Growth and Development Flashcards
(23 cards)
What is the significance of “head lag”?
90% of infants diagnosed with autism exhibited head lag as infants. Head lag is a developmental delay in head and neck muscle control. Should be able to control neck muscles by around 4 months of age, so that when she is pulled form lying to sitting position her head should remain in line with torso and not flop back.
What is the normal levels for the new born infant thyroid panel?
In congenital hypothyroid the free T4 is low and the TSH is elevated. Normal values are :TSH less then 5.5 and free thryoxine 0.7 - 1.7
Questions to ask parent for dyslipidemia screening?
Anyone in the family have a cardiovascular event before age 55? Does either parent have a cholesterol level > then 240? Is family hx unknown? Does the child have personal risk factors such as obesity or HTN?
Name the developmental milestones for a 9 month old.
Pulls to stand, gets into sitting position. Starting to pincer grasp, bangs 2 blocks. Waves bye-bye, plays pat a cake . Says Dada and Mama , but nonspecific, makes 2 syllable sounds.
Name 18 month old developmental milestones.
Runs, kicks a ball, stacks 4 blocks. removes garment, feeds a doll, says at least 6 words.
Name 30 month milestones.
Walks steps alternating feet, broad jump, stacks 8 blocks, wiggles thumb, uses spoon well, spilling little, puts on a t shirt. Names pictures of 75% of speech is understandable to a stranger, says 3 word sentences. Understands concept of tomorrow and yesterday .
What is the preferred site for immunizations?
Vastus lateralis- 3 fingers from knee or groin in infant. Have to be able to walk at least one year before you can use dorsal gluteal - ex 29-30 months .
What is maximum dose of fluid that can be injected into
VL site in an infant?
2ml
What is the leading cause of death in infants?
Accidents
At what age is a child too old for the roto vax?
15-18 months.
At what age is a child too old to “catch up” on the HIB vac
5 years
Most common STD in teens?
Chlamydia and warts.
When does anterior fontanel close?
12-15 months
When do you start routine BP screening?
3 years of age
How long do you measure head circumference ?
Age 2
Name some pathological types of newborn jaundice.
ABO incompatibility, Rh factor, biliary atresia
What is physiologic jaundice?
Fetal circulation is different then new born circlation. Fetal circulation bypasses lungs and more hemoglobin is needed, After birth jaundice can occur when infants cant keep up with excreting breakdown product of hgb. Needs to drink to poop out . Sun light also helps .
Neonatal Chlamydia
Child may aspirate chlamydia during birth, so 2 month old in respiratory distress consider chlamydia as possible cause, takes to colonize so if child 5-6 weeks.
How long is strabismus normal for ?
6 months
When does physiological jaundice peak?
5th day of life . Higher levels at younger age more concerning because it hasn’t peaked yet.
What is the normal age for walking ?
9- 17 months
What are 2 live viruses? And they would be contraindicated for what type of pt?
MMR and varicella - contraindicated in pregnant patient.
What are initial visit intervals?
Seen in office first week of life (3-5 days) then 1 month - assess weight, jaundice and breast feeding, then 2, 4, 6, 9 months., 12 mos, 15, 18, 24 and 30 months, then yearly
