Unit 1 Flashcards
(70 cards)
1
Q
Birth
A
B
Hepatitis B
2
Q
2 months old
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
3
Q
4 months old
A
For Dr HIP
D-2 DTap
R-rotavirus
H- H influenza type B (HiB)
I-inactivated polio (IPV)
P-pneumococcal (PCV13
4
Q
6 months old
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)
5
Q
1-1.5 years
A
I mad HPV
M-MCR
A-hep A
D-4DTap
H- H influenza type B (HiB)
P-pneumococcal (PCV13)
V-varicella
6
Q
4-6 years old
A
Very DIM at 4-6pm
V-varicella
D-5 DTap
I-inactivated polio (IPV)
M-me
7
Q
Ages for well child checks
A
2 days
2 mo
4 mo
6 mo
9mo
12mo
15mo
18mo
2yr
3yr
4yr
8
Q
Walk at how old?
A
12 months
9
Q
Check for head lifting/neck control when
A
2 months
10
Q
Roll when
A
4 months
11
Q
Sit at what age
A
6 months
12
Q
Crawl and pull to stand when
A
9 months
13
Q
Walks well when
A
15 months
14
Q
Throws objects
A
18 months
15
Q
24 months
A
Up and down stairs
Runs
16
Q
3 years
A
Tricycle
Jump in place
17
Q
4 years
A
Up and down stairs alternating feet
Balance on 1 foot for 4 seconds
Hops
18
Q
5 years
A
Skips
19
Q
Assess in newborn
A
Hearing
Bilirubin
Congenital Heat disease’s
20
Q
Assess in 3-5 day old
A
Hearing if failed
Blood
21
Q
Assess at 1
A
Hearing
Blood
Maternal depression screening
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
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
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
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
