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Family Medicine > Child Health Maintenance > Flashcards

Child Health Maintenance Flashcards

(61 cards)

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1
Q

Independent panel of experst review and develope reccomendations for clincial preventive services

A

Task force

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2
Q

schedules are set according to age
groups

A

Neonate: within 1-2 Weeks of birth
Infant: at 2, 4, 6, 9, and 12 months
Toddler: at 15, and 18 months; 2 and 3
years old
Preschool: annual visits beginning at 3
years old
Primary school age: annual visits 5
through 10 years old
Middle school age: annual visits 10
through 13 years old
Teenager: annual visits 13 through 19years

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3
Q

increase in the mass and dimensions of
the body

A

Growth

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4
Q

functional maturation and
acquisition of new skills
life

A

Development

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5
Q

Human development is

A

lifelong process of
physical, behavioral, cognitive, and emotional
growth and change.
Family Medicine Department

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6
Q

Stages of growth and
development

A

Prenatal
1. Embryonic period (first 8 weeks)
2. Fetal period (9-40 weeks)
• Postnatal
1. Neonatal period (first 28 days)
2. Infant (till 2 years)
3. Early childhood 2-6 years
4. Late childhood (6-10)
5. Adolescent (10-20)

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7
Q

Four developmental areas

A

Gross motor,
• Fine motor
• Speech and language,
• Social development

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8
Q
A

10-12 month

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9
Q
A

15 month

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10
Q

Fine motor development

A

Building blocks

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11
Q

Building blocks
• 15 months

A

Builds a tower of two cubes

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12
Q

18 months

Building blocks

A

Builds a tower of three
to four cubes

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13
Q

Physical growth main parameters

A

Main parameters
• Weight
• Length (height)
• Head circumference

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14
Q

Physical growth all parameters

A

Main parameters
• Weight
• Length (height)
• Head circumference
Others
• Body proportions :upper/lower ratio
• Dentition
• Vital signs
Family

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15
Q

Head circumference monitoring for children parametrs

A

At birth 35 cm
• 6 months 43 cm
• 1 year 47 cm
• 2 years 49 cm
• 6 years 51 cm
• 12 years 53 cm

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16
Q

Assess normal growth
- Determine deviations in individuals
- To interpret findings in terms of health status
- To decide regarding alternative types of care and
referral procedures if required
- Monitor growth at community level as contribution
to health surveillance
Family M

A

Chart of development parameters

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17
Q

Direction of the curve is ascendind

A

Healthy

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18
Q

Horizontal curve

A

failure to thrive
Acute malnutrition

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19
Q

decreased velocity curve

A

Chronic
malnutrition, Chronic conditions

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20
Q

Teething usually begins around

A

6 months
But its normally to satrt between 3 -12 months

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21
Q

Child 3 years must have how many teeth

A

20 primary

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22
Q

During sleep bottle or breast

A

Bottle feeding

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23
Q

Recommended childhood
prevention screening
Bp

A

At age of 3 and every 1-2 year
H

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24
Q

Hearing
examination

A

Subjective assessment at all visit :
1. checking for a response to noise produced
outside an infant field of vision.
2. Absent of babbling at age of 6 months
3. Assessing speech development

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25
Vision examination
3 yr and 5- 6 yr Visual acuity and cover- uncover test
26
Anemia examination
age of 9 months and repeated at 2-3 yr
27
Iron supplements recommendations
full-term is exclusively breastfed infants start 1 mg per kg per day of elemental iron supplementation at 4 months of age until appropriate iron-containing foods are
28
Recommended Dietary Allowance (RDAs) for Vitamin D: 0-12 month
400 iu (10 mcg)
29
Recommended Dietary Allowance (RDAs) for Vitamin D: 1-13 yesrs
600 iu (15 mcg)
30
Anticipatory Guidance
Safety • -Dental Care • -Screen Time. • -Sleep • -Diet and Activity Fa
31
Sun exposure time
5-30 min (10 am -3pm) at least twice a week (without sun screen)
32
Activity time
At least 60 mins per day
33
Growth montur through fontanelles
Post font cannot be palpated after 2 months of age Ant font closes between 10 -24 month Premature closes later
34
Minimal weight gain per day
30 g —-3 month 20 g ——-3—6 month 10 g ———6-12 month
35
Infant focous on face by age of
1 month
36
Infants move thweir eyes consistently and symmetrical
6 month
37
After which age does we should manage strabismus
After 3 months
38
Standardized audiometric hearing
3 years
39
Start oral fluride at
6 months
40
Water heaters should be maximum at
49 ć to prevent scald burns
41
Juices should be avoided beofre
12 month
42
Bottle in bed should
Never
43
Babies weaned by cup
At 12 months
44
Digital media should be avoided in
Younger than 18 month
45
Educational programs could be used
18-24 month
46
Exclusive breast feeding till
6 month
47
When and at what max time for screen
2-5 age max 1 hour per day scrreen
48
Food before 6 months
Inc risk for. Atopy obesity
49
Juice recommendation
Not before 1 year and if older should be 100 % only fruit
50
Dental examination then referal after
12 month
51
Neonatal screening program in phc
Thyroid Pku Hearing
52
Vision screening for neonate
By red reflexes To rule out cong cataract Retinoblastoma
53
Screening of vision by visual acuity at
3 years
54
Diference between newborn and infant at vision testing
55
How gross hearing is evaluated
Obesrving response to a sound ( startle , eye blinking , turning head towards ) is normal
56
Universal screening fpr hearing loss what timw how it is done
Before age of month By OAE phase 1 ABR phase for whom failed phase 1
57
Obesity screening at
6 years
58
At what time evaluate adhd
4-18 years Presented by academic or behavioral problem sticking to DSM criteris being supported by direct evidence from parents
59
Infants should receive rear facing car safety untill
2 years
60
How infants sleep at first 1 year
On back firm mattress withno soft objects or blankets
61
What inc risk for sudden infant death syndrome
Tobacco Alcojol Drugs Sleeping with parents on same bed

Family Medicine (17 decks)

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