Preventive Pediatrics Flashcards Preview

Nelson's Pediatrics > Preventive Pediatrics > Flashcards

Flashcards in Preventive Pediatrics Deck (427):
1

EINC

Essential Intrapartum and Newborn Care
("Unang Yakap")

2

EINC Steps

1. immediate and thorough drying
2. early skin-to-skin contact
3. properly-timed cord clamping
4. non-separation, early breastfeeding

3

EINC Step 1

immediate and thorough drying

4

EINC Step 2

early skin-to-skin contact

5

EINC Step 3

properly-timed cord clamping

6

EINC Step 4

non-separation, early breastfeeding

7

Exclusive breastfeeding up to _____.

6 months

8

Continued breastfeeding up to _____.

2 years

9

Pregnant women should be informed about the deleterious effects of _____, _____ and _____ during pregnancy.

smoking, alcohol, teratogens

10

_____ immunization should be started or continued during pregnancy.

Tetanus Toxoid

11

Discharging newborns before 48 hours:
_____ antepartum, intrapartum and postpartum courses for both mother and newborn.

Uncomplicated

12

Discharging newborns before 48 hours:
Outcome

SVD, singleton, ≥ 37 weeks, AGA

13

Discharging newborns before 48 hours:
Vital Signs during the preceding 12 hours

RR < 60
HR 100-160
axillary T 36.5-37.4 (clothed, open crib)

14

Discharging newborns before 48 hours:
Output

with UO
at least 1 BM

15

Discharging newborns before 48 hours:
Breastfeeding

proper latch
milk transfer
swallowing
infant satiety
(-) nipple discomfort

16

Discharging newborns before 48 hours:
PE

normal

17

Discharging newborns before 48 hours:
Jaundice

(-) jaundice for the first 24 hours

18

Discharging newborns before 48 hours:
_____ and ability of the parents to _____.

Educability, care for the child

19

Discharging newborns before 48 hours:
Follow-Up

within 48 hours

20

How often should adolescents undergo health screening?

annually

21

HEEADSSS: H

Home

22

HEEADSSS: E

Education/Employment
Eating

23

HEEADSSS: A

Activities

24

HEEADSSS: D

Drugs

25

HEEADSSS: S

Sexuality
Suicidal Ideations/Depression
Safety

26

Adolescent Health Care: PE

Tanner Staging/SMR
Breast Examination
Spine and Shoulders (scoliosis, kyphosis)
Genitals and Anus

27

Adolescent Health Care: CBC

every stage of adolescence

28

Adolescent Health Care: urinalysis

first encounter

29

Adolescent Health Care: vaginal wet mount/Pap smear

sexually active females

30

Adolescent Health Care: serologic syphilis test

sexually active males

31

Adolescent Health Care: test for gonorrhea and chlamydia

sexually active males and females

32

Adolescent Health Care: Anticipatory Guidance and Counseling

self breast examination
healthy lifestyle
sexual behavior (STDs, HIV)
injury and accident prevention

33

Developmental surveillance should be done _____.

at every well child visit

34

Developmental Surveillance Components

parent's concerns
developmental history
observation of the child
risk and protective factors
document the process and findings

35

Developmental Surveillance: specified ages

9, 18 and 30 months
every year thereafter

36

Social-Emotional Red Flags:
lack of smiles or other joyful expressions

6 months

37

Social-Emotional Red Flags:
lack of reciprocal (back-and-forth sharing of) vocalizations, smiles, or other facial expressions

9 months

38

Social-Emotional Red Flags:
failure to respond to name when called
absence of babbling
lack of reciprocal gestures (showing, reaching, waving)

12 months

39

Social-Emotional Red Flags:
lack of proto-declarative pointing or other showing gestures
lack of single words

15 months

40

Social-Emotional Red Flags:
lack of simple pretend play
lack of spoken language/gesture combinations

18 months

41

Social-Emotional Red Flags:
lack of two-word meaningful phrases (without imitating or repeating)

24 months

42

Social-Emotional Red Flags:
loss of previously acquired babbling, speech or social skills

any age

43

Social-Emotional Red Flags:
6 months

lack of smiles or other joyful expressions

44

Social-Emotional Red Flags:
9 months

lack of reciprocal (back-and-forth sharing of) vocalizations, smiles, or other facial expressions

45

Social-Emotional Red Flags:
12 months

failure to respond to name when called
absence of babbling
lack of reciprocal gestures (showing, reaching, waving)

46

Social-Emotional Red Flags:
15 months

lack of proto-declarative pointing or other showing gestures, lack of single words

47

Social-Emotional Red Flags:
18 months

lack of simple pretend play
lack of spoken language/gesture combinations

48

Social-Emotional Red Flags:
24 months

lack of two-word meaningful phrases (without imitating or repeating)

49

Social-Emotional Red Flags:
any age

loss of previously acquired babbling, speech or social skills

50

Motor Red Flags:
lack of steady head control when sitting

4 months

51

Motor Red Flags:
inability to sit

9 months

52

Motor Red Flags:
inability to walk independently

18 months

53

Motor Red Flags:
4 months

lack of steady head control when sitting

54

Motor Red Flags:
9 months

inability to sit

55

Motor Red Flags:
18 months

inability to walk independently

56

Receptive Language Red Flags:
does not alert or quiet to sound

2 months

57

Receptive Language Red Flags:
does not turn to source of sound

6 months

58

Receptive Language Red Flags:
does not respond to own name

10 months

59

Receptive Language Red Flags:
does not follow verbal routines/games

12 months

60

Receptive Language Red Flags:
does not understand simple questions
does not stop when told "NO"
does not understand at least 3 different words

15 months

61

Receptive Language Red Flags:
does not point to 3 body parts
does not follow simple commands

18 months

62

Receptive Language Red Flags:
does not follow 2 part commands

30 months

63

Receptive Language Red Flags:
does not answer simple questions

36 months

64

Receptive Language Red Flags:
2 months

does not alert or quiet to sound

65

Receptive Language Red Flags:
6 months

does not turn to source of sound

66

Receptive Language Red Flags:
10 months

does not respond to own name

67

Receptive Language Red Flags:
12 months

does not follow verbal routines/games

68

Receptive Language Red Flags:
15 months

does not understand simple questions
does not stop when told "NO"
does not understand at least 3 different words

