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H&P Final Exam- Infants Flashcards

(96 cards)

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1
Q

What is documented during a Well-Visit? (11)

A
  1. VS
  2. Growth
  3. Health Habits
  4. Dev (Fine, Gross, Comm, Social/Prob solving)
  5. Social Hx
  6. FHx
  7. PE
  8. Assess
  9. Anticipatory Guidance
  10. Immunizations
  11. Plan for next visit
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2
Q

Gross- hold head up
push when prone

Fine-follows midline

A

Motor Skills 2mo

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3
Q

Motor skills 4mo

A

Gross- Hold head steady, unsupported
pushes down w/feet
pushes up to elbow when prone

Fine- hold a toy
hands to midline
brings hands together and to mouth

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4
Q

Motor skills 6mo

A

Gross-ROLL OVER
sit (supported)
hands to feet-feet to mouth

Fine- reaching
RAKE GRASP
passes object from hand-to-hand

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5
Q

Motor skills 9mo

A

Gross- stands holding on
pull up to stand
stand alone
SIT UNSUPPORTED
CRAWLS

FIne-PINCER GRASP
banging 2 cubes together

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6
Q

Motor skills 12mo

A

Gross- pulls to stand
INDEPENDENT STEPS

Fine-PUT OBJECTS INTO A CUP

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7
Q

Motor Skills 15mo

A

Gross- WALK WELL
START TO RUN
stoop and recover

Fine- Dump things from a cup
BUILD A TOWER

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8
Q

Motor Skills 18mo

A

Gross-KICK A BALL
walk up/down stairs
throw a ball
DRESS SELF

Fine- Build a tower 2-4 cubes
turn pages of a book
USE A SPOON
point

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9
Q

Motor skills 2yrs

A

Gross-throw a ball overhead
JUMPS WITH BOTH FEET

Fine- copies straight line, scribble

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10
Q

Motor Skills 30mo

A

Gross- Walk backward. hops on ONE foot

Fine- copies a circle, “fist” holds a crayon

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11
Q

Motor skills 3y

A

Gross- Rides tricycle w/pedals
SELF DESTRUCTIVE PHASE

Fine- builds 9-10 cubes. “fingers” holds a crayon`

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12
Q

Communication/ Language
2mo

A

vocalizes. “cos”.
Throaty sounds.
turns toward sound

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13
Q

Communication/ Language
4mo

A

Babble, raspberries

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14
Q

Communication/ Language
6mo

A

inhaled speech sounds,
converses w/noises & facial expressions

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15
Q

Communication/ Language
9mo

A

“mama”/”dada” -nonspecific

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16
Q

Communication/ Language
12mo

A

jargon begins,
1 word other than “mama/dada”

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17
Q

Communication/ Language
15mo

A

3-6words.
consonant sounds- t,d,n,w,h

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18
Q

Communication/ Language
18mo

A

Several single words;
says “no” points

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19
Q

Communication/ Language
2y

A

Points to things when named; 2-3 word phrases, up to 4 word phrases, vowels uttered correctly, follows simple instructions; repeats words heard

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20
Q

Communication/ Language
3y

A

Can name most familiar things; intelligible 4-6word phrases/sentences, says name, age,sex,names a friend
talks well. Conversations 2-3 sentences

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21
Q

Social/Emotional/Cognitive
2mo

A

Social/Emotional-
recognize parents; begin to smile

Cognitive-
regards faces, begin to follow w/eyes; boredom!

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22
Q

Social/Emotional/Cognitive
4mo

A

Social/Emotional-
smiles spontaneously at people;
play;
copies facial expressions

Cognitive-
responds to affection,
reaches for toys,
watches faces closely,
recognizes familiar ppl & things at a distance

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23
Q

Social/Emotional/Cognitive
6mo

A

Social/Emotional-
knows familiar faces, notices strangers,
plays with others,
looks at self in the mirror

Cognitive-
brings objects to mouth,
curiosity
reaches & explores
passes objects b/w hands

