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Flashcards in CHC Deck (49):
0

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

1

What screening blood tests should be done in adolescents?

Lipid levels once during adolescence
CBC in menstruating females

2

When on average does the anterior fontanel close?

Avg=10-14 months

May stay open up to 18 months

3

How often should a newborn be fed?

Every 2-3 hours or 8-12 times in 24 hours

4

How long should a newborn nurse for?

10-20 minutes on each breast

5

How much should newborns who are bottle fed be taking?

1/2 to 2 ounces at each feed

6

How many wet diapers and stools a day should an new infant have (birth- 4 months)?

5-8 wet diapers
3-4 stools

7

What is the max amount of formula you should feed a term newborn?

24-32 ounces in 24 hours

8

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

9

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

10

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

11

When can babies start drinking juice?

After 6 months of age

-only in a sippy cup
-no more than 4-6 ounces per day

12

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

13

When can you feed baby finger foods?

When able to sit up and bring objects to mouth or usually by 9 months of age

14

When is it ok to put cereal in baby's bottle?

When the baby has GERD/reflux

15

When should a baby be weaned from a bottle?

Between 12-15 months

16

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

17

How much should a toddler be eating?

3 meals and 2-3 snacks per day

18

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

19

When does the anterior fontanel close?

Average= 10-14 months

May remain open until 18 months

20

When do primary teeth erupt?

Central incisors appear between 5-7 months

Then 1 tooth/month until 23-30 months

21

When do permanent teeth erupt?

Central incisors 5-7 years, third molars in place between 17-22 years

32 adult teeth

22

When should a pacifier be discontinued?

By 18 months of age, can cause oral and dental distortions

23

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)

24

By what age should premature infants be caught up in growth and development?

2-3 years

25

Age range for holding head steady when placed in supported position?

1-4 months

26

Age range for sits without support for more than 30 seconds

5-8 months

27

Age range for cruising or walking holding onto things

7-13 months

28

Age range for standing alone

9-16 months

29

Age range for walking alone

9-17 months

30

Age range for walks up stairs with help

12-23 months

31

Age range for grasping objects

2-4 months

32

Age range for reaching for objects

3-5 months

33

Age range for transferring objects from hand to hand

5-7 months

34

Age range for developing fine pincer grasp with index finger and thumb apposition

9-14 months

35

Age range for spontaneous scribbling

12-24 months

36

What are the best measures of cognitive development?

Receptive lanugage

37

By what age should a child have imitative play? (helping with dishes, doll play)

24 months

38

By what age should a child engage in make believe play?

36 months

39

By what age should s child be able to play simple rule based playground games or board games?

48 months

40

By what age should a child be able to:
Copy a cross
Copy a circle
Copy a square
Copy a triangle

Circle-3 years
Cross-3 years
Square- 4 years
Triangle- 5 years

41

Describe the language a child should have by 3 months

Expressive-coos
Receptive-alerts to voice

42

Describe the language Milestones by 4-6 months

Expressive: monosyllabic babbling, laugh, raspberry

Receptive: turns to voice and sounds

43

What is the minimum number of wet diapers an infant should be making a day.?

=at least 4 (most babies more frequent than that)

44

True or false: a breast fed baby at 3-6 weeks of age who has only 1-2 bowel movements a week is normal

True

-total frequency can vary a lot
- formula fed a baby should have at least 1 BM a day

45

What is the average weight at:
-birth
-1yr
-5yrs
-10 yrs

Birth: 3.5 kg
1yr: 10 kg
5 yrs: 20kg
10 yrs: 30 kg

46

How is colic diagnosed?

Rule of 3s: crying more than 3 hours per day, more than 3 days per week, for more than 3 weeks

-crying began before 3 weeks of age
-crying worse afternoon and evening
- infant otherwise thriving
- no organic cause on eval
-facial grimacing, drawing up of legs, passing gas

47

Where should you check for hair tourniquets

Check fingers and toes carefully as hair can get wrapped around and cut off blood supply

48

What is a positive Galeazzi sign?

Screen for developmental hip dislocation.
Have infant lying supine on firm surface with hips and knees flexes at 90 degrees.
If one knee looks higher than the other= +sign (the lower side is the side with the dislocated hip)