69

Receptive Language Red Flags:
18 months

does not point to 3 body parts
does not follow simple commands

70

Receptive Language Red Flags:
30 months

does not follow 2 part commands

71

Receptive Language Red Flags:
36 months

does not answer simple questions

72

Expressive Language Red Flags:
does not coo

6 months

73

Expressive Language Red Flags:
does not babble

10 months

74

Expressive Language Red Flags:
6 months

does not coo

75

Expressive Language Red Flags:
absence of pointing

14 months

76

Expressive Language Red Flags:
does not say 3 different spontaneous words

16 months

77

Expressive Language Red Flags:
vocabulary of not more than 35-50 words
does not produce 2-word phrases

24 months

78

Expressive Language Red Flags:
no simple sentences

36 months

79

Expressive Language Red Flags:
intelligibility to unfamiliar adult at 50%

42 months

80

Expressive Language Red Flags:
not able to tell or retell a familiar story

54 months

81

Expressive Language Red Flags:
not fully intelligible to an unfamiliar adult

60 months

82

Expressive Language Red Flags:
not fully mature speech sounds

> 72 months

83

Expressive Language Red Flags:
6 months

does not coo

84

Expressive Language Red Flags:
10 months

does not babble

85

Expressive Language Red Flags:
12 months

absence of non-verbal purposeful messages (show objects)

86

Expressive Language Red Flags:
14 months

absence of pointing

87

Expressive Language Red Flags:
16 months

does not say 3 different spontaneous words

88

Expressive Language Red Flags:
24 months

vocabulary of not more than 35-50 words
does not produce 2-word phrases

89

Expressive Language Red Flags:
36 months

no simple sentences

90

Expressive Language Red Flags:
42 months

intelligibility to unfamiliar adult at 50%

91

Expressive Language Red Flags:
54 months

not able to tell or retell a familiar story

92

Expressive Language Red Flags:
60 months

not fully intelligible to an unfamiliar adult

93

Expressive Language Red Flags:
> 72 months

not fully mature speech sounds

94

Eye and Vision Screening:
Premature infants who are _____, _____ and _____ should undergo screening.

≤ 32 weeks
≤ 1500 g
stormy medical course

95

Eye and Vision Screening:
Infants and children with _____ and/or _____ should undergo screening.

metabolic disorders
medical conditions with associated eye problems

96

Eye and Vision Screening:
Infants and children with a history of _____, _____ and/or _____ should undergo screening.

squinting
head tilt
head turn

97

Eye and Vision Screening:
Children with _____ and/or _____ should undergo screening.

visual difficulties
learning problems

98

Eye and Vision Screening:
Family History

strabismus
amblyopia
congenital cataract
congenital glaucoma
retinoblastoma
ocular and systemic genetic diseases

99

Visual Acuity Assessment Tests

Fixes and Follows Test
Subjective/Formal Visual Acuity Testing

100

Visual Acuity Assessment:
test for preschoolers or children who are not familiar with letters

LEA Pictures Chart

101

Visual Acuity Assessment:
test for literate children

Sloan Letters
HOTV Chart

102

Visual Acuity: 3 years old

20/50 (10/25)

103

Visual Acuity: 4 years old

20/40 (10/20)

104

Visual Acuity: 5 years old

20/30 (10/15)

105

Ocular Motility Assessment

Corneal Light Reflex
Versions and Ductions
Cross Cover Test

106

Red Orange Reflex Examination:
Light reflects back from the _____.

choroidal blood vessels

107

LEA Chart:
Age

3 years old

108

LEA Chart:
Distance

6 meters (20 ft) or 3 meters (10 ft)
34-40 cm (14-16 in) - reading distance

109

LEA Chart:
Test Result

at least 4/5 symbols read correctly

110

Use of Fluoride Toothpaste

twice daily

111

Use of Fluoride Toothpaste:
6 mos. to < 2 y.o.
Fluoride Concentration (ppm)

1000ppm

112

Use of Fluoride Toothpaste:
6 mos. to < 2 y.o.
Minimum Daily Use

twice daily

113

Use of Fluoride Toothpaste:
6 mos. to < 2 y.o.
Amount of Toothpaste

smear
2.5mm / 0.125g

114

Use of Fluoride Toothpaste:
6 mos. to < 2 y.o.
Amount of Fluoride (mg)

0.25mg

115

Use of Fluoride Toothpaste:
2-6 y.o.
Fluoride Concentration (ppm)

1000ppm

116

Use of Fluoride Toothpaste:
2-6 y.o.
Minimum Daily Use

twice daily

117

Use of Fluoride Toothpaste:
2-6 y.o.
Amount of Toothpaste

pea size
5mm / 0.25g

118

Use of Fluoride Toothpaste:
2-6 y.o.
Amount of Fluoride (mg)

0.5mg

119

Use of Fluoride Toothpaste:
> 6 y.o.
Fluoride Concentration (ppm)

1500ppm

120

Use of Fluoride Toothpaste:
> 6 y.o.
Minimum Daily Use

twice daily

121

Use of Fluoride Toothpaste:
> 6 y.o.
Amount of Toothpaste

full length of bristle
10-20mm / 0.5-1g

122

Use of Fluoride Toothpaste:
> 6 y.o.
Amount of Fluoride (mg)

1mg

123

Topical Fluoride Treatment

every 6 mos.

124

Benefits of Breastmilk

1. safe, sterile, always available
2. perfect nutrients up to 6 mos.
3. easily digested
4. contains antibodies
5. contains fats (DHA)

125

Advantages of Breastfeeding

1. emotional bonding
2. protects mother's health
3. return to pre-pregnancy weight
4. financial savings

126

Correct Breastfeeding Techniques:
_____ the baby's head and the entire body.

