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Unit 1 Flashcards

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1
Q

Birth vaccine

A

B

Hepatitis B

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2
Q

2 months old vaccine

A

To B Dr HIP

B- hepatitis B

D-1 DTap
R-rotavirus

H- H influenza type B (HiB)
I-inactivated polio (IPV)
P-pneumococcal (PCV13

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3
Q

4 months old vaccine

A

For Dr HIP

D-2 DTap
R-rotavirus

H- H influenza type B (HiB)
I-inactivated polio (IPV)
P-pneumococcal (PCV13

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4
Q

6 months old vaccine

A

B Dr HIP in 6 months

B- hepatitis B

D-3 DTap
R-rotavirus

H- H influenza type B (HiB)
I-inactivated polio (IPV)
P-pneumococcal (PCV13

In- influenza (yearly)

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5
Q

1-1.5 years vaccine

A

I mad HPV

M-MCR
A-hep A
D-4DTap

H- H influenza type B (HiB)
P-pneumococcal (PCV13)
V-varicella

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6
Q

4-6 years old vaccine

A

Very DIM at 4-6pm

V-varicella

D-5 DTap
I-inactivated polio (IPV)
M-me

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7
Q

Ages for well child checks

A

2 days
2 mo
4 mo
6 mo

9mo
12mo
15mo
18mo

2yr
3yr
4yr

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8
Q

Walk at how old?

A

12 months

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9
Q

Check for head lifting/neck control when

A

2 months

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10
Q

Roll when

A

4 months

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11
Q

Sit at what age

A

6 months

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12
Q

Crawl and pull to stand when

A

9 months

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13
Q

Walks well when

A

15 months

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14
Q

Throws objects

A

18 months

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15
Q

24 months

A

Up and down stairs

Runs

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16
Q

3 years

A

Tricycle

Jump in place

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17
Q

4 years

A

Up and down stairs alternating feet

Balance on 1 foot for 4 seconds

Hops

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18
Q

5 years

A

Skips

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19
Q

Assess in newborn

A

Hearing
Bilirubin
Congenital Heat disease’s

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20
Q

Assess in 3-5 day old

A

Hearing if failed

Blood

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21
Q

Assess at 1

A

Hearing
Blood
Maternal depression screening

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22
Q

Milestones for 2mo

A 
Lift head 45•
Turn side to back
Drops toys
Turns to sound
Following objects past midline
Social smile; regards faces

Parents little baby: looks up, smiles because he sees both his parents, one on either side of baby’s visual field

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23
Q

Milestone for 4 months

A

Lift head 90• and raises up to chest
Turns runny to back
Reaches for objects >puts objects in mouth
Coos

Fat happy baby: baby is rolling and laughing and cooing because he just discovered midline and is reaching for cake that he will cram into his mouth

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24
Q

Milestones for 6 months

A 
Sits up with no lag
Rolled over (both directions)
Scoops-thumb opposition grasp
Reaches 1 hands; transfer objects between hands
Babbles
Recognizes familiar faces “bye bye”

Street corner baby- sitting up on sidewalk, traversing a rake from Hans to hang while babbling, says bye bye to people he thinks he recognizes

