CHC Flashcards
(49 cards)
What screening blood tests should be done in adolescents?
Lipid levels once during adolescence
CBC in menstruating females
When should screening for autism be done?
MCHAT should be done between 18-24 mos
Siblings keep an eye on from young age b/c increased risk of developing autism
When on average does the anterior fontanel close?
Avg=10-14 months
May stay open up to 18 months
How often should a newborn be fed?
Every 2-3 hours or 8-12 times in 24 hours
How long should a newborn nurse for?
10-20 minutes on each breast
How much should newborns who are bottle fed be taking?
1/2 to 2 ounces at each feed
How many wet diapers and stools a day should an new infant have (birth- 4 months)?
5-8 wet diapers
3-4 stools
What is the max amount of formula you should feed a term newborn?
24-32 ounces in 24 hours
How much weight is it acceptable for a baby to lose after birth? When should they be back to birth weight by?
Acceptable loss=5-7% although some say up to 10%
Should be back to birth weight by 2 weeks
What is the goal weight gain the first 6 months? From 6 months-1year?
First 6 months= 5-7 ounces per week
Birth weight should double by 5 months
6 months-1year= 3-5 ounces per week
What are the criteria for starting solids?
Baby should be able to:
- sit with support
- hold head up
- be double birth weight/at least 13 pounds
When can babies start drinking juice?
After 6 months of age
- only in a sippy cup
- no more than 4-6 ounces per day
What foods should ALWAYS be avoided in infants?
No honey or karo syrup until 1year old (botulism)
Avoid for choking risk until 2-3 years
- nuts
- peanuts
- popcorn
- hot dogs
- whole grapes
- hard candy
- raw vegetables
- raisins
- gum
When can you feed baby finger foods?
When able to sit up and bring objects to mouth or usually by 9 months of age
When is it ok to put cereal in baby’s bottle?
When the baby has GERD/reflux
When should a baby be weaned from a bottle?
Between 12-15 months
What foods can you introduce after the first year of life?
Whole cows milk Citrus fruits and juices Eggs Tomatoes Small pieces of berries Honey
Still avoid choking hazard foods
How much should a toddler be eating?
3 meals and 2-3 snacks per day
What are the things to assess for at first office visit for newborn (2-3 days post leaving the office)?
Feeding Weight gain (% down from birth weight or back up) Bilirubin/other labs Umbilical cord stump care Bathing Soothing
When does the anterior fontanel close?
Average= 10-14 months
May remain open until 18 months
When do primary teeth erupt?
Central incisors appear between 5-7 months
Then 1 tooth/month until 23-30 months
When do permanent teeth erupt?
Central incisors 5-7 years, third molars in place between 17-22 years
32 adult teeth
When should a pacifier be discontinued?
By 18 months of age, can cause oral and dental distortions
When does handedness usually develop?
Usually by 18-24 months
If hand preference before age 12 months, suspect a problem with non preferred hand (hemiparesis, brachial plexus injury)