Support

127

Correct Breastfeeding Techniques:
Head, back and hips should be facing the _____ and aligned in a _____ manner.

breast, straight

128

Correct Breastfeeding Techniques:
Maintain the position of the baby in such a way that he is _____.

face to face
chest to chest
tummy to tummy

129

Correct Breastfeeding Techniques:
Support the breast with the hand of the _____ arm in a _____ position.

opposite, C-hold

130

Correct Breastfeeding Techniques:
Stimulate the infant to open the mouth wide by _____.

stroking the corner of the baaby's lips

131

Correct Breastfeeding Techniques:
Check that the chin touches the _____ and the lower lip is turned _____.

breast, outward

132

Correct Breastfeeding Techniques:
Ensure that the baby grasps the _____.

entire nipple plus one inch of the surrounding areola

133

Correct Breastfeeding Techniques:
Allow the baby to suck _____ per breast to extract both _____.

15-30 mins., foremilk and hindmilk

134

Correct Breastfeeding Techniques:
Empty the breast around _____ a day.

8-10 times

135

Breastmilk Storage:
Store in _____ containers labeled with _____ of breastmilk collection.

sterile polypropylene (cloudy hard plastic), date and time

136

Breastmilk Storage:
room temperature (<25°C)

4 hours

137

Breastmilk Storage:
room temperature (>25°C)

1 hour

138

Breastmilk Storage:
refrigerator (4°C)

8 days

139

Breastmilk Storage:
freezer of a 1-door refrigerator

2 weeks

140

Breastmilk Storage:
freezer of a 2-door refrigerator

3 months

141

Breastmilk Storage:
deep freezer (-20°C)

6 months

142

Diet of a Lactating Mother:
rice

6 cups

143

Diet of a Lactating Mother:
fruits

vitamin C-rich
different varieties
4 pieces

144

Diet of a Lactating Mother:
vegetables

green leafy
yellow
1 1/2 cups

145

Diet of a Lactating Mother:
meat, fish, poultry, seafood

5 matchbox-size pieces
2 cups cut into small pieces

146

Diet of a Lactating Mother:
eggs

4 pieces a week

147

Diet of a Lactating Mother:
beans

1 1/2 cups 3x/week

148

Diet of a Lactating Mother:
milk

2 glasses

149

Diet of a Lactating Mother:
fats

7 teaspoons

150

Diet of a Lactating Mother:
fluids

7 glasses of water
1 glass of fresh fruit juice

151

Complementary food must be:

1. timely
2. adequate
3. safe
4. properly fed

152

Introducing Complementary Food:
Begin with _____ to be given for _____.

one new food at a time, 3 days

153

Introducing Complementary Food:
Start with _____, giving _____ a day.

porridge, cereal, fruits, vegetables
1-2 teaspoons

154

Introducing Complementary Food:
pureed food

6 months

155

Introducing Complementary Food:
finger food

8 months

156

Introducing Complementary Food:
lumpy or chopped food

10 months

157

Introducing Complementary Food:
table food

12 months

158

Introducing Complementary Food:
6-8 mos., frequency

2-3x/day

159

Introducing Complementary Food:
9-24 mos., frequency

3-4x/day

160

Introducing Complementary Food:
snacks

1-2x/day

161

Introducing Complementary Food:
Do not add SALT before _____.

1 y.o.

162

Introducing Complementary Food:
Give _____ if diet is primarily plant based.

iron, zinc, calcium, vitamin B12

163

Child Maltreatment:
Recognize and report ongoing child maltreatment.

R.A. 7610

164

Child Maltreatment:
R.A. 7610

Recognize and report ongoing child maltreatment.

165

Child Maltreatment:
Establish Women and child protection in all government hospitals.

DOH Administrative Order 2013-0011

166

Child Maltreatment:
DOH Administrative Order 2013-0011

Establish Women and child protection in all government hospitals.

167

Anticipatory Guidance for Prevention of Violence Against Children (VAC):
Infancy

domestic violence
infant crying
dangers of shaking

168

Anticipatory Guidance for Prevention of Violence Against Children (VAC):
Toddler

domestic violence
positive discipline
safety in others' homes or with other people

169

Anticipatory Guidance for Prevention of Violence Against Children (VAC):
Pre-School

domestic violence
positive discipline
safety in others' homes or with other people
normal sexual behavior
good vs. bad touch

170

Anticipatory Guidance for Prevention of Violence Against Children (VAC):
School Age

domestic violence
positive discipline
safety in others' homes or with other people
normal sexual behavior
good vs. bad touch
bullying
peer relationships
mobile phone and internet safety

171

Anticipatory Guidance for Prevention of Violence Against Children (VAC):
Adolescence

domestic violence
positive discipline
safety in others' homes or with other people
normal sexual behavior
good vs. bad touch
bullying
peer relationships
mobile phone and internet safety
alcohol and substance abuse
dating violence

172

Child Maltreatment:
Protective Factors

secure attachment
parental care
(-) delinquent or substance-abusing peers
warm and supportive relationship
(-) abuse-related stress

173

Child Maltreatment:
promising Child maltreatment Prevention Programs

Home Visits
Parent Education
Sexual Abuse Prevention (schools)
Hospital-Based Parent Education (Shaken Baby Syndrome)

174

7 Steps to Protect Children

1. Learn the facts.
2. Minimize opportunities for abuse.
3. Talk about it.
4. Stay alert.
5. Act on any suspicion of abuse.
6. Learn how to react.
7. Get involved.

175

Windows of Achievement:
sitting w/o support

4-9 mos.

176

Windows of Achievement:
standing with assistance

5-12 mos.

177

Windows of Achievement:
crawling

5-14 mos.

178

Windows of Achievement:
walking with assistance

6-14 mos.

179

Windows of Achievement:
standing alone

7-17 mos.

180

Windows of Achievement:
walking alone

8-18 mos.

