Pediatrics Flashcards
Normal Vital signs for an infant < 1yr
RR:30-60
pulse:100-160
SBP: >60
Normal vital signs for a toddler age 1-3
RR:24-40
pulse:90-150
SBP: >70
Normal vitals for preschool (4-5 yr)
RR:22-34
pulse:80-140
SBP>75
Normal Vitals for age 6-12
RR:18-30
pulse: 70-120
SBP:>80
adolescent vitals 13-18
RR:12-20
pulse:60-100
SPB:>90
Developmental milestones: 2 mo
coos and makes gurgling sounds
can hold head up and begins to push up when laying on tummy
begins to smile at people
pays attention to faces
Developmental milestones: 4 mo
holds head steady, unsupported
may be able to roll over from tummy to back
Developmental milestones: 6 mo
babbling responds to own name rolls over in both directions knows familiar faces likes to play with others
Developmental milestones: 9 mo
sits without support
crawls
may be afraid of strangers
picks up things between thumbs and index finger
Developmental milestones: 12 mo
says “mama” and “dada”
follows simple directions
Developmental milestones: 18 mo
says several single words
walks alone
simple pretend play
Developmental milestones: 3 years old
can name most familiar objects
talks well enough for strangers to understand most of the time
runs easily
Developmental milestones: 4 years old
hops and stands on 1 foot for up to 2 seconds
Developmental milestones: 5 years old
speaks very clearly
can use toilet on own
counts 10 or more objects
Developmental milestones: 7-8 years old
adult proficiency with language
major improvements in strength and coordination
“concrete operational thinking” (focuses on the present)
moral development is simple (right and wrong)
more independent socially
Developmental milestones: Adolescence
formal operational thinking (consider future consequences)
moral thought is more sophisticated
increasing autonomy and peer influences
Hepatitis B vaccine
administered in 3 doses at birth (hospital), at 1-2 mo, and at 6-18 mo
Diptheria,Tentanus, and pertussis vaccines (DTaP)
can be given at the same time as other recommended vaccines but should not be mixed in the same syringe
-given at 2 mo, 4 mo, 6 mo, 15-18 mo and 4-6 years of age
CI to DTaP
anyphylactic rxn to vaccine or its components
encephalopathy within 7d of previous dose w/o other identifiable cause
progressive neuro disorder
when do you give H. influenza serotype b (Hib)?
PedVaxHIB- 2 dose series at 2 and 4 mo and booster at 12-15 mo
ActHIB 3 dose series at 2, 4 and 6 mo and as a booster at 12-15 mo
when do you administer poliovirus vaccine?
IPV is administered SQ or IM in 4 doses
2,4,6-18 months and 4-6 years
measles, mumps, rubella (MMR) vaccine
live attenuated virus
first dose administered at 12-15 mo of age with second dose at school entry (4-6 yo)
True CI’s to MMR vaccine?
pregnancy known altered immunodeficiency long term immunosuppressive therapy hematologic or solid tumors * if thrombocytopenia w/i 6 w of prior MMR, do not get another dose b/c increase risk for immune thrombocytopenia purpura
Varicella Vaccine (Varivax)
Live attenuated
2 dose series admin SQ or IM at 12-15 mo and 4-6 yr