Yost Lecture Day 1

Question 1

Child History Need to Know

Answer 1

• Past History
• Birth History
• Immunizations
• Growth and Developmental Milestones

Question 2

RoS Head

Answer 2

• assess fontanel closure

- flattening due to sleeping on back

Question 3

RoS Eyes

Answer 3

• watch that infants vision is developing
• can follow mom and dad, tracking- by 3 to 4 months, children can fixate on one visual field simultaneously
• vision testing recommended for all kids 3 – 5
• Important to catch any abnormalities early*

Question 4

RoS Ears

Answer 4

-do they need tubes
-where the ears are located on the head- low set ears can be signs of different abnormalities
– such as renal and cognitive impairment

Question 5

RoS Palate

Answer 5

-is it cleft?

Question 6

RoS Neurologic

Answer 6

• Age appropriate cognition, situational awareness

* reflexes are important* some will fall by the wayside as child gets older

Question 7

RoS Teeth

Answer 7

• first tooth comes in at around 6 mos
• first dentist visit at 6 mos
• Color and hygiene of teeth can indicate malnourishment, acid reflux, lack of fluoride in diet
• baby bottle tooth decay- caries
• < 3 y/o smear or rice sized amount of fluoridated toothpaste
• 3 to 6 y/o pea sized amount of fluoridated toothpaste
• ***formula does contain fluoride

Question 8

RoS Abdomen

Answer 8

-look for umbilical hernias

Question 9

RoS Genitalia

Answer 9

Tanner staging – levels according to age and where they should be puberty-wise
Questions to ask re puberty
-hair growth, onset of menstruation, breast development

Question 10

RoS Nutrition

Answer 10

-infants need head control to start new foods
-allergies- rice cereal is least problematic
-comparison to growth chart
-Birth weight!!!
Needs change based on age

Newborns should regain their birthweight by 2 weeks old

• solids at 6 months
• cows milk at ONE YEAR
• rice cereal at about 4 months, mixed with formula