181

Developmental Milestones of Early Literacy:
6-12 months
Motor Development

holds head steady
sits in lap without support
grasps book, puts in mouth
drops, throws book

182

Developmental Milestones of Early Literacy:
6-12 months
Communication and Cognition

smiles, babbles, coos
likes and wants your voice
likes pictures of baby faces
begins to say "ma", "ba", "da"
responds to own name
pats pictures to show interest

183

Developmental Milestones of Early Literacy:
6-12 months
Anticipatory Guidance

talk back and forth

make eye contact
cuddle, talk, sing, read,play
point at and name things
follow baby's cues ("more", "stop")
play games

184

Developmental Milestones of Early Literacy:
6-12 months
What to Read

board and cloth books
baby faces
nursery rhymes

185

Developmental Milestones of Early Literacy:
12-24 months
Motor Development

holds and walks with books
no longer puts book in mouth right away
turns book pages

186

Developmental Milestones of Early Literacy:
12-24 months
Communication and Cognition

says single words, then 2-4 word phrases
gives book to read
points at pictures
turns book right side up
names pictures
follows simple stories

187

Developmental Milestones of Early Literacy:
12-24 months
Anticipatory Guidance

smile and answer when your child speaks or points
let your child help turn the page
keep naming things
use books in family routines
use books to calm or distract while waiting

188

Developmental Milestones of Early Literacy:
12-24 months
What to Read

board books
rhymes
pictures
naming things

189

Developmental Milestones of Early Literacy:
2-3 years
Motor Development

learns to turn pages 2-3 pages at a time
starts to scribble

190

Developmental Milestones of Early Literacy:
2-3 years
Communication and Cognition

adds 2-4 new words per day
names familiar objects
likes to read the same book
completes sentences and rhymes in familiar stories

191

Developmental Milestones of Early Literacy:
2-3 years
Anticipatory Guidance

ask questions ("where", "what")
read the same book
talk about the pictures
use books in daily routines

192

Developmental Milestones of Early Literacy:
2-3 years
What to Read

rhymes
pictures books that tell stories
search and find books

193

Developmental Milestones of Early Literacy:
3-4 years
Motor Development

turns pages one at a time, left to right
sits still for longer stories
scribbles and draws

194

Developmental Milestones of Early Literacy:
3-4 years
Communication and Cognition

recites whole phrases
moves toward letter recognition
begins to detect rhyme
pretends to read to toys

195

Developmental Milestones of Early Literacy:
3-4 years
Anticipatory Guidance

ask questions ("What happens next?")
point out letters and numbers
point out words and pictures that begin with the same sound
make up stories about the pictures together

196

Developmental Milestones of Early Literacy:
3-4 years
What to Read

picture books that tell longer stories
counting and alphabet books

197

Developmental Milestones of Early Literacy:
4-5 years
Motor Development

starts to copy letters and numbers
sits still for even longer stories

198

Developmental Milestones of Early Literacy:
4-5 years
Communication and Cognition

can listen longer
recognizes numbers and letters
can retell familiar stories
can make rhymes
learning letter names and sounds

199

Developmental Milestones of Early Literacy:
4-5 years
Anticipatory Guidance

relate the story to your child's own experiences
let your child see you read
ask your child to tell the story
encourage writing and drawing
point out the letters in your child's name

200

Developmental Milestones of Early Literacy:
4-5 years
What to Read

fairy tales and legends
books with longer stories
fewer pictures

201

Z-Score Interpretation:
Length/Height for Age below 2

stunted

202

Z-Score Interpretation:
Length/Height for Age below 3

severely stunted

203

Z-Score Interpretation:
Weight for Age below 2

underweight

204

Z-Score Interpretation:
Weight for Age below 3

severely underweight

205

Z-Score Interpretation:
Weight for Length/Height above 3

obese

206

Z-Score Interpretation:
Weight for Length/Height above 2

overweight

207

Z-Score Interpretation:
Weight for Length/Height above 1

possible risk of overweight

208

Z-Score Interpretation:
Weight for Length/Height below 2

wasted

209

Z-Score Interpretation:
Weight for Length/Height below 3

severely wasted

210

Z-Score Interpretation:
BMI for Age above 3

obese

211

Z-Score Interpretation:
BMI for Age above 2

overweight

212

Z-Score Interpretation:
BMI for Age above 1

possible risk for overweight

213

Z-Score Interpretation:
BMI for Age below 2

wasted

214

Z-Score Interpretation:
BMI for Age below 3

severely wasted

215

Immunization:
Bacillus-Calmette Guarin (BCG)
type

live attenuated

216

Immunization:
Bacillus-Calmette Guarin (BCG)
route

intradermal (ID)

217

Immunization:
Bacillus-Calmette Guarin (BCG)
dose

0.05 ml for < 12 mos.
0.1 ml for > 12 mos.

218

Immunization:
Bacillus-Calmette Guarin (BCG)
schedule

ideally at birth
first 2 months

219

Immunization:
Bacillus-Calmette Guarin (BCG)
PPD prior to vaccination

congenital TB
close contact to case of TB
clinical/x-ray findings suggestive of TB

*induration > 5mm is considered positive

220

Immunization:
Hepatitis B (Hep B)
route

intramuscular (IM)

221

Immunization:
Hepatitis B (Hep B)
schedule

first 12 hours of life

222

Immunization:
Hepatitis B (Hep B)
minimum interval

4 weeks

223

Immunization:
Hepatitis B (Hep B)
final dose

not earlier than 24 weeks

*another dose is needed if the last dose was given at age < 24 weeks

224

Immunization:
Hepatitis B (Hep B)
preterm, HBsAg (-) mother

1st dose at 30 days

*another dose for those < 2 kg whose 1st dose was given at birth

225

Immunization:
Hepatitis B (Hep B)
HBsAg (+) mother

HBV and HBIg (0.5ml) within 12h, no later than 7 days

226

Immunization:
Hepatitis B (Hep B)
unknown HBsAg status, ≥ 2 kg

give HBV within 12 hours
determine mother's HBsAg status

227

Immunization:
Hepatitis B (Hep B)
unknown HBsAg status, < 2 kg

HBV and HBIg (0.5ml) within 12h

228

Immunization:
Diphtheria and Tetanus Toxoid and Pertussis Vaccine (DTP)
route

intramuscular (IM)

229

Immunization:
Diphtheria and Tetanus Toxoid and Pertussis Vaccine (DTP)
schedule

minimum 6 weeks

230

Immunization:
Diphtheria and Tetanus Toxoid and Pertussis Vaccine (DTP)
interval

4 weeks

*4-6 months between 3rd and 4th dose
*5th dose may not be given if the 4th dose was given at ≥ 4 y.o.

