Infants, Toddlers and young children Flashcards

1
Q

What are the goals of pediatric visits

A

disease detection
disease prevention
health promotion
anticipatory guidance

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2
Q

what are developmental milestones for newborn-1 week

A

makes brief eye contact when held
cries with discomfort
calms to adult voice
reflexively moves arms and legs
turns head to side when on stomach
holds fingers closed
grasps reflexively

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3
Q

what are developmental milestones for 1 month old

A

calms when picked up or spoken to
looks briefly at objects
alerts to unexpected sounds
makes brief short vowel sounds
holds chip up in prone
holds fingers more open at rest

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4
Q

what are developmental mile stones for 2 month old

A

smiles responsively
vocalizes with simple cooing
lifts head and chest in prone
opens and shuts hands

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5
Q

what are developmental milestones for 4 months

A

laughs aloud
turns to voice
vocalizes with extended cooing
rolls over prone to supine
supports on elbows and wrist in prone

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6
Q

what are developmental milestones for 6 months old

A

pats or smiles at reflection
brings to turn when name called
Babbles
rolls over supine to prone
sits briefly without support
reaches for objects and transfers
rakes small object with 4 fingers
bangs small object on surface

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7
Q

what are developmental milestones for 9 month olds

A

uses basic gestrues
looks for dropped objects
picks up food with fingers and eats it
turns when name called
says “mama” or “dada”
sits without support
pulls to stand
transitions well btwn sitting and lying
balances on hands and knees
crawls
picks up small object with 3 fingers and thumb
release objects intentionally
bangs objects together

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8
Q

what are developmental milestones for 12 month old

A

looks for hidden object
imitates new gestures
says dada and mama specifically
uses 1 word other than mama, dada
follows a verbal command that includes a gesture
takes first independent steps
stands without support
drops object in a cup
picks up small object with 2 finger grasp

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9
Q

what are developmental milestones for 15 months

A

imitates scribbling
drinks from cup with little spilling
points to ask for something or to get help
uses 3 words other than names
speaks in jargon
follows a verbal command without a gesture
squats to pick up objects
climbs onto furniture
begins to run
makes mark with crayon
drops object in and takes object out of container

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10
Q

what are developmental milestones for 18 months

A

engages with others for play
helps dress and undress self
points to pictures in books
points to object of interest to draw attention to it
turns and looks at adult if something new happens
begins to scoop with spoon
uses 6-10 words other than names
identifies at least 2 body parts
walks up with 2 feet per step with hand held
sits in small chair
carries toy while walking
scribbles spontaneously
throws small ball a few feet while standing

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11
Q

what are developmental milestones for 2 year olds

A

plays alongside other children
takes off some clothing
scoops well with spoon
uses 50 words
combines 2 words into short phrases of sentences
follows 2 step command
uses words that are 50% intelligible to strangers
kicks ball
jumps off ground with 2 feet
runs with coordination
stacks objects
turns book pages
uses hands to turn objects

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12
Q

what are developmental milestones for 2 1/2 year olds

A

urinates in a potty or toilet
engages in pretend or imitative play
spears food with fork
uses pronouns correctly
begins to walk up steps alternating feet
runs well without falling
grasps crayon with thumb and fingers instead of fist
catches large balls

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13
Q

what are developmental milestones for 3 year olds

A

enters bathroom and urinates by self
plays in cooperation and shares
puts on coat by self
engages in beginning imaginative play
eats independently
uses 3 word sentence
uses words that are 75% intelligible to strangers
understands simple prepositions
pedals tricycle
climbs on and off couch/chair
jumps forward
draws a single circle
draws a person with head and 1 other body part
cuts with child scissorrs

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14
Q

what are developmental milestones for 4 year olds

A

enters bathroom and has bowel movement by self
brushes teeth
dresses and undresses without help
engages in well-developed imaginative play
4 word sentences
uses words that strangers understand
climbs stairs alternating feet without support
skips on 1 foot
draws a person with at least 3 body parts
draws a simple cross
unbuttons and buttons med-buttons
grasps pencil with thumb and fingers instead of fist

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15
Q

when are developmental screenings completed?

A

anytime a parent has a concern
9 month visit, 18 month visit and 30 month

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16
Q

what developmental screening is completed at the 9 month visit

A

identify motor issues, visual, hearing issues

17
Q

what developemental screening is completed at 18 months

A

communciation and language delays
mild motor delays

18
Q

when is autism screening completed

A

18 month and 24 month visit

19
Q

what are commonly used screening tools

A

ages and stages questionnaire (ASQ)
parents’ evaluation of developmental status (PEDStest)
Survery of well-being of young children (SWYC)

20
Q

what screening tool is used to assess for autism

A

Modified checklist for autism in toddlers revised with follow up (M-CHAT-R/F)

21
Q

what growth charts are tracked

A

head circumference (until age 2)
weight
length

AT every visit

22
Q

at what age are babies double their birth weight

A

4-6 months

23
Q

at what age are babies triple their birth weight

A

by 1 year

24
Q

at what age does BMI begin to be plotted?

A

age 2

25
Q

what are the two growth charts

A

WHO vs CDC
WHO is better for breastfed: only goes to age 5

26
Q

What is strabismus

A

eyes are not aligned