skills at 3 months

A

regards hands held in midline

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7
Q

language skills at 3 months

A

vocalises with a familiar person

laughs and coos

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8
Q

social skills at 3 months

A

reacts pleasurably to familiar situations

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9
Q

gross motor skills at 6 months

A

pushes up on arms in prone
can roll from stomach to back
weight bears on legs

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10
Q

fine motor skills at 6 months

A

transfers objects hand to hard
palmer grasp
mouths objects

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11
Q

language skills at 6 months

A
babbles tunefully (mamama)
screams when annoyed
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12
Q

social skills at 6 months

A

still friendly with strangers

plays with feet

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13
Q

gross motor skills at 9 months

A

sits well and leans forward to reach toys
stands holding onto furniture
may crawl

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14
Q

fine motor skills at 9 months

A

uses index finger to point

picks up tiny objects between thumb and hand

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15
Q

language skills at 9 months

A

localises sound consistently
polysyllabic babble (ahgah)
imitates sounds

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16
Q

social skills at 9 months

A

anxious around strangers
plays peek-a-boo
object permanence

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17
Q

gross motor skills at 12 months

A

‘cruises’ around furniture

may take first step

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18
Q

fine motor skills at 12 months

A

neat fine pincer grip
bangs toys together
casting (throwing) toys

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19
Q

language skills at 12 months

A

knows and responds to name

jargons vowels and consonants

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20
Q

social skills at 12 months

A

drinks from cup

waves bye-bye

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21
Q

gross motor skills at 18 months

A

runs

climbs onto adult chair

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22
Q

fine motor skills at 18 months

A

builds tower of 3-4 bricks
hand preference
enjoys picture books

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23
Q

language skills at 18 months

A

5-20 words

points to body parts

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24
Q

social skills at 18 months

A

feeds with spoon

imitates adult activities e.g. sweeping

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25
Q

gross motor skills at 2 years

A

ascends and descends stairs 2 feet per tread

can throw ball overhand

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26
Q

fine motor skills at 2 years

A

builds tower of 6-7 bricks

circular scribble

27
Q

language skills at 2 years

A

50+ words
joins 2 words together
talks to self
understands simple instructions

28
Q

social skills at 2 years

A

puts on hat and shoes

developing symbolic play e.g. feeding teddy

29
Q

gross motor skills at 3 years

A

up stairs with alternating feet
stands on one foot momentarily
pedals trike

30
Q

fine motor skills at 3 years

A

builds tower of 9-10 bricks
copies circle
cuts with scissors

31
Q

language skills at 3 years

A

knows own name and gender
asks lots of questions
carries on simple conversations
understands prepositions

32
Q

social skills at 3 years

A

washes hands
vivid pretend play
understands sharing and plays with others

33
Q

gross motor skills at 4 years

A

runs up and down stairs
can kick, throw and catch ball
hops on preferred foot

34
Q

fine motor skills at 4 years

A

threads beads
copies cross
draws man with head legs and trunk

35
Q

language skills at 4 years

A

recounts stories of recent experiences
sentences of 5+ words
counts to 20

36
Q

social skills at 4 years

A

dresses and undresses (except laces)

understands concept of turn taking

37
Q

examples of attenuated vaccines

A
measles
mumps
rubella
varicella
flu
polio (oral vaccine)
38
Q

examples of subunit vaccines

A
diphtheria
tetanus
pertussis
pneumococcal
typhoid
39
Q

examples of conjugate vaccines

A

haemophilus influenza B (HiB)

meningitis C

40
Q

When is DTaP (diphtheria, tetanus and pertussis), IPV (inactivated polio vaccine) , HiB and HepB vaccine given?

A

2 months

boosters at:
3 months
4 months

41
Q

when is Men B vaccine given?

A

2 months

boosters at:
4 months
12-13 months

42
Q

when is rotavirus vaccine given?

A

2 months

booster at 3 months

43
Q

what is PCV vaccine?

A

pneumococcal conjugate vaccine

vaccinates against 13 types on pneumococcal bacteria

44
Q

when is PCV vaccine given?

A

2 months

boosters at:
4 months
12-3 months

45
Q

when is Hib/men C vaccine given?

A

12-13 months

note Hib also given at 2 months

46
Q

when is MMR vaccine given?

A

12-13 months

booster at 3 years -5 years

47
Q

When is DTaP and IPV vaccine given?

A

3y-5y

note DTaP and IPV given at 2 months as part of another vaccine

48
Q

when is flu vaccine given?

A

2-12 years

49
Q

When is HPV vaccine given?

A

girls between 12 and 13 (two doses)

50
Q

what vaccines are given to 13-14 year olds?

A

Td (booster of tetanus and diphtheria)
IPV
MenACWY

51
Q

When else can MMR vaccine be given?

A

as an opportunistic booster for those over 12

52
Q

What is the moro reflex?

A

if the baby thinks its falling it will spread out arms and adduct fingers

53
Q

what is the asymmetric tonic neck reflex?

A

if the baby is placed on an uneven surface it will stop the baby rolling off

i.e. if head tilts to one side one are and leg will go out

54
Q

Management of severe croup

A
  • NEB adrenaline
  • IV dexamethasone
  • oxygen
  • senior help/move to PICU
55
Q

management of mild croup

A
  • single dose oral dexamethasone

- send home +rest

56
Q

main cause of croup

A

parainfluenza virus

57
Q

main cause of bronchiolitis

A

respiratory syncitial virus

58
Q

symptoms if UTI in childhood + things to consider

A
  • vomiting/diarrhoea
  • poor feeding/failure to thrive
  • prolonged neonatal jaundice
  • should consider structural/urinary tract abnormalities
  • if suspect UTI in child of less than 3 months should refer to hospital immediately
59
Q

what is the size of a boys testicle at the onset of puberty?

A

-4ml

60
Q

where can you get vitamin E from?

A
  • nuts
  • green leefy veg
  • vegetable oils
61
Q

where can you get vitamin A from?

A
  • cheese
  • eggs
  • orange/yellow/carniferous veg
62
Q

where can you get vitamin D from?

A
  • oily fish
  • red meat
  • liver
63
Q

Genetic test used for most things

A

Array competitive genomic hybridisation

64
Q

genetic test used for point mutations/small deletions

A

next generation sequencing