231

Immunization:
Haemophilus influenzae type B (HiB)
type

conjugate vaccine

232

Immunization:
Haemophilus influenzae type B (HiB)
schedule

3-dose primary series
minimum 6 weeks

233

Immunization:
Haemophilus influenzae type B (HiB)
interval

4 weeks

234

Immunization:
Haemophilus influenzae type B (HiB)
booster

12-15 months
6 months from 3rd dose

235

Immunization:
Poliovirus Vaccine (OPV/IPV)
type

live attenuated

236

Immunization:
Poliovirus Vaccine (OPV/IPV)
route

OPV - per orem (PO)
IPV - intramuscular (IM)

237

Immunization:
Poliovirus Vaccine (OPV/IPV)
schedule

3-dose primary series
minimum 6 weeks

238

Immunization:
Poliovirus Vaccine (OPV/IPV)
interval

4 weeks

239

Immunization:
Poliovirus Vaccine (OPV/IPV)
booster

≥ 4 y.o.
6 mos. from previous dose

240

Immunization:
Pneumococcal Conjugate Vaccines (PCV)
route

intramuscular (IM)

241

Immunization:
Pneumococcal Conjugate Vaccines (PCV)
schedule

3-dose primary series
minimum 6 weeks

242

Immunization:
Pneumococcal Conjugate Vaccines (PCV)
interval

4 weeks

243

Immunization:
Pneumococcal Conjugate Vaccines (PCV)
booster

6 mos. after 3rd dose

244

Immunization:
Pneumococcal Conjugate Vaccines (PCV)
Healthy children 2-5 y.o. w/o previous PCV vaccination may be given _____ or _____.

1 dose of PCV 13
2 doses of PCV 10 8 weeks apart

245

Immunization:
Rotavirus Vaccine (RV)
route

per orem (PO)

246

Immunization:
Rotavirus Vaccine (RV)
schedule

minimum 6 weeks

*monovalent human RV (RV1) - 2 doses
*pentavalent human bovine (RV5) - 3 doses

247

Immunization:
Rotavirus Vaccine (RV)
interval

4 weeks

248

Immunization:
Rotavirus Vaccine (RV)
last dose

32 weeks

249

Immunization:
Influenza Vaccine
route

trivalent - intramuscular (IM) or subcutaneous (SC)
quadrivalent - subcutaneous (SC)

250

Immunization:
Influenza Vaccine
schedule

minimum 6 months

251

Immunization:
Influenza Vaccine
dose

6-35 mos. - 0.25 ml
36 mos. - 18 y.o. - 0.5 ml

252

Immunization:
Influenza Vaccine
Children 6 mos. - 8 y.o. receiving influenza vaccine for the first time should be given _____.

2 doses with a 4 week interval

253

Immunization:
Influenza Vaccine
If only 1 dose was given during the previous influenza season, give _____ then _____ thereafter.

2 doses
1 dose annually

254

Immunization:
Influenza Vaccine
Children aged 9-18 y.o. should receive _____.

1 dose annually

255

Immunization:
Influenza Vaccine
Vaccination should begin in _____.

February

256

Immunization:
Measles Vaccine
type

live attenuated

257

Immunization:
Measles Vaccine
route

subcutaneous (SC)

258

Immunization:
Measles Vaccine
schedule

9 months

*6 months in cases of outbreaks

259

Immunization:
Japanese Encephalitis Vaccine (JE)
route

subcutaneous (SC)

260

Immunization:
Japanese Encephalitis Vaccine (JE)
schedule

one primary dose
9 mos. - 17 y.o.

261

Immunization:
Japanese Encephalitis Vaccine (JE)
booster

12-24 mos. after primary dose

262

Immunization:
Japanese Encephalitis Vaccine (JE)
Individuals ≥ 18 y.o. hould receive _____.

1 dose only

263

Immunization:
Measles-Mumps-Rubella (MMR)
type

live attenuated

264

Immunization:
Measles-Mumps-Rubella (MMR)
route

subcutaneous (SC)

265

Immunization:
Measles-Mumps-Rubella (MMR)
schedule

2-dose primary series
minimum 12 months
2nd dose at 4-6 y.o.

*given earlier if recommended by PH

266

Immunization:
Measles-Mumps-Rubella (MMR)
interval

4 weeks

267

Immunization:
Measles-Mumps-Rubella (MMR)
Children below 12 mos. given any Measles containing vaccine should be given _____.

2 additional doses

268

Immunization:
Varicella Vaccine
type

live attenuated

269

Immunization:
Varicella Vaccine
route

subcutaneous (SC)

270

Immunization:
Varicella Vaccine
schedule

2-dose primary series
1st dose at 12-15 mos.
2nd dose at 4-6 y.o.

271

Immunization:
Varicella Vaccine
interval

< 13 y.o. - 3 mos.
> 13 y.o. - 4 weeks

*if 2nd dose was administered 4 weeks after the first dose, it can be considered valid

272

Immunization:
Measles-Mumps-Rubella-Varicella (MMRV)
type

live attenuated

273

Immunization:
Measles-Mumps-Rubella-Varicella (MMRV)
schedule

12 mos. - 12 y.o.

274

Immunization:
Measles-Mumps-Rubella-Varicella (MMRV)
interval

3 months

275

Immunization:
Hepatitis A (Hep A)
route

intramuscular (IM)

276

Immunization:
Hepatitis A (Hep A)
schedule

2-doses primary series
minimum 12 mos.

