W1 - Journey of the Newborn Flashcards
(41 cards)
what are the 6 things needed for a screening test
- Important health problem
- Natural history of disease understood
- Treatment available
- Latent stage of the disease
- Test for the condition
- Acceptable test
what are the screening sessions children get from birth to 18yrs
when is the newborn physical examination carried out
1-3 days after birth
when is newborn bloodspot done
5-8 days
what is tested for in the newborn bloodspot
- Congenital hypothyroidism
- Cystic fibrosis
- Sickle cell disorder
- Inherited Metabolic Diseases (IMDs)– Phenylketonuria – MCADD
what is congenital hypothyroidism
1 in 4,000
- Inadequate thyroxine– poor growth – serious, permanent, physical and mental disability
- Early thyroxine treatment– for normal growth and development
what is cystic fibrosis
1 in 2,500
- GI and Respiratory system – poor weight gain & frequent chest infections
- Early treatment – high energy diet, medications, physiotherapy
what is sickle cell disease
1 in 1,900
- Inherited disorders affecting RBCs – Pain and damage, serious infection, death
- Early treatment helps prevent serious illness, immunisations and antibiotics, parent education
what is MCADD (MEDIUM-CHAIN ACYL-COA
DEHYDROGENASE DEFICIENCY)
1 in 10,000
– problems breaking down fats
- Early diagnosis – Identify before suddenly and seriously ill– allow normal development– dietary input
what is phenylketonuria (PKU)
1 in 10,000
autosomal recessive
– unable to process phenylalanine
* low phenylalanine diet
- causes irreversible, mental disability
when is newborn hearing testing done
> 28 days
when is the first visit from the health visitor
10-14 days
what will the health visitor check/cover on the first visit
- growth & development
- breastfeeding, weaning, safety
- postnatal depression
- common infections in childhood
- behaviour difficulties
when is the first physical examination check
6-8 weeks
what will the physical examination involve
- Weighing and plotting
- General physical examination
- Heart, hips, eyes (testes in boys)
- Coincides with maternal check up
what immunisations are offered at 2 months
DTaP/IPV/Hib
Rotavirus
Men B
Hep B
what immunisations are offered at 3 months
DTaP/IPV/HiB - diptheria, pertusses, polio, haemophilus influenzae type b
PCV - pneumococcal
Rotavirus
Hep B
what immunisations are offered at 4 months and 3 years
DTaP/IPV
MMR
what immunisations are offered at 4 months
DTaP/IPV/HiB - diptheria, pertusses, polio, haemophilus influenzae type b
Men B
Hep B
what vaccines are offered at 12 months
HiB/MenC
MMR
PCV
Men B
what vaccinations are offered at 2, 3 and 4 years + school years
annual flu vaccine
what is checked at the 8-12 month review
- Growth
- Developmental Milestones
- Health
- Safety promotion
what is monitored at the 2-2.5year review
General development
* movement, speech, social skills, behaviour, hearing, vision
* Growth, healthy eating and keeping active
* Managing behaviour and
encouraging good sleeping habits
what is monitored at the 4-5 year review
- weight and height
- vision, hearing and dental
- Alert to risk signs of child abuse