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25
Milestones for 9 months
``` Pulls to stand-stands alone; walks with support Thing and index finger grasp Imitate peek-a-boo Follows 1 step verbal commands Pat-a-cake Peakaboo ``` Watch dog baby- crawls to window, pulls to stand to see out, sees dog in yard and says peakaboo, parents tell baby come here and she crawls away from window
26
Milestones for 12 month
``` Walks Pincer grasp Tower 2 cubes Specific meaning mama/dada 1-2 wood vocal Points to desired object ``` Playful zombie baby- walking after mama and dada, pointing at them and snapping pincer, repeating 1 word ponder and over (bbbbrrraaaaiiinnmsss)
27
Milestones for15 month
Walks well Imitate Controlled release of blocks ( can stack 2) Little sister baby- wants to be just Like big sister, walks confidently to the blocks and imitate a 2- block tower
28
Milestones for 18 months
``` Up and flown stairs with help Throws Tower of 3-4 blocks Dumps toys from cup Carries doll Scribbles Sears and feeds self 4-20: words 2 step commands ``` Sir charming baby- needs to get more to Rapunzel doll, so scribbles note on paper to throw into high 4 block tower, catapult his cup on end, shoves note in with spoon, climbs up the stairs and throws notes at tower
29
Milestones for 2 years
``` Jumps with 2 feet Stands on either foot alone Kicks ball Tower 6-7 cubes Turns 1 book page Sorry phrases points to name objects/pictures Verbalize needs to potty Parallel play ``` Bad twins- twin A us jumping in the couch, while twin B is standing on 1 foot, twin A points to ball and kicks it towards twin Bs 7 cubes tower, twin B says “you are in trouble” and twin B cops that twin A just said
30
Milestones for 2.5 years
``` Walks backwards Hops on 1 foot Copies crude circle Crayon in fist Refers to self as “I” Points to objects described by use Can have a conversation Helps put things away ```
31
Milestones for 3 years
``` Tricycle Tower 9-10 Copies circle 3 cube bridge Holds crayon with fingers Gives first and last name “You me and I” Dresses with help ``` James Bond baby-Springs into action... jumps into 3-piece suit, stands in front of mirror abs says first/last name, jumps on his tricycle and rides over 10 blocks to the party, you. Me. Abs I. Is his pickup line
32
Milestones for 4 years
``` Stairs (alt feet) Draws circles for a person Knows own gender 4-words phrase’s Responses to commands Gives full name Feeds self @ mealtime Undressed Cooperative play Tells story ``` Bedtime story baby-really wants to tell mom a story before bedtime, mom says “quickly finish eating so we can do that” she understands, hurried up the stairs, gets undressed, tells her mom “ my story will be called why I love my mommy” complete sentences
33
When do you mom for depression
2 months 4 months 6 months
34
Oral health at what age
6 months 9 months 12 months
35
What two blood test do 12 months old get
Lead | Anemia
36
ASD screening at what ages
18 months | 24 months
37
Vision screening at what age
3 and 4 ages
38
Milestones at 4-5 years old
``` Runs Turns Stand on 1 leg for si least 10 seconds Plays outside >30 Draws Person-no torso Counts by 4 Days of the week Appropriate answers to questions Dressing self Toileting self-care Can’t tell what’s make believe and real ``` Oz baby- baby knows that Oz is a make believe place, she remember a picture she drew of her momma and us reminded of home, she potty’s, gets dressed, laces up her ruby red shoes, turns around and clicks heels 4 times
39
Establish dental home by
12 months
40
Primary teeth erupt when
7 months and compete between 30-36 months
41
Oral hygiene
Infants gums cleaned daily with moist cloth Teeth erupt= oral hygiene must be practiced Children younger than 8 need help brushing and flossing Weak from bottle between 12-18 months
42
PKU
Normal diet >elevated phenylalanine levels >untreated >severe intellectual disability, hyperactivity, seizures, light complexion, eczema Infants should be screened during the first few days 2nd rest when newborn screening is done before 24 hours and be completed by second week of life
43
Screening for hyperthyroidism congenital acquired screening