*2nd dose is given 6 mos. after the 1st dose

277

Immunization:
Tetanus and Diptheria Toxoid (Td) / Tetanus and Diptheria Toxoid aand Acellular Pertussis (Tdap)
route

intramuscular (IM)

278

Immunization:
Tetanus and Diptheria Toxoid (Td) / Tetanus and Diptheria Toxoid aand Acellular Pertussis (Tdap)
booster

every 10 years

279

Immunization:
Tetanus and Diptheria Toxoid (Td) / Tetanus and Diptheria Toxoid aand Acellular Pertussis (Tdap)
fully immunized pregnant adolescent

1 dose of Tdap after 20 weeks AOG

280

Immunization:
Tetanus and Diptheria Toxoid (Td) / Tetanus and Diptheria Toxoid aand Acellular Pertussis (Tdap)
unimmunized pregnant adolescent

3-dose series
0-1-6 month schedule

281

Immunization:
Human Papilloma Virus (HPV)
route

intramuscular (IM)

282

Immunization:
Human Papilloma Virus (HPV)
schedule

3-dose series
minimum 9 y.o.
bivalent - 0-1-6 month schedule
quadrivalent - 0-2-6 month schedule

283

Immunization:
Human Papilloma Virus (HPV)
interval

1 mo. bet. 1st and 2nd dose
3 mos. bet. 2nd and 3rd dose
6 mos. bet. 1st and 3rd dose

284

Immunization:
Human Papilloma Virus (HPV)
A _____ is an option for girls 9-14 y.o.

2-dose schedule 6 mos. apart

285

Immunization:
Human Papilloma Virus (HPV)
The quadrivalent HPV can bbe given to males _____ of age for the prevention of _____.

9-18 y.o., anogenital warts

286

Immunization:
Rabies Vaccine
route

intramuscular (IM) or intradermal (ID)

287

Immunization:
Rabies Vaccine
Intramuscular Regimen

Purified Vero Cell Rabies Vaccine (PVRV) 0.5 ml
Purified Chick Embryo Cell Vaccine (PCECV) 1 ml
0-7-21-28 days

288

Immunization:
Rabies Vaccine
Intradermal Regimen

Purified Vero Cell Rabies Vaccine (PVRV) 0.1 ml
Purified Chick Embryo Cell Vaccine (PCECV) 0.1 ml
0-7-21-28 days

289

Immunization:
Rabies Vaccine
It should never be given in the _____ since absorption is unpredictable.

gluteal area

290

Immunization:
Rabies Vaccine
In subsequent exposure, those who completed _____ will only require booster doses on _____.

3 doses, 0-3 days

291

Immunization:
Rabies Vaccine
booster

IM - PVRV 0.5 ml or PCECV 1 ml
ID - PVRV 0.1 ml or PCECV 0.1 ml

292

Immunization:
Typhoid Vaccine
route

intramuscular (IM)

293

Immunization:
Typhoid Vaccine
schedule

minimum 2 y.o.
revaccination every 2-3 years

294

Immunization:
Typhoid Vaccine
Recommended for _____.

travelers to areas where there is risk of exposure and for outbreak situations

295

Immunization:
Dengue Vaccine
type

live attenuated

296

Immunization:
Dengue Vaccine
route

subcutaneous (SC)

297

Immunization:
Dengue Vaccine
schedule

3-dose series
9-45 y.o.
0-6-12 months

298

Immunization:
Cholera Vaccine
route

per orem (PO)

299

Immunization:
Cholera Vaccine
schedule

2-dose series
minimum 12 mos.

300

Immunization:
Cholera Vaccine
interval

2 weeks

301

Immunization:
Cholera Vaccine
Recommended for _____.

outbreak situations
natural diasters

302

Immunization:
Meningococcal Vaccine
route

tetravalent conjugate vaccine (ACYW-135, MCV4-D, MCV4-TT, MCV4-CRM) - intramuscular (IM)
tetravalent polysaccharide vaccine (MPSV4) - intramuscular (IM) or subcutaneous (SC)

303

Immunization:
Meningococcal Vaccine
Indicated for _____.

thoseat high risk for invasive disease
persistent complement comonent deficiencies
anatomic/functional asplenia
HIV
outbreak
hyperendemic areas

304

Immunization:
Meningococcal Vaccine
schedule - MCV4-D

9-23 mos.
2 doses 3 months apart

*≥ 2 y.o. give one dose only

305

Immunization:
Meningococcal Vaccine
schedule - MCV4-TT

12 mos.
single dose

306

Immunization:
Meningococcal Vaccine
schedule - MCV4-CRM

2 y.o.
single dose

307

Immunization:
Meningococcal Vaccine
Revaccinate with MCV4 every _____.

5 years

308

Immunization:
Meningococcal Vaccine
schedule - MPSV4

2 y.o.
single dose

309

Immunization:
Meningococcal Vaccine
If MPSV4 is used for high risk individuals as the 1st dose, a 2nd dose using _____ should be given _____ later.

MCV4, 2 mos.

310

Immunization:
Meningococcal Vaccine
MCV4-D and PCV13 should be given _____ apart.

4 weeks

311

Immunization:
Pneumococcal Conjugate Vaccine (PCV) / Pneumococcal Polysaccharide Vaccine (PPSV)
route

intramuscular (IM)

312

Immunization:
Pneumococcal Conjugate Vaccine (PCV) / Pneumococcal Polysaccharide Vaccine (PPSV)
Indicated for children with _____.

high risk medical conditions

313

Immunization:
Pneumococcal Conjugate Vaccine (PCV) / Pneumococcal Polysaccharide Vaccine (PPSV)
2-5 y.o., incomplete schedule of 3 doses

1 dose of PCV 13

314

Immunization:
Pneumococcal Conjugate Vaccine (PCV) / Pneumococcal Polysaccharide Vaccine (PPSV)
2-5 y.o., unvacccinated or incomplete schedule of < 3 doses

2 doses of PCV 13 8 weeks apart

315

Immunization:
Pneumococcal Conjugate Vaccine (PCV) / Pneumococcal Polysaccharide Vaccine (PPSV)
2-5 y.o., 4 doses fo PCV 7

1 dose of PCV 13

316

Immunization:
Pneumococcal Conjugate Vaccine (PCV) / Pneumococcal Polysaccharide Vaccine (PPSV)
6-18 y.o., unvaccinated

1 dose of PCV 13 + 1 dose of PPSV after 8 weeks

317

Immunization:
Pneumococcal Conjugate Vaccine (PCV) / Pneumococcal Polysaccharide Vaccine (PPSV)
high risk medical conditions

2nd dose of PPSV 5 years after 1st dose

318

Immunization:
Haemophilus influenzae type B (HiB)
type

conjugate vaccine

319

Immunization:
Haemophilus influenzae type B (HiB)
route

intramuscular (IM)

320

Immunization:
Haemophilus influenzae type B (HiB)
12-59 mos., unimmunized or 1 dose of HiB before 12 mos.

