What gross and fine motor skills should a child of 6 months be able to achieve?
Pushes up on arms in prone, can roll from front to back / transfers objects using palmar grasp
A weight on what centile corresponds to a child being obese?
Which formula is best- whey or casein based?
What gross and fine motor skills should a child of 18 months be able to achieve?
Runs, climbs onto adult chair / builds tower of 3-4 blocks, develops hand preference
Other than general inspection, what should you do during assessement of the back and CNS in a newborn examination?
Palpate down the spine
Listen to the mid-scapular area
Check the anus is patent
Check the Moro and grasp reflexes
What defines precocious puberty in girls and boys?
< 8 years in girls, < 9 years in boys
What are some potential underlying causes of a delay in social skills?
Secondary to abuse or neglect
Other than general inspection, what additional test should you do during assessment of the legs and hips in a newborn examination?
Barlow and Ortolani's test
What are some good ways to tell that a baby is taking enough milk during feeds?
They are gaining weight
They are having 6 wet nappies per day
They are passing 2 yellow stools per day
When is calculation of a child's BMI required?
If the weight is above the 75th centile or if the weight and height centiles differ
What social skills should a child of 9 months be able to achieve?
Anxious around strangers
From 4 years to puberty, how much should a child's height increase by each year?
What extra things should you always enquire about in a paediatric history?
Birth history, growth and developmental history, vaccination history
Explain how the grimace in response to plantar stimulation section of APGAR is scored?
Absent = 0
Grimace/feeble cry = 1
Strong cry/pull away when stimulated = 2
What language skills should a child of 24 months be able to achieve?
Joins two words together, follows simple instructions
What are some potential underlying causes of a fine motor/visual delay?
What happens to a baby's weight in the first week after birth?
What is the reason for this?
The baby will lose 5-10% of its birthweight
Loss of extracellular fluid
What social skills should a child of 12 months be able to achieve?
Waves bye-bye, drinks from a cup
By what age should the majority of children have achieved day and night time continence?
What are some specific symptoms to ask about in a paediatrics systemic enquiry?
Cough/cold symptoms/difficulty breathing, vomiting, rashes, fever, any evidence of pain
When should routine examination of the newborn take place?
Ideally within 24 hours of birth, must be within 72 hours
What growth variables are plotted in children aged < 2 years?
Head circumference, length and weight
At what ages are childhood vaccinations usually given?
2, 3 and 4 months
3 years 4 months
What are some risk factors for child abuse that you should try to address in a history where this is suspected?
Was the child premature or does it have any physical/mental disability?
Are there any mental health or substance misuse issues with the parents?
Is there domestic violence or social deprivation?
Exclusive breastfeeding is recommended for how long?
A weight on what centile corresponds to a child being overweight?
What social skills should a child of 6 months be able to achieve?
Friendly with strangers, plays with their feet
Explain how the activity (tone) section of APGAR is scored?
Absent = 0
Some flexion = 1
Flexed arms and legs that resist extension = 2
Explain how the pulse section of APGAR is scored?
No pulse = 0
< 100 = 1
> 100 = 2
What gross and fine motor skills should a child of 12 months be able to achieve?
Cruising, walking / bangs toys together