Shortly after birth Measure either total T4 or TSH levels
44
Sickle cell screening
Identity by universal screening >results indicating possible require prompt confirmation
45
Sickle cell anemia/sickle B thalassemia
Only hemoglobin S, F, and A2
46
Sickle B thalassemia
Majority of hemoglobin and less amount of hemoglobin A and elevated A2
47
Sickle hemoglobin C
Equal amounts of hemoglobin S and C S>C
48
Gold standard screening for SS
Hemoglobin electrophoresis HPLC DNA analysis
49
HiB
2 4 6 12-15 sometimes Uncommon adverse effects
50
IPV dose, defer, and contraindications
2 4 6 4-6 years Defer if mod-severe illness or pregnant! Contraindicated with polymyxin B, neomyxin, streptomycin Uncommon adverse reactions
51
Hep A when, precaution, AR
12-15 months give second dose 6montha later Precaution in pregnancy and mid-severe illness AR-mild injection sure to, HA, loss of appetite
52
RV when, contraindications
2 4 6 Risk of intussusption (don’t give if hx of), latex allergy, SCID, mod-severe gasteroenteritis
53
Influenza
All older than 6 If under 9 and no previous dose then give two doses 6 months apart Contraindicated in type 1 egg allergy AR- fever, malaise, myalgia
54
Varicella when, contraindications, AR
12-15 months 4-6 years Contra in child with acquired treated related cell immunodeficiency, T cell abnormalities (Can be given to HIv kids who aren’t immunocompromised), pregnancy, febrile seizure’s hx AR- minor site ex
55
Pcv13 when, defer, AR
2 4 6 12-15 months Fever is mod-severe illness (with it without fever) AR- fever, injection site, irritability, decreased sleep, when given with flu =seizures
56
DTap when, defer, AR
``` 2 4 6 15-18 months 4-6 years ``` Defer if progressive Neuro vascular dx until Neuro status clarified Ar- fever, inconsolable cry, hypotonic-hyporesponsive episodes
57
MMR when, defer, contraindications, AR
12-15 months 4-6 years Defer for 3-11 months after IG admin Contra in pregnant women, trying to become prego, immunocompromised, children receiving high dose steroids, latex neomycin and gelatin allergy AR- fever, fever seizures, transient thrombocytopenia, measles inclusion body encephalitis
58
HepB when, contraindicated, AR
Birth 2 6 Contra in serious allergic ex yeast Ar- uncommon
59
I-P-A “beer”
IPV Pcv13 HepA Defer mod-severe illness
60
A painful vaccine to me
``` Hep A Pcv13 Varicella Tdap Meningococcal ``` Minor site reaction
61
The mental defects matter
Tdap MMR Dtap Meningococcal Defer Neuro; febrile seizures
62
Baby is happy
Hep B IPV HiB No reactions
63
Vagina iZ a hateful monster
``` Varicella IPV Zoster Hep A HPV MMR ```
64
Don’t give this vaccine if Al logic to yeast
Hep b
65
Don’t give this vaccine if Type 1 egg allergy
Influenza
66
Don’t give this vaccine if GI issues/ intussception
Rotavirus
67
Don’t give this vaccine if Allergy to neomycin
MMR | Ipv
68
Don’t give this vaccine if Allergy to streptomycin/polymyxin
Ipv
69
Don’t give this vaccine if Allergy to gelatin/latex
MMR
70
Don’t give this vaccine if hiv
Hep b Influenza Pcv13 Tdap Don’t give hiv pt live viruses
71
Contraindicated during pregnancy vaccines
MMR Ipv Varicella Hep a
72
Hep A
Given at 12 months | 2 dose series with minimal interval of 6 months
73
MMR
Stay at 12 months second dose 4-6 years | M can be given 4 weeks after the 1st
74
Universal screenings for each age Selective for those at risk or if the clinicians has a concern
Yes Bright futures handout!!!! Know all of the stuff!!
75
Surveillance
Continuous or ongoing process in which a skillful trained clinicians professionally observed an infant or child they provide care for Will determine if the parents have concerns about the child and will take a developmental history
76
Screen hearing
4 years old
77
Autism at 18 and 24 but development tools for 9, 18, and 30 months
More prevalent in males
78
Dental home at what age
12 months 20 teeth at 36 months later Fluoride varnish for high risk Limit juice Don’t prop bottle
79
Screen for newborn
``` PKU Sickle cell Congenital Hypothyroid Congenital heart disease Hearing Vision ```

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