2 additional doses 8 weeks apart

321

Immunization:
Haemophilus influenzae type B (HiB)
12-59 mos., ≥ 1 dose of HiB before 12 mos.

1 additional dose

322

Immunization:
Haemophilus influenzae type B (HiB)
≤ 5 y.o., HiB booster dosewithin 14 days of starting chemotherapy/RT

repeat dose 3 mos. after completion of therapy

323

Immunization:
Haemophilus influenzae type B (HiB)
hematopoetic stem cell transplant

reimmunized with 3 doses 4 weeks apart, 6-12 mos. after transplant

324

Immunization:
Haemophilus influenzae type B (HiB)
unimmunized children ≥ 15 mos. undergoing elective splenectomy

1 dose 14 days before procedure

325

Immunization:
Haemophilus influenzae type B (HiB)
unimmunized children 5-18 y.o. with anatomic/functional asplenia and HIV

1 dose

326

Immunization of Teens:
Hep B
recommended age

unvaccinated 7-18 y.o.

327

Immunization of Teens:
Hep B
dose

3

328

Immunization of Teens:
Hep B
schedule

0-1-6 months

329

Immunization of Teens:
Hep B
route

intramuscular (IM)

330

Immunization of Teens:
Hep B
precautions and contraindications

severe allergic reaction to vaccine component, moderate to severe illness

331

Immunization of Teens:
Hep A
recommended age

unvaccinated 7-18 y.o.

332

Immunization of Teens:
Hep A
dose

2

333

Immunization of Teens:
Hep A
schedule

2nd dose 6 months after 1st dose

334

Immunization of Teens:
Hep A
route

intramuscular (IM)

335

Immunization of Teens:
Hep A
precautions and contraindications

severe allergic reaction to vaccine component, moderate to severe illness

336

Immunization of Teens:
MMR
recommended age

unvaccinated 7-18 y.o.
incompletely vaccinated 7-18 y.o.

337

Immunization of Teens:
MMR
dose, unvaccinated 7-18 y.o.

2

338

Immunization of Teens:
MMR
dose, incompletely vaccinated 7-18 y.o.

1

339

Immunization of Teens:
MMR
schedule, unvaccinated 7-18 y.o.

4 weeks betwen doses

340

Immunization of Teens:
MMR
schedule, incompletely vaccinated 7-18 y.o.

2nd dose 4 weeks after 1st dose

341

Immunization of Teens:
MMR
route

subcutaneous (SC)

342

Immunization of Teens:
MMR
precautions and contraindications

severe allergic reaction to vaccine component, moderate to severe illness, pregnancy, immunosuppression, recent blood transfusion

343

Immunization of Teens:
Varicella
recommended age

unvaccinated 7-12 y.o.
unvaccinated ≥ 13 y.o.
incompletely vaccinated 7-18 y.o.

344

Immunization of Teens:
Varicella
dose, unvaccinated 7-12 y.o.

2

345

Immunization of Teens:
Varicella
dose, unvaccinated ≥ 13 y.o.

2

346

Immunization of Teens:
Varicella
dose, incompletely vaccinated 7-18 y.o.

1

347

Immunization of Teens:
Varicella
schedule, unvaccinated 7-12 y.o.

3 month interval

348

Immunization of Teens:
Varicella
schedule, unvaccinated 7-12 y.o.

1 month interval

349

Immunization of Teens:
Varicella
schedule, incompletely vaccinated 7-18 y.o.

7-12 y.o. - 3 mos. from 1st dose
≥ 13 y.o. - 4 weeks from 1st dose

350

Immunization of Teens:
Varicella
route

subcutaneous (SC)

351

Immunization of Teens:
Varicella
precautions and contraindications

severe allergic reaction to vaccine component, moderate to severe illness, pregnancy, immunosuppression, recent blood transfusion

352

Immunization of Teens:
Influenza
recommended age

9-18 y.o.

353

Immunization of Teens:
Influenza
dose

annually

354

Immunization of Teens:
Influenza
schedule

begin immunization in February

355

Immunization of Teens:
Influenza
route

intramuscular (IM) or subcutaneous (SC)

356

Immunization of Teens:
Influenza
precautions and contraindications

severe allergic reaction to vaccine component, moderate to severe illness, history of Guillain-Barre Syndrome following previous dose

357

Immunization of Teens:
HPV
recommended age

females: 9-18 y.o. (bivalent, quadrivalent)
males: 9-18 (quadriavalent)

358

Immunization of Teens:
HPV
schedule

bivalent - 0-1-6 months
quadrivalent - 0-2-6 months

*females, 9-14 y.o., 2 doses, 0-6 months

359

Immunization of Teens:
HPV
route

intramuscular (IM)

360

Immunization of Teens:
HPV
precautions and contraindications

severe allergic reaction to vaccine component, moderate to severe illness, if found to be pregnant after starting immunization delay remaining doses until completion of pregnancy

361

Immunization of Teens:
Td/Tdap
recommended age

unvaccinated 7-18 y.o.
incompletely vaccinated 7-18 y.o.
fully vaccinated 7-18 y.o.

*fully vaccinated - 5 doses of DTap or 4 doses of DTap if the 4th dose was given ≥ 4 y.o.

362

Immunization of Teens:
Td/Tdap
dose, unvaccinated 7-18 y.o.

3

363

Immunization of Teens:
Td/Tdap
dose, incompletely vaccinated 7-18 y.o.

1-2

364

Immunization of Teens:
Td/Tdap
dose, fully vaccinated 7-18 y.o.

1

365

Immunization of Teens:
Td/Tdap
schedule, unvaccinated 7-18 y.o.

0-1-6 months with Tdap as the first dose then Td for the remaining doses

366

Immunization of Teens:
Td/Tdap
schedule, incompletely vaccinated 7-18 y.o.

1 dose Tdap and Td for the remaining doses

367

Immunization of Teens:
Td/Tdap
schedule, fully vaccinated 7-18 y.o.