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24
Q

Social/Emotional/Cognitive
9mo

A

Social/Emotional-
fear of strangers
clingy to familiar adults
favorite toys

Cognitive-
watches for hidden objects
looks for hidden objects
peek-a-boo

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25
Social/Emotional/Cognitive 12mo
Social/Emotional- shows fear cries when parent leaves hands you toys/book he wants to hear Cognitive- explore by shaking, banging, throwing objects copies gestures looks at correct picture when named
26
Social/Emotional/Cognitive 15mo
Social/Emotional/- imitate others 'mine' hugs a doll close-contact interacting for self w/in mirror Cognitive- seeking help getting parent's attention by grabbing hand or place an object in hand
27
Social/Emotional/Cognitive 18mo
Social/Emotional- hand things to others temp tantrums stranger fear feeds a doll clings to caregiver points explores alone Cognitive- knows objects/use points to 1-3 body parts follows 1 step command
28
Social/Emotional/Cognitive 2y
Social/Emotional- excited around other children more independence defiant behavior parallel play Cognitive- sort shapes/colors follow 2-step directions names items by pic in a book (kitty, dog, baby)
29
Social/Emotional/Cognitive 3y
Social/Emotional- interactive play coop w/other kids inventive fantasy play Cognitive- 3 part commands knows some colors understands same/different & counting fantasy play
30
Developmental Screening tool Shaw wants us to know?
ASQ ages & stages questionnaire
31
3 measurements of physical growth
head circumfrence length weight
32
What to look for in growth curves?
Trends!
33
What trends to look for in growth curve? ie. what is FTT...etc
FTT- drop below 2 SD's underwt \<5% overwt \>85% obese \>95% Head size out of proportion to ht/wt head \>99% Global decrease in all velocities= BAD!
34
Recommended source of nutrition for infants? & benefits.
Breast milk - decreases OM - some VGE - passive immunity
35
Supplement needed if breast feeding only?
Vit D
36
Supplement neded if preterm or deficient?
Iron
37
Benefits of formula?
No Vit D supplement Contains Iron many different options
38
When can you start solid foods?
6mo
39
What to start with/ what dont you want to give?
start w/ cereal, veggies, fruits, purees from a spoon not rice
40
Signs of anaphylaxis
hives, itchy skin rash, swelling, wheezing, N/V/D, pale skin
41
When is a baby ready for finger foods?
Pincer grasp
42
Key mantra for feeding babies?
Fed is best
43
What must be avoided until age 1 & why?
Honey Botulism
44
Transition from bottle to sippy cup?
After age 1
45
Examples of choking hazards?
raw carrots, nuts, hard candies. popcorn, whole grapes, marshmallows, cherries w/pits, hot dogs
46
When do babies sleep 'throughout the night'
3-4mo
47
#1 risk factor for SIDS
co sleeping
48
Other risk factors for SIDS (7)
- young maternal age - maternal smoking - late/no prenatal care - premie/low birth wt - prone sleeping position - soft sleeping surface/blankets - overheating
49
1. VS 2. Growth 3. Health Habits 4. Dev (Fine, Gross, Comm, Social/Prob solving) 5. Social Hx 6. FHx 7. PE 8. Assess 9. Anticipatory Guidance 10. Immunizations 11. Plan for next visit
What is documented during a Well-Visit? (11)
50
Motor Skills 2mo
Gross- hold head up push when prone Fine-follows midline
51
Gross- Hold head steady, unsupported pushes down w/feet pushes up to elbow when prone Fine- hold a toy hands to midline brings hands together and to mouth
Motor skills 4mo
52
Gross-ROLL OVER sit (supported) hands to feet-feet to mouth Fine- reaching RAKE GRASP passes object from hand-to-hand
Motor skills 6mo
53
Gross- stands holding on pull up to stand stand alone SIT UNSUPPORTED CRAWLS FIne-PINCER GRASP banging 2 cubes together
Motor skills 9mo
54
Gross- pulls to stand INDEPENDENT STEPS Fine-PUT OBJECTS INTO A CUP
Motor skills 12mo
55
Gross- WALK WELL START TO RUN stoop and recover Fine- Dump things from a cup BUILD A TOWER
Motor Skills 15mo
56
Gross-KICK A BALL walk up/down stairs throw a ball DRESS SELF Fine- Build a tower 2-4 cubes turn pages of a book USE A SPOON point
Motor Skills 18mo
57
Gross-throw a ball overhead JUMPS WITH BOTH FEET Fine- copies straight line, scribble
Motor skills 2yrs
58
Gross- Walk backward. hops on ONE foot Fine- copies a circle, "fist" holds a crayon
Motor Skills 30mo
59
Gross- Rides tricycle w/pedals SELF DESTRUCTIVE PHASE Fine- builds 9-10 cubes. "fingers" holds a crayon`
