Well Child Care

Question 1

Schedule of well child care visits (13)

Answer 1

3-5 days, 1 month, 2 mo, 4 mo, 6 mo, 9 mo, 12 mo, 15 mo, 18 mo, 24 mo, 30 mo, 3 years, then yearly annual health supervision visits

Question 2

define colic

Answer 2

crying more than 3 hours/day, 3 days/week for more than 3 weeks in an otherwise well-fed, healthy baby

Question 3

likes to play with others, knows/recognizes familiar faces. babbles, and can roll over in both directions

Answer 3

6 months

Question 4

crawling milestone, can sit without support. may be afraid of strangers. picks up things between thumb and index finger

Answer 4

9 months

Question 5

can sit without support

Answer 5

9 months

Question 6

holds head steady without support and may be able to roll over from tummy to back

Answer 6

4 months

Question 7

babbles

Answer 7

6 months

Question 8

may be able to roll over from tummy to back

Answer 8

4 months

Question 9

coos, makes gurgling sounds

Answer 9

2 months

Question 10

pays attention to faces, turns head toward sounds, begins to smile at people

Answer 10

2 months

Question 11

rolls over in both directions

Answer 11

6 months

Question 12

coos, makes gurgling sounds, can hold head up, begins to smile at people, pays attention to faces

Answer 12

2 months

Question 13

picks up things between thumb and index finger

Answer 13

9 months

Question 14

says mama an dada, can follow simple directions, and pulls to stand

Answer 14

12 months

Question 15

runs easily, can name most familiar objects, talks well enough for strangers to understand most of the time

Answer 15

3 years

Question 16

may be afraid of strangers

Answer 16

9 months

Question 17

milestone for walking

Answer 17

18 months

Question 18

milestone for crawling

Answer 18

9 months

Question 19

says several single words, walks alone, simple pretend play

Answer 19

18 months

Question 20

speaks very clearly, can use toilet on own, counts 10 or more objects

Answer 20

5 years

Question 21

hops and stands on 1 foot up to 2 seconds

Answer 21

4 year

Question 22

when should children reach adult proficiency w/ language

Answer 22

by 7-8 years of age

Question 23

hepatitis B doses

Answer 23

3 - birth, 1-2 months, and 6-18 months

Question 24

DTaP doses

Answer 24

5- 2 mo, 4 mo, 6 mo, 15-18 mo, and 4-6 years of age

Question 25

Hib dose

Answer 25

PedVaxHIB has 3 dose series at 2 mo, 4 mo, and booster dose at 12-15 months. ActHIB has 4 dose series at 2 mo, 4 mo, 6 mo, and booster dose at 12-15 months

Question 26

poliovirus vaccine

Answer 26

IPV SQ or IM in 4 doses- 2 mo, 4 mo, 6-18 months, and 4-6 years

Question 27

MMR vaccine

Answer 27

2 doses- 12-15 months, 4-6 years of age

Question 28

contraindication to MMR vaccine

Answer 28

pregnancy, immunodeficient, hematologic or solid tumors, or if patients experience thrombocytopenia within 6 weeks of prior MMR vaccine they should not receive a subsequent dose. Is a Live vaccine

Question 29

Varicella doses

Answer 29

2 doses SQ or IM at 12-15 months and 4-6 years

Question 30

contraindications to varicella

Answer 30

pregnant, immonocompromised, previous anaphylactoid reaction to neomycin or gelatin.

Question 31

what to avoid after varicella vaccine?

Answer 31

avoid salicylates for at least 6 weeks after varicella vaccine d/t concerns over Reye syndrome

Question 32

pneumococcal vaccine

Answer 32

4 doses- 2 mo, 4 mo, 6 mo, and 12-15 months

Question 33

meningococcal vaccine

Answer 33

children aged 2-10 yers who have an indication , recommended for all adolescents aged 11-18 years

Question 34

hepatitis A

Answer 34

if patient is 1-18 years, 2 IM doses at least 6 months apart. if 19 or over, 2 IM doses 6-18 months apart. RECOMMENDED at 12-23 months, second at 18 months (if first was at 12 months)

Question 35

Influenza vaccine

Answer 35

should be given annually in fall in all children 6 or more months of age. if 6 months- 8 years, may require 2 doses INITIALLY. Give 2 doses if first influenza vaccine. Give 2nd dose 28 days following initial dose

Question 36

2 types of influenza vaccine

Answer 36

Inactivated given IM or live given intranasally

Question 37

rotavirus

Answer 37

3 doses at 2, 4, 6 or 2 doses at 2 and 4

Question 38

which vaccines are live

Answer 38

influenza (also attenuated), MMR, rotavirus, and varicella

Question 39

HPV

Answer 39

Gardasil has 3 doses- time 0, 2, and 6 months of F/U. Cervarix in 3 doses at time 0, 1 and 6 months of F/U. recommended for girls and boys starting at 11-12 years of age

Question 40

vaccines at birth

Answer 40

Hep B (1 of 3)

Question 41

vaccines at 1-2 months

Answer 41

Hep B (2 of 3)

Question 42

vaccines at 2 months and 4 months

Answer 42

DTaP (1-2 of 5), Hib (1-2 of 4), Polio (1-2 of 4), Pneumococcal (1-2 of 4), Rotavirus (1-2 of 3),

Question 43

vaccines at 6 months

Answer 43

DTaP (3 of 5), Hib (3 of 4), Pneumococcal (3 of 4), and Rotavirus (3 of 3). Can also get Influenza in 6 months or older, Follow with second dose after 28 days.

Question 44

vaccines at 6-18 months

Answer 44

Hep B (3 of 3), Polio (3 of 4)

Question 45

vaccines at 12-15 months

Answer 45

Pneumoccoal (4 of 4), Hib (4 of 4), MMR (1 of 2), Varicella (1 of 2)

Question 46

vaccine from 12-23 months

Answer 46

Hep A, followed by second dose 6 months later

Question 47

vaccine from 15-18 months

Answer 47

DTaP (4 of 5)

Question 48

vaccine at 4-6 years

Answer 48

DTaP (5 of 5), Polio (4 of 4), MMR (2 of 2), Varicella (2 of 2)