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Flashcards in Growth And Development Deck (75):
1

Caloric requirements for 7months to 1 year

100kcal/kg/day

2

Caloric requirements for 2-10yo

100-70kcal/kg/day

3

Caloric requirements for adolescents

45kcal/kg/day

4

How long for exclusive breastfeeding

6 months

5

Adequate weight gain for first 3 months

30grams/day or 1ounce per day

6

Weight gain after 3 months

Gain of 15 to 20g/day

7

Age and units of vitamin d supplementation

2 months and 400 iu per day

8

Age to start solids

6 months

9

Iron supplementation

1mg/kg/day after 6 months of age for exclusively breast fed

10

Age to start fluoride supplementation if inadequate in water supply (less than .6 ppm)

Not needed for the first 6 months of life

11

Weight gain progression

Initial 10% loss, then regained within 7-14 days, doubles by 5 months, triples by 1 year, quadruples by 2 years, 3yo-school age gain 2.5inches annually, school age children gain 5-7 pounds annually

12

Calorie requirement for birth to 6 months

120kcal/kg/day

13

Good head control

2-3 months

14

Rolls back to front

5-6 months

15

Sits alone (tripod)

7 months

16

Pulls to stand

9-10 months

17

Stands alone

11-12 months

18

Walks

12-14 months

19

Walks up and down stairs

22-24 months

20

Jumps

24-28 months

21

Grasps and shakes rattle

2-3 months

22

Reaches for object

3-4 months

23

Hand to hand transfer

5-6 months

24

Raking grasp

6-7 months

25

Finger grasps

7-9 months

26

Princer grasp

8-10 months

27

Marks on paper

10-12 months

28

Stacks 3 blocks

17-18 months

29

Stacks 6 to 7 blocks

22-24 months

30

Smiles and coos

2-3 months

31

Laughs

4-5 months

32

Babbles

5-6 months

33

Says mamma dada

8-9 months

34

Waves bye bye

8-9 months

35

Understands no

9-10 months

36

Points to body parts/ self aware

15-18 months

37

2 word sentences

18-22 months

38

30-50 word vocabulary

22-24 months

39

Jean Piaget sensorimotor stage

Birth to 2 years, reflexes inborn, adapts inborn reflexes to the environment, object permanence, sensory. Abilities improve, become aware of environment, Trial and error, simple problem-solving

40

Jean Piaget preoperational/ preconceptual stage

2 to 4 years, can focus on a single aspect of a situation, no cause and effect reasoning, egocentrism, development of intuitive thought, difficulty distinguishing fact from fantasy

41

Jean Piaget Intuitive/ preoperational thinking

4 to 7 years, beginning of causation

42

Jean Piaget concrete thinking

7 to 11 years. Capable of logical thought and logical operations

43

Jean Piaget formal operational thought

11-15 years, ability to abstract, capable of,complex problem solving, reality based, logical conclusions

44

Erikson infancy

Birth- 1 year, trust vs mistrust

45

Erikson toddler stage

1 to 3 years, autonomy vs shame and doubt

46

Erikson preschool stage

3-6 years, initiate vs guilt

47

Erikson school age stage

6 to 12 years, industry vs inferiority

48

Erikson adolescence stage

12-18 years, identity vs role confusion

49

Denver II age

0-6 years

50

Front facing car seat age

1 year/ 20 pounds

51

Hep b schedule

0-2-6 months, all newborns before discharge, second dose 1-2 months with mono alert or combo. Final dose should be given at 6 months or later

52

Rotavirus schedule

Series of 3 from 6 weeks to 32 weeks
First dose 6-14 weeks and sebsequent doses at 4 week intervals, must complete before 32 weeks

53

Dtap, stronger diphtheria

Series of 3 primary 2-4-6 months and two boosters ( 15 months and 6 years). DTaP not indicated for over 7 years

54

Tdap schedule

Series of 1 (start after 7, 11 or 12) years old and subsequent every 10 years

55

Hib conjugate vaccine ( causes ear infx and flu). Series if 3

3 primary ( 2-4-6 months) and 1 booster (12 months). First dose as early as 6 weeks, not for > 5 yo

56

Prevnar pcv 13 series

Series of 3 primary (2-4-6 months) and 1 booster (12 months)

57

Pneumovax (23PS) schedule

children 24 months to 59 months who completed PCV 13 who are immune compromised should receive additional one dose of 23PS at 24 months

58

Population (immunocompromised) that should receive 23PS in addition to PCV 13

Hemoglobinopathies, asplenia, splenic dysfunction, HIV infection, congenital immunodeficiencies, renal failure, nephrotic syndrome, chronic cardiac disease, chronic pulmonary disease, diabetes. Consider if native american, african american, or alaskan descent

59

Polio vaccine (IPV schedule)

Series of 4 (2,4,6 months and 6 years). Is the inactivated form which is recommended. Can have oral polio vaccine for # 3&4

60

Influenze vaccine schedule and dosages

one dose annually beginning at 6 months
6-35 months it 0.25ml IM. For children >3, 0.5ml IM
Children younger than 9 yo receive 2 doses 1 month apart

61

Live attenuated inactive virus influenza (flumist) schedule

can be used as alternative in healthy persons aged 2-49 years

62

Measles, Mumps, Rubella (MMR) schedule

IS A LIVE VACCINE
series of 2 (1 year and by 12 years)
If traveling to endemic areas can give as early as 6months but will need to continue primary schedule at appropriate times.

63

MMR and TB

MMR may be given with PPD but prefer to wait 4 to 6 weeks to avoid possible suppressive response

64

Varicella vaccine schedule

Series of 2 (between 12 months and 12 years, with minimum 3 months apart) if no hx of chicken pox and no immunity. Prefer to separate by 1 month form MMR

65

Hep A vaccine

series of 2; 1 year to 2 years, 6 months apart)

66

Meningococcal vaccine schedule

series of 2, 11-12 and booster at 16. If receiving first dose at 16yo, no need for another

67

HPV schedule

series of 3 (11 or 12 years, second dose given 1 month after first dose, then 3rd dose given 6 months after initial dose)

68

HPV vaccine directions

sit for 15 minutes after receiving the vaccine due to risk of labile syncope, postural hypotension, and vasovagal reposes

69

Coverage of the quadravalent vaccine

types 6 and 11 in addition to types 16 &18

70

Immunization catch up pearl

If there is a break in immunizations from the recommended, resume immunizations according to the child's current age regardless of the vaccines previously missed

71

IPV vaccine concern

Contraindicated in those with history of anaphylaxis to streptomycin

72

MMR concern

should not be given to immunocompromised or pregnant

73

Varicella contraindication

contraindicated in pregnant and immunocompromised and with streptomycin allergy

74

influenza contraindication

may be contraindicated in those with egg allergy

75

Hep A vaccine schedule

series of 2 between 1 year to 2 years, 6 months apart)