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34 Cards in this Set
- Front
- Back
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components of 15mo well child check
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communication
sleep tempter tantrums descipline dental, should have had 1st encounter safety, car safety biggest concern |
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vaccines of 15mo visit?
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HBP, may be finished
DTAP HIB, depends on brand PCV, depends on brand IPV, depends on brand |
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when will children begin to sleep though the night?
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15 months a majority of children will
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what are some causes of sleep problems?
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behavior
parasomnias pathologies |
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what are behavioral issues that create sleep issues
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sleep resistance
irregular schedules night time feeding |
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what are parasomnia issues that create sleep issues
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night terrors, usually begin at age three, not dangerous, will grow out, cannot console, don't remember
nightmare, children remember, can console upon awakening exacerbated by stress and irregular schedule sleep walking, not concerning nocturnal enuresis, normal at 15 months OSA, witnessed episodes of apnea and or snoring, tonsilar hypertrophy, sleep study, tonsilectomy |
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what are the components of the 18mo well child visit
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family support, may be planning another PG now
language promotion through reading, should be able to string words together by now, hearing toilet training, may be ready safety |
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vaccines at 18 months
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HBV DTAP IPV HAV
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what specific pathology should you be sure to assess for during 18 mo check up?
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autism
MCHAT, 23 item online/paper survey |
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what are the components of the 24mo well child checkup
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language, should be talkative
temperment, terrible twos toilet training, should be started television/screen time, needs to be limited safety |
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what pathology are you sure to check for in high risk kids?
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Lead, do H/H too
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what are the principles of toilet training
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follow kids cues
schedule toilet use reward success no candy, don't punish failure avoid pull ups can take a year |
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what are the components of the 3year well child check
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family support, make time for parents, use more discipline like time outs, can start at 2years, 1 minute for every year
literacy, can go to prekindergarden now playtime, playing with peers, taking turns, getting along physical activity should be regular routine |
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when do you first check a childs blood pressure?
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3 years
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how do you manage further BP checks
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if less than 90th percentile screen annually
if more than, screen more frequently |
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what measurement will change a child's blood pressure?
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height and weight
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if a child is prehypertensive, when do you recheck?
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6 months
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if a child is hypertensive, when do you recheck?
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1-2 weeks
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who gets TB test?
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only children at risk
more than one week in country with endemic known contact with tb s/s tb family member with positive ppd |
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how soon can you give a live virus (MMR) vaccine for tb?
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either on the same date or 1 month apart
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at what age can you use the interferon gamma tb test?
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5 years
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what are the components of the 4 year well child check
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school readiness
healthy habits, eating, physical activity, foods, ask kids to name 3 favorite vegetables, if cannot name, talk to parents about adding more tv and media, can watch screens but limit it community safety, start sexual abuse, "who's aloud to look here?" |
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which vaccines are you giving during 4 year visit
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MMR VAR DTAP IPV
MMR/V in sequential doses (4 year olds) |
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besides developmental screenings, which screenings are you doing at 4 year WCC?
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vision, hearing
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talk about visual screening at 4 years
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LEA symbols chart
screening, not dx, if concerned, refer refer to optometry for vision issues refer to ophthalmology for structural issues |
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talk about hearing screening at 4 years
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already one screening at birth
often done at kindergarden may need referal if home schooling |
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what are they principles of the 5 year WCC
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school readiness, many places kid needs to be 5 to enter
mental health, coping, make sure family is conducive to happy and healthy nutrition, limit juice, not acceptable sub for water, many kids don't need any, no more than 4oz/day safety |
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which developmental screening tools will you be using at the 5 year WCC
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some stop being applicable
ASQ valid up to five years PEDs valid beyond 5 |
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which vaccines will you be giving at 5 year WCC?
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just the flu!
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how much time does the average child spend in contact with a screen?
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7 hours
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Talk about children learning the alphabet using an iPad
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it is not as quality of a learning situations as it would be if the parent had taught them. children should not see screens regularly under the age of 2
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how far under the federal poverty line does a family have to be to receive WIC ?
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185%
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what is the most amount of money a woman can make with one child and still receive WIC
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about 28K
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how far below the poverty line must a family be to receive SNAP through the link card?
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130%
for a family of 3 its about 2K/ month before living expenses |
