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Kaplan > Well Child Care > Flashcards

Well Child Care Flashcards

1
Q

Head circumference over first three months

A

2cm/month

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2
Q

HC growth months 3 to 6 months

A

1cm/month

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3
Q

HC growth 6 months to 1 year

A

0.5cm/month

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4
Q

HC 1 year to age 3

A

0.25cm/month

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5
Q

HC grow age 4 to 6

A

1 cm / year

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6
Q

HC 6 through adolescence

A

additional 2 or 3 CM during mid childhood

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7
Q

Most common cause micrcephaly?

A

familial; autosomal dominant

or chromosomal

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8
Q

Signs of familial macrocephaly

A

no s/s neurological; family head circumferences are large as well

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9
Q

Weight gain first 3 months

A

20 to 30 g/day

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10
Q

Weight gain by age 6 months

A

double birth weight

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11
Q

weight gain by 1 year

A

triple birth weight

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12
Q

When does birth length double

A

age 3 to 4

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13
Q

When do most preterm infants have weight check up by? height?

A
  • weight 2 years

- height 2.5 years

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14
Q

Neonatal Developmental milestones

A
  • flexed when prone; extended when supine
  • no side preference
  • can see 8 to 12 inches
  • fix on bright object / face
  • turns to voice
  • positive moro, step, place, and grasp reflex
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15
Q

Development 2 months

A
  • head up in prone
  • tonic neck posture while supine
  • head lag that is improving
  • head sustained with body place during ventral suspension
  • tracks object / face 180 degrees
  • social smile
  • coos
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16
Q

Is it abnormal if a 2 month old doesn’t fixate on objects

A

yes

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17
Q

Gross development 4 months

A
  • rolls prone to supine
  • can lift head while prone
  • no head lag pull to sit
  • can hold head while supported sit
  • push with feet when standing supported
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18
Q

Find Motor 4 months

A
  • reaching for and grasps object with WHOLE hand; no grasp

- visually fixes on small objects

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19
Q

Language 4 months

A
  • laughs and squeals

- initiates social contacts

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20
Q

6 month gross

A
  • rolls both ways (by 7 for sure)
  • sits tripod
  • bounces with supported stand
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21
Q

6 months fine motor

A
  • rakes in objects

- reaches and grasps large objects and transfers between hands

22
Q

6 months language

A
  • babbles; tries to imitate consonants

- turns directly to sound and voice

23
Q

Gross motor 9 months

A
  • sits without support with back straight
  • pull to stand and cruises (10 to 12 months)
  • might start creeping / crawling
24
Q

Find Motor 9 months

A
  • immature pincer grasp (thumb and index)
  • pokes with forefinger
  • holds objects and bangs together
  • feeds with fingers
  • pat a cake
25
Q

Language Development 9 months

A
  • nonspecific mama/dad
  • understands nam
  • recognizes objects
  • waves bye bye
26
Q

At what age is lack of consonant babbling abnormal?

A

9 months

27
Q

How often do you evaluate for TB

A

start at 1 year and re-evaluate every 6 months to age 2; then yearly

28
Q

Studies done at 1 year visit

A
  • lead

- Hgb/Hct; TB if high risk

29
Q

Gross motor 1 year

A
  • pulls to stand and cruises
  • walks holding one hand with or without independent steps
  • throws a ball
30
Q

Fine motor 1 year

A

-full pincer grasp and release

31
Q

Language 1 year

A
  • mama and dad specifically
  • at least one other word
  • -start of stranger anxiety
32
Q

Gross motor 15 months

A
  • walk alone
  • stoops
  • cralws up stairs
  • plays ball
33
Q

Fine motor 15 months

A
  • small object into bottle
  • tower 2 to 3 blocks
  • copies a line with a cryon
  • drinks from a cup
34
Q

Language 15 months

A
  • three to 6 specific words
  • jargon
  • follows simple commands
  • points
  • hugs
35
Q

Gross Motor 18 months

A
  • runs
  • walks up steps with one hand held
  • MUST WALK BY THIS POINT
36
Q

Fine motor 18 months

A
  • builds tower of three to 4 blocks
  • scribbles
  • feed self with spoon
37
Q

Language 18 months

A
  • imitates household work
  • 7 to 10 words
  • needs and wants
  • knows one or more body parts
  • kisses
38
Q

Gross motor 2 years

A
  • runs
  • walks up and down steps one foot at a time
  • climbs on furniture
  • jumps with both feet
  • throw ball overhand
  • kicks ball
39
Q

Fine Motor 2 years

A
  • tower 7 blocks
  • circle scribles
  • feeds self with spoon and fork
  • helps undress self
40
Q

Language 2 years

A
  • 50 words

- 3 words together

41
Q

Gross motor 3 year olds

A
  • pedals a tricycle
  • briefly stand on 1 fooot
  • broad jump
42
Q

Fine Motor 3 year old

A
  • cross and circle
  • 10 blocks
  • helps dressing
  • washes hands
43
Q

Language 3 year old

A
  • 75% is intelligble
  • simple commands
  • knows age and gender
  • sentences 5 to 8 words
  • parallel play
  • repeats 3 numbers
  • counts 3 objects
44
Q

Gross Motor 4 year old

A
  • stands on 1 foot for 3 seconds

- hops on one foot

45
Q

Fine Motor 4 years old

A
  • scissors to cute out pics
  • cross and square
  • simple person (head and 2 to 4 body parts)
46
Q

Speech 4 eyar old

A
  • all intelligible
  • 4 objects
  • tells a story
  • plays with children
  • pretend play
  • potty train
47
Q

Gross Development 5 year old

A

-climbs steps with atlernating feet

48
Q

Fine motor 5 year old

A
  • copies triangle
  • person with 6 body parts
  • dresses and undresses
  • ties shoes
  • board games and cards
49
Q

Language 5 year old

A
  • knows 4 colors
  • counts 10 objects
  • domestic role plalying
50
Q

Development 6 year old

A

-rides bicycle without training wheels
-writes name
-knows left vs right across midline
-

Kaplan (8 decks)

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