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51 Cards in this Set
- Front
- Back
Components of well child interview |
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Development screening tests |
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When to do developmental screens? |
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Available formulas for babies? |
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When to transition baby to regular cow's milk? |
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Caloric requirements of preterm infants? |
115 to 130 cal/kg/day |
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Caloric requirement for term infant? |
100 to 120 cal/kg/day |
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Average daily weight gain of term infant? |
20 to 30 g |
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When are babies expect to have regained birth weight by? |
2 weeks og age |
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What is the moro reflex? |
Symmetric abduction extension of arms followed by adduction of arms, sometimes with a cry |
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When does moro reflex disappear? |
4 months |
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Moro reflex is an indicator of what peripheral problems? |
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When to do developmental screen? |
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What is developmental surveillance? |
comparing a child to expected behaviours by age |
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When to start baby on solid food? |
start on rice cereal with spoon at 4 months |
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Who to supplement with vit D? |
Infants and children who are exclusively or mostly breastfed Infants and children drinking less than a quart per day of formula or cows milk |
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When do babies start to sleep through the night? |
Age 4-6 months |
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How to prevents SIDS? |
infant placed on back to go to sleep |
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Newborn safety? |
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Most effective car seat restraint |
five point harness with two shoulder straps, lap belt, and a crotch strap |
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T/F: until age 2 years children should face rearward |
True |
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Doses or DTaP? |
5 |
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Doses of IPV, Hib, PCV13? |
4 |
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Doses of MMR, varicella, rotavirus, hep A, hep B? |
2 (hep b is three) |
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What is pedarix? |
combine immunizations for DTaP, HepB and IPV |
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Vaccine adverse events |
"knots" in skin at injection site fussiness and fever for 24 hours *problem if lasts 24 or more hours or more serious side effects such as seizures or inconsolability |
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Early childhood growth patterns? |
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Absence of red reflex may indicate what abnormalities? |
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When to refer to ophtho? |
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6 month dev. milestones |
Rolls overSits unsupportedNo head lag when pulled to sit from supineReaches for objectsLooks for dropped itemsTurns toward voiceBabbles (i.e., use of repetitive consonants: ba-ba-ba or da-da-da) (When the child says dada-da,the family reinforces the sounds by praising the infant; then the infant makes theconnection of the sound to the father.)Feeds selfDemonstrates stranger recognition, the prelude to stranger anxiety
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Toddler proofing the home? |
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Anticipatory guidance at 6 months |
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Why use acetaminophen cautiously if baby given vaccine? |
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Prognosis of Stage 4S neuroblastoma? |
in infants less than one year, normally regress |
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Genetics of neuroblastoma? |
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Rectal exam in infant |
not routine done if intra-abdominal, pelvic, or perirectal process suspected |
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How to perform rectal exam? |
lay infant supine with one hand, hold feet and flex knees and hips on abdomen insert glove and lubricated index finger into rectum palpate for hard stool and/or a mass |
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DDx for RUQ mass and pallor in 9 month old infant? |
hepatic neoplasm hydronephrosis neuroblastoma teratoma Wilm's tumour |
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Hepatic neoplasm |
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Hydronephrosis |
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Neuroblastoma |
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Teratoma |
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Wilm's tumour (nephroblastoma) |
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Initial testing of asymptomatic abdo mass |
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CBC and diff |
anemia cyopenia (bone marrow infiltration) not specific |
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catecholamine metabolites (VMA and HVA) |
catecholamines elevated in neuroblastoma highly specific |
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CXR |
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Skeletal survey |
id mets to bone |
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abdo us |
identify mass, determine if solid, cystic or combined. best choice for a first imaging study |
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abdo XR |
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abdo CT |
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