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Pediatrics 1 > Module 4 > Flashcards

Module 4 Flashcards

1
Q

WCC for infants occur when

A

3-5 days, 1 month, 2 months, 4 months, 6 months, 9 months

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2
Q

what happens to the primitive reflexes during infancy

A

they disappear before purposeful motor skills emerge

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3
Q

what is the first priority of anticipatory guidance?

A

address concerns of parents

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4
Q

what is the Coombs test

A

tests for foreign antibodies adhered to infant RBCs (usually in the setting of hemolysis)

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5
Q

what questions about infant self-help should be asked at neonatal WCC

A

Periods of wakefulness, eye contact, calm when picked up, respond differently to soothing vs alerting touch

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6
Q

what history questions to ask at neonatal WCC

A

labor and delivery, childcare, blood type, Coombs test, ins/outs, general progression since birth

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7
Q

what verbal language history questions to ask at neonatal WCC

A

communicate discomfort through crying, facial expression, movement? Move to or calm to parent voice?

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8
Q

gross motor questions to ask at neonatal WCC

A

move in response to visual or auditory stimuli? Arm and leg movements symmetrical when startled/reflex?

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9
Q

Fine motor questions to ask at neonatal WCC

A

Keep hands in fist? Palmar grasp reflex?

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10
Q

What ROS questions to ask at neonatal WCC

A

head shape, eye discharge, umbilical stump, ENT, breathing, muscle strength, genitals/rectum

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11
Q

neonatal WCC PE general

A

congenital anomalies, alertness, distress, interaction w/ parent

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12
Q

neonatal WCC PE skin

A

lesions, jaundice

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13
Q

neonatal WCC PE Head

A

fontanelles, size, birth trauma

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14
Q

neonatal WCC PE eyes

A

pupils (opacification and red reflex), fixate and follow response for visual acuity, inspect eyes and eyelids

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15
Q

neonatal WCC PE ears

A

shape and position of pinnae, patency of auditory canals, presence of pits or tags

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16
Q

neonatal WCC PE nose

A

septal deviation, patency

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17
Q

neonatal WCC PE oral

A

Epstein pearls, natal teeth, cleft lip/palate

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18
Q

neonatal WCC PE heart

A

auscultate heart sounds, murmurs, palpate femoral pulses

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19
Q

neonatal WCC PE abdomen

A

umbilical cord and vessels

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20
Q

neonatal WCC PE genitalia/rectum

A

descended testes, external genitalia abnormalities, position and patency of anus

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21
Q

neonatal WCC PE MSK

A

deformities of spine/hand/foot, palpate clavicles, symmetry of limb posture and movement, muscle tone

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22
Q

neonatal WCC PE hip dysplasia

A

perform Ortolani and Barlow

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23
Q

neonatal WCC PE neurological

A

primitive reflexes

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24
Q

neonatal WCC universal screening

A

hearing, bilirubin, congenital heart disease, newborn screen completed

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25
neonatal WCC immunizations
hepatitis B
26
1 month old anticipatory guidance question, maternal
postpartum depression
27
1 month WCC history
interval history, ins/outs, maternal fatigue/depression, update family/social history
28
1 month WCC social development questions
eye contact, tracking, self-comforting behaviors (bring hands to mouth), fussy when bored, calm when picked up or spoken to, look briefly at objects
29
1 month WCC verbal language development questions
brief short vowel sounds, alert to unexpected sound, quiet or turn to your voice, signs of sensitivity to environment, different types of cries for hunger and tiredness
30
1 month WCC gross motor development questions
move both arms and legs together, hold chin up when prone
31
1 month WCC fine motor development questions
open fingers slightly at rest
32
Infant development is generally
orderly and predictable
33
what has to disappear before motor skills can emerge
primitive reflexes
34
infant WCC timeline
1, 2, 4, 6, 9 months
35
purpose of WCC
identify parent concerns, track growth and development, prevention, develop team approach between provider and parents
36
when should children who use medicaid be tested for lead exposure
12 months and 24 months, and all refugee children upon entry from 6 months to 16 years
37
what is considered a pathologic lead level
>5 mcg/dl
38
when does first tooth eruption typically occur
6 months
39
when should an infant respond to own name
9 months
40
when should an infant coo
1 month
41
when should an infant start babbling
6 months
42
when should an infant show different types of cries for hunger and tiredness
1 month
43
how many stools per day should a 1 month old have
3-4
44
how many wet diapers per day should a 1 month old have
around 6-8
45
how many oz of formula per day should a 1 month old consume
24-27
46
feeding frequency for 1 month old
every 1-3 during the day and q 3 hrs during the night
47
when should tummy time be started
1 month
48
when should an infant smile at own reflection
6 months
49
when should and infant be able to roll over from back to stomach
6 months
50
when should an infant be able to sit briefly unsupported
6 months
51
when should an infant be able to pass a toy from one hand to the other
6 months
52
when should an infant be raking objects
6 months
53
when should an infant bang small objects on a surface
6 months
54
what screenings should occur at 6 months
maternal depression, oral health
55
when should oral health guidance start
6 months
56
how much juice should a 6 month old get
2-4 oz per day
57
when should an infant start making basic gestures
9 months
58
when should an infant start looking for dropped objects
9 months
59
when should an infant start playing peekaboo
9 months
60
when should an infant turn consistently when name is called
9 months
61
when should an infant say "mama" nonspecifically
9 months
62
when should an infant copy sound that parent makes
9 months
63
when should an infant sit well without support
9 months
64
when should an infant pull to stand
9 months
65
when should an infant start crawling
9 months
66
when should an infant pick things up with 3 fingers and thumb
9 months
67
when should an infant let go of objects intentionally
9 months
68
what special observation occurs at 9 months
to see how parents are handling infant's increased autonomy
69
when is the parachute reflex tested
9 months
70
what screening should happen at 9 months
development, oral health
71
feeding schedule for 9 month old
3 meals and 2-3 snacks per day
72
when should rear-facing car seat be used
until at least 2 y/o
73
when should a baby have no head lag when pulled to sit
6 months
74
when should an infant show differential recognition to caregivers
6 months
75
when should an infant start self-feeding
6 months
76
when should an infant have flexed posture
1 month
77
when should a baby start inferior pincer grasp
9 months
78
when should an infant start drinking from a cup
9 months
79
when should an infant start poking with index finger
9 months
80
when is autism screening recommended
18 months and 24 months
81
when should family health history be updated
yearly
82
when should postpartum depression be screened for
1, 2, 4, 6 months
83
what is the caloric requirement for a 1 month old
100 cal/kg/day
84
when does moro reflex disappear
4 months
85
when does palmar grasp reflex disappear
2-3 months
86
when does babinski reflex disappear
2 y/o
87
4 categories of developmental milestones
language, cognitive, gross motor, fine moto
88
when do most babies start sleeping through the night
4-6 months
89
eye movements should be assessed at which visit
6 months
90
when should discipline be discussed as anticipatory guidance
9 months

Pediatrics 1 (4 decks)

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