Motor skills 3y
60
vocalizes. "cos". Throaty sounds. turns toward sound
Communication/ Language 2mo
61
Babble, raspberries
Communication/ Language 4mo
62
inhaled speech sounds, converses w/noises & facial expressions
Communication/ Language 6mo
63
"mama"/"dada" -nonspecific
Communication/ Language 9mo
64
jargon begins, 1 word other than "mama/dada"
Communication/ Language 12mo
65
3-6words. consonant sounds- t,d,n,w,h
Communication/ Language 15mo
66
Several single words; says "no" points
Communication/ Language 18mo
67
Points to things when named; 2-3 word phrases, up to 4 word phrases, vowels uttered correctly, follows simple instructions; repeats words heard
Communication/ Language 2y
68
Can name most familiar things; intelligible 4-6word phrases/sentences, says name, age,sex,names a friend talks well. Conversations 2-3 sentences
Communication/ Language 3y
69
Social/Emotional- recognize parents; begin to smile Cognitive- regards faces, begin to follow w/eyes; boredom!
Social/Emotional/Cognitive 2mo
70
Social/Emotional- smiles spontaneously at people; play; copies facial expressions Cognitive- responds to affection, reaches for toys, watches faces closely, recognizes familiar ppl & things at a distance
Social/Emotional/Cognitive 4mo
71
Social/Emotional- knows familiar faces, notices strangers, plays with others, looks at self in the mirror Cognitive- brings objects to mouth, curiosity reaches & explores passes objects b/w hands
Social/Emotional/Cognitive 6mo
72
Social/Emotional- fear of strangers clingy to familiar adults favorite toys Cognitive- watches for hidden objects looks for hidden objects peek-a-boo
Social/Emotional/Cognitive 9mo
73
Social/Emotional- shows fear cries when parent leaves hands you toys/book he wants to hear Cognitive- explore by shaking, banging, throwing objects copies gestures looks at correct picture when named
Social/Emotional/Cognitive 12mo
74
Social/Emotional/- imitate others 'mine' hugs a doll close-contact interacting for self w/in mirror Cognitive- seeking help getting parent's attention by grabbing hand or place an object in hand
Social/Emotional/Cognitive 15mo
75
Social/Emotional- hand things to others temp tantrums stranger fear feeds a doll clings to caregiver points explores alone Cognitive- knows objects/use points to 1-3 body parts follows 1 step command
Social/Emotional/Cognitive 18mo
76
Social/Emotional- excited around other children more independence defiant behavior parallel play Cognitive- sort shapes/colors follow 2-step directions names items by pic in a book (kitty, dog, baby)
Social/Emotional/Cognitive 2y
77
Social/Emotional- interactive play coop w/other kids inventive fantasy play Cognitive- 3 part commands knows some colors understands same/different & counting fantasy play
Social/Emotional/Cognitive 3y
78
ASQ ages & stages questionnaire
Developmental Screening tool Shaw wants us to know?
79
head circumfrence length weight
3 measurements of physical growth
80
Trends!
What to look for in growth curves?
81
FTT- drop below 2 SD's underwt \<5% overwt \>85% obese \>95% Head size out of proportion to ht/wt head \>99% Global decrease in all velocities= BAD!
What trends to look for in growth curve? ie. what is FTT...etc
82
Breast milk - decreases OM - some VGE - passive immunity
Recommended source of nutrition for infants? & benefits.
83
Vit D
Supplement needed if breast feeding only?
84
Iron
Supplement neded if preterm or deficient?
85
No Vit D supplement Contains Iron many different options
Benefits of formula?
86
6mo
When can you start solid foods?
87
start w/ cereal, veggies, fruits, purees from a spoon not rice
What to start with/ what dont you want to give?
88
hives, itchy skin rash, swelling, wheezing, N/V/D, pale skin
Signs of anaphylaxis
89
Pincer grasp
When is a baby ready for finger foods?
90
Fed is best
Key mantra for feeding babies?
91
Honey Botulism
What must be avoided until age 1 & why?
92
After age 1
Transition from bottle to sippy cup?
93
raw carrots, nuts, hard candies. popcorn, whole grapes, marshmallows, cherries w/pits, hot dogs
Examples of choking hazards?
94
3-4mo
When do babies sleep 'throughout the night'
95
co sleeping
#1 risk factor for SIDS
96
- young maternal age - maternal smoking - late/no prenatal care - premie/low birth wt - prone sleeping position - soft sleeping surface/blankets - overheating
Other risk factors for SIDS (7)

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