Chapter 31 & 32

Question 1

Routine lab works and when to do them

Answer 1

Hgb Hct 6 9 months, between 12
18 months and during adolescence
•
Urinalysis as needed
•
Lead 12 months, especially if high
risk
•
Sickle cell screening 6 months in
high risk populations
•
Tuberculosis after 12 months old

Question 2

Hep B vaccine, when give?

Answer 2

1st dose - Birth
2nd dose - 1st to 2nd month
3rd dose - 6th month - 15 month

Question 3

Retrovirus vaccine, when give?

Answer 3

1st dose - 2 months

2nd dose - 4 months

Question 4

DTaP, when give?

Answer 4

1st dose - 2 months
2nd dose - 4 months
3rd dose - 6 months 
4th dose - 15 months
5th dose - 4 to 6 yrs

Question 5

Hib (influenza type B)

Answer 5

1st dose - 2 months
2nd dose - 4 months
3rd and 4th dose - 12 to 15 months

Question 6

Pneumococcal, when give?

Answer 6

1st dose - 2 months
2nd dose - 4 months
3rd dose - 6 months
4th dose - 12 to 15 months

Question 7

Flu vaccine, when give?

Answer 7

annually

Question 8

MMR, when give

Answer 8

1st dose - 12 - 15 months

2nd dose - 4 -6 yrs

Question 9

Varicella

Answer 9

1st dose - 12 - 15 months

2nd dose - 4 - 6 yrs

Question 10

Hep A

Answer 10

12 - 15 months

Question 11

inactive polio virus, when give?

Answer 11

1st dose - 2 months
2nd dose - 4 months
3rd dose - 6 to 18 months
4th dose - 4 to 6 yrs

Question 12

Tdap >7yrs

Answer 12

11 - 12 yrs

Question 13

HPV

Answer 13

11 - 12 yrs

Question 14

Meningococcal

Answer 14

1st dose - 11 - 12 yrs

2nd dose - 16 yrs

Question 15

Infant sleep and nutrition:

Answer 15

sleep - 14 to 16 hours per day

nutrition - breast feed, iron rich formula solids at 4 - 6 months introduced

Question 16

Toddler Play, Sleep, and nutrition

Answer 16

sleep - 11 to 12 hrs (bed time difficulties and fears may be present, bedtime routines help)
Play - parallel play
Nutrition - picky eaters, limit juices and milk

Question 17

Preschool sleep, nutrition, play, dental, and safety

Answer 17

sleep - 12 hours per day
nutrition - picky eaters
play - interactive
dental health - eruption of remaining primary teeth, supervised brushing and flossing
safety - shoulder harness can be used at 4 years 40 lbs and 40 inches

Question 18

School age play, nutrition, dental, and sleep

Answer 18

play -cooperative play, sports, board games, bike, and hobbies
nutrition - adult portions by end of school aged years, quality snacks and activeness
dental - brush
sleep - 9 hours

Question 19

adolescent nutrition and sleep

Answer 19

nutrition- additional calcium, iron, zinc, vit B and A for rapid growth. healthy meals and snacks
Sleep - stay up late and sleep later in morning, sleeps more than school aged