Infant health Flashcards
(22 cards)
When do you do well child checks?
2 weeks, 2 months, 4, 6, 9, 12 months
If discharged from hospital prior to 48 hours first visit within 3-5 days
Labs at infant check up
Hct 6, 9, 12 months
bilirubin if indicated
Head circumference
up until 2 years
Head control
by 4 months
No lag when pulled to sitting
at 6 months
lag indicates palsy
cheilosis
fissures at lip line. indicated vitamin deficiency
shrill, high pitched cry
increased intracranial pressure (ICP)
infants are what kind of breathers?
diaphragmatic
gynecomastia/galactorrhea
up until 3 months of age
infants liver
palpable 1 to2 cm below right coast margin
testes fully descended
3 months of age
allis’s sign
unequal leg length
galeazzi sign
unequal knee height
infant lymph nodes
1 cm inguinal, 2 cm cervical enlargement (palpable) may be normal
shotty nodes indicate past infection
Supraclavicular nodes require aggressive investigation
hearing
loss of 20 to 30 decibels indicates hearing loss
babys don’t have PERLA
cannot accommodate
Stanger anxiety
develops by 6 months
again in toddler 16-18 months
separation anxiety
develops by 8 months
supplements
iron-6 months 1/mg/kg
fluoride
vitamin d starting at 2 months of age 400 IU
B12 for strict breastfeeding moms who are vegetarians
first dental cleaning
visit by 1 year of age
carries found around 2 years of age
sleep
2 months-1 year sleep 8-12 hours per night
2-3 naps daily
Most commonly used drugs
Tylenol first line 10-15 mg/kg every 4-6 hours
Ibuprofen approved after 6 months of age 10 mg/kg every 6 hours