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EOR - Pediatrics > Anticipatory Guidance > Flashcards

Anticipatory Guidance Flashcards

1
Q

leading cause of death in people ages 1-19

A

inury

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2
Q

leading causes of injury death

A
  1. MVA
  2. drowning, burns, poisonings
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3
Q

3 factors associated w. higher rates of unintentional injury

A

male
low income
family stressors

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4
Q

car seat guidelines

A

all kids < 4 yo

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5
Q

sleep safety for infants (3)

A

no blankets
no stuffed animals
sleep supine

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6
Q

car seat should be rear facing until

A

birth - 2 yo
OR
exceeds wt/ht restrictions for seat

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7
Q

when can a kid start sitting in front seat

A

13 yo

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8
Q

what is the WI law

A

children must be in car seat until 4 yo
and in booster seat until 8 yo

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9
Q

kids should sleep supine until

A

strong enough to roll from back to front and front to back by himself

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10
Q

kids should sleep supine until

A

strong enough to roll from back to front and front to back by himself

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11
Q

8 rf for SIDS

A

prone sleeping
maternal smoking
overheating
late or no prenatal care
young maternal age
preterm
male
sleeping on soft surface

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12
Q

SIDS is mc in what 2 nationalities

A

AA
Am Indian

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13
Q

guidelines for intro of solids

A

4 mo: solids
6 mo: water, baby food

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14
Q

guideline for intro of cow’s milk

A

12 mo

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15
Q

what does ALTE stand for

A

apparent life-threatening event

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16
Q

presentation of ALTE (4)

A

apnea
color chage
change in muscle tone
choking/gagging

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17
Q

when does ALTE mc occur

A

8am-6pm

18
Q

at what age can you start giving a child honey

A

1 yo

19
Q

what is plagiocephaly

A

d.o in which the back of one side of an infant’s head is flattened, often w. little hair growing in that area

20
Q

common cause of plagiocephaly

A

positioning

21
Q

how to prevent positional plagiocephaly

A

-daily tummy time
-alternate positions in crib/car seat

22
Q

5 categories of problem behaviors

A

-daily routine
-aggressive resistance
-overdependent or withdrawal
-hyperactivity or excessive restlessness
-undesireable habits

23
Q

6 reactive discipline techniques

A

redirection
spanking
scolding/reasoning
ignoring
time-out
removal of privileges

24
Q

mc age range for temper tantrums

A

2-3

25
Q

toddlers become angry/frustrated due to (3)

A

lack of control
inability to communicate
limittations of congnitive/motor abilities

26
Q

7 red flags w. temper tantrums

A

-persist/worsen > 5 yo
-more than 5/day
-persistent negative mood between tantrums
-destruction of property
-self harm or harm to others
-recurrent at school
-other behavior problems

27
Q

benign, recurring condition of childhood in which anger/pain produce crying that culminates in noiseless expiration and apnea

A

breath-holding spells

28
Q

t/f: there is a genetic connection to breath holding spells

A

t!

29
Q

presentation of breath-holding spells (5)

A

-cry/scream -> noiseless expiration -> cyanosis -> LOC
-followed by rhythmic jerking of extremities
-total of one minute
-no post drowsiness
-severeal per week

30
Q

consider work up for _ w. breath-holding spells

A

IDA

31
Q

infants should sleep 5 uninterrupted hr by _ yo

A

3-4 mo

32
Q

when should infants be able to fall asleep on their own

A

4-6 mo

33
Q

what age do infants no longer need to eat during the night

A

3 mo

34
Q

sleep goal for:
4-12 mo old
1-2 yo
3-5 yo
6-12 yo

A

4-12 mo: 12-16 hr/day
1-2 yo: 11-14 hr/day
3-5 yo: 10-13 hr/day
6-12 yo: 9-12 hr/day
13-18 yo: 8-10 hr/day

35
Q

characteristics of nightmares (4)

A

-last 1/3 of night
-scared but consolable
-can recall dream
-afraid to go back to sleep

36
Q

characteristics of night terrors (5)

A

-first 4 hr of night
-sits up in bed screaming for 15 min
-tachycardia
-tachypnea
-sweating

37
Q

3 categories of crying

A

-normal
-excessive dt stress/disease
-excessive w.o apparant cause

38
Q

unexplained crying/fussiness in infants that usually occurs in the late afternoon/evening

A

colic

39
Q

5 s’s of colic management

A

swaddling
side/stomach position
shushing
swinging
sucking

40
Q

injury prevention that the Smarty PANCE blueprint stresses

A

birth and/or 3-5 days: car safety seats
2 weeks-1 mo: tummy time when awake 5-10 min, 2-3 x/day
2 yo: forward-facing car seat
4 yo: bike helmet
7-10 yo: lap/shoulder safety belt in back seat
13 yo: child can start sitting in front seat

41
Q

violence prevention that the Smarty PANCE blueprint wants us to know

A

5 yo: clearly defined family rules and consequences

42
Q

nutritional counseling the Smarty PANCE blueprint wants us to know

A

birth and/or 3-5 days old: exclusive bf’ing q 2-3 hr vs formula q 3-4 hr
2 weeks: should be back to birthweight at 2 weeks
4 mo: intro of solids
6 mo: start water and baby food
12 mo: intro of cow’s milk

EOR - Pediatrics (15 decks)

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