1 dose Tdap the Td every 10 years

368

Immunization of Teens:
Td/Tdap
route

intramuscular (IM)

369

Immunization of Teens:
Td/Tdap
precautions and contraindications

severe allergic reaction to vaccine component, moderate to severe illness

370

Prenaatal Education Components

Breastfeeding
Newborn Care
Anticipatory Guidance
Avoidance of Smoking, Alcohol and Teratogens
Tetanus Toxoid Immunization
Maternal Nutrition

371

Every infant must be _____ at birth and monitored _____ until discharge.

appraised, daily

372

_____ is the perfect first food.

Colostrum

373

Latching-on and breastfeeding must be initiated during the first _____ after delivery.

30-60 min.

374

Red Flag Signs for Atopy

Respiratory
Nasal
Ocular
Skin
Gastrointestinal

375

Red Flag Signs for Atopy:
Respiratory

chronic cough ± wheezing
shortness of breath
chest tightness
trouble sleeping due to coughing
fatigue
problems with feeding
grunting during infancy

376

Red Flag Signs for Atopy:
Nasal

frequent sneezing
rhinorrhea
itchiness
nasal congestion

377

Red Flag Signs for Atopy:
Ocular

bluish-brownish discoloration around both eyes
puffiness under the eyes
redness
tearing
itchiness

378

Red Flag Signs for Atopy:
Skin

dryness
itchiness

379

Red Flag Signs for Atopy:
Gastrointestinal

itchiness of the roof of the mouth and throat
colic
vomiting
stomach cramps
diarrhea
bloody stools

380

Recumbent Length for children _____.

< 2 y.o.

381

Standing Height for children _____.

≥ 2 y.o.

382

Recumbent Length = Standing Height + _____

0.7 cm

383

_____ is a reliable growth indicator even when the age is unknown.

Weight-for-Length/Height

384

_____ measurement standards enable early detection and prevention of overweight and obesity problems.

Body Mass Index (BMI)

385

Routine BP measurement should start at _____ and should be done to _____.

3 y.o., ill patients, at rsk patients

386

BP < 90th percentile

normotensive

387

BP < 95th percentile

pre-hypertensive

*adolescents - 120/80

388

BP ≥ 95th percentile

hypertensive

*on 3 or more occasions

389

RA No. 9288

Newborn Screening Act of 2004

390

Newborn Screening should be done _____.

immediately 24 hours after birth.

391

Expanded Newborn Screening has been made available since _____.

December 2014

392

RA No. 9709

The Universal Newborn Hearing Screening and Intervention Act of 2009

393

Hearing screening should be done _____.

before discharge, first 3 months

394

If with (+) Hearing Screening result, referral for intervention should be done _____.

before the age of 6 mos.

395

RA No. 9482

Anti-Rabies Act of 200

396

Rabies pre-exposure prophylaxis for children _____.

5-14 y.o.

397

Iron Supplementation:
LBW Infants
Preparation

drops: 15 mg elemental iron/0.6 ml

398

Iron Supplementation:
LBW Infants
Dose/Duration

0.3 ml OD 2-6 mos.

399

Iron Supplementation:
6-11 mos.
Preparation

drops: 15 mg elemental iron/0.6 ml

400

Iron Supplementation:
6-11 mos.
Dose/Duration

0.6 ml OD x 3mos.

401

Iron Supplementation:
1-5 y.o.
Preparation

syrup: 30 mg elemental iron/5 ml

402

Iron Supplementation:
1-5 y.o.
Dose/Duration

1 tsp OD x 3 mos.
30 mg/week x 6 mos.

403

Iron Supplementation:
10-19 y.o. Adolescent Girls
Preparation

tablet: 60 mg elemental iron with 400 mcg folic acid

404

Iron Supplementation:
10-19 y.o. Adolescent Girls
Dose/Duration

1 tab OD

405

Vitamin A Supplementation:
6-11 mos.
Preparation

100,00 IU

406

Vitamin A Supplementation:
6-11 mos.
Dose/Duration

1 dose only

*usually given at 9 mos. during Measles immunization

407

Vitamin A Supplementation:
12-59 mos.
Preparation

200,000 IU

408

Vitamin A Supplementation:
12-59 mos.
DOse/Duration

1 capsule every 6 mos.

409

Zinc supplementation prevents _____.

pneumonia, diarrhea

410

Deworming shouldbe done for children _____.

1-12 y.o.

411

Deworming: Albendazole Dose

12-23 mos. - 200 mg, single dose every 6 mos.
≥ 24 mos. - 400mg, single dose every 6 mos.

412

Deworming: Mebendazole Dose

≥ 12 mos. - 500mg, single dose every 6 mos.

413

Albendazole and Mebendazole are given on a _____.

full stomach

414

Deworming should not be done on children with _____.

severe malnutrition
high-grade fever
profuse diarrhea
abdominal pain
serious illness
previous hypersensitivity to antihelminthic drug

415

In municipalities endemic for filariasis, mass treatment with _____ and _____ are given to children _____.

Diethylcarbamazine Citrate (DEC), Albendazole, ≥ 2 y.o.

416

First dental visit should be done at the time of _____ and no later than _____.

eruption of first tooth, 12 mos.

417

Age-Approprieate physical activities for children should be done _____ daily on _____.

60 min., most days of the week

418

Sedentary activity should be limited to _____.

2 hours/day

419

Parents and children should be counseled to prevent injuries from _____.

birth to adolescence

420

RA No. 7610

Anti Child Abuse Law

421

_____ is an ubiquitous environmental toxicant that can cause cognitive impairment.

Lead

422

CBC should be done at least once during _____.

6-24 mos.
2-6 years
10-19 years

423

CBC:
Special attention should be given to infants _____.

6-12 mos.
12-23 mos.

424

PPD:
Drugs Used

5 TTU PPD
2TU-RT23

425

PPD should be read _____ after

48-72 hours

426

PPD:
> 5 mm induration is positive if there is _____.

history of close contact with known or suspected TB
clinical findings or CXR suggestive of TB
immunosuppressed condition

427

PPD:
An induration of _____ is considered poritive.

> 10 mm