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47 Cards in this Set
- Front
- Back
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What is the age of a child that is able to lift head/chest; able to track past midline; alert to sound; social smile?
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2 months
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What is the age range of an infant who is able to roll front to back, grasps rattle, orients to voice, laughs, enjoys looking around?
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4-5 months
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What is the age range of an infant who is able to: sit unassisted, transfers objects, raking grasp, babbles and has stranger anxiety?
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6 months
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What is the age range of an infant who is able to crawl, usea 3-finger pincer grasp, can say mama/dada, waves bye-bye, plays pat-a-cake?
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9-10 months
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What is the age range of an infant who is able to cruise, <b>walk alone</b>, says mama/dada specifically, can imitate actions?
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12 months
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What is the age range of an infant who is able to: walk backward, uses cup, uses 4-6 words, has temper tantrums?
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15 months
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What is the age range of an infant who is able to run, kick a ball, build tower of 2-4 cubes, names common objects, uses 8-10 words, copies parent?
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18 months
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What is the age range of an infant who is able to walk up/down steps with help, jumps, builds tower of 6 cubes, uses two word prhases, follows two step commands, removes clothes.
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2 years
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What is the age range of an infant who is able to ride a tricycle, climbs stairs with alternating feet, copies a circle, uses 3-word sentences, brushes teeth with help, washes/dries hands.
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3 years
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What is the age range of an infant who is able to hop, copies a cross, counts to 10, cooperative play.
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4 years
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Kawasaki Disease
Diagnostic Criteria |
Fever > 5 days +
Bilateral nonpurulent conjunctivitis Mucocutaneous lesions ("strawberry tongue", dry cracked lips, erethema mouth) changes in extremities (swelling/erythema) |
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Most worrisome sequelae of Kawasaki Disease
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Cardiac.
Dilation of cardiac vessels = aneurysms. |
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Treatment of Kawasaki Dx
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Mostly to prevent the sequelae:
IV Gamma Globulin (IVIG) High dose aspirin |
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Diseases associated with Strawberry Tongue
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Strep pharyngitis (esp A)
Kawasaki's Disease (scarlet fever) |
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Signs & Symptoms:
Congenital toxoplasmosis |
Hydrocephalus
chorioretinitis microcephaly, Calcified cerebral lesions Hepatosplenomegaly, Jaundice (hyperbilirubinemia) generalized lymphadenopathy, thrombocytopenia Maternal exposure to Toxoplasma gondii protozoa - infected cats, ingest raw meat or unpasteurized goat milk) |
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Amblyopia
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Reduction in / loss of visiionin one eye from lack of use.
Most common cause = Strabismus |
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Strabismus
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Ocular misalignment
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By what age should an infant say Mama / Dada?
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These words are stated:
Non-Specifically: 6 - 9 months. Specifically: 8-12 months. |
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Recommendations for Rear-facing car seats.
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Car seat should be in this position until child is 20lbs AND 1 year old.
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Recommended immunizations for well 6 month old who is up-to-date.
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3rd DTap
3rd Hep B 3rd Haemophilus influenzae type B (HiB) 3rd Rotavirus 3rd inactivated polio virus (beginning of the window that ends at 15 months) |
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Failure to Thrive
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Decelerations of growth that have crossed 2 major growth percentiles in short order.
(weight below 3-5% for age) |
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Risk Factors for Iron-deficient Anemia in children
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Ingestion >24 oz cow's milk
Fe-restricted diets Low Birth weight infants Premature infants Fe-deficient Mother |
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Risk Factors for hearing loss in infants.
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Family Hx of childhood hearing loss
Craniofacial abnormalities Syndromes w/ hearing loss assoc (Neurofibromatosis,etc) Infections associated w/ loss |
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When can office-based audiometry be used with children?
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3 yrs old.
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When should visual acuity testing with Snellen chart start?
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Testing with picutres (rather than letters)
After 3 yrs old. |
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Testing & result that would reveal Striabismus.
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Cover-uncover test.
Uncovered eye deviates to focus on the object. |
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When is a front-facing car seat recommended?
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20-40lbs & >1 yr old.
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What seating arrangement is recommended for a 3 year old who weighs 45 lbs?
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Booster seat in the back seat of the vehicle.
-or- Booster seat in front seat of a car without airbags or with airbag disabled for that seat. |
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Recommended Timing & Administration of Hepatitis B vaccine.
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IM
1. Birth 2. 1-2 months (at least 1 full month after 1st dose) 3. 6-18 months (at least 6 months after 1st dose) |
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Recommended Timing of Rotavirus vaccine.
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1. 2 months
2. 4 months 3. 6 months. |
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Rotavirus
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Most common cause of severe diarrhea (gastroenteritis) among infants & young children.
dsRNA virus, Fecal-Oral route. A = most common |
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How Rotavirus Vaccine is administered.
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PO
Attenuated live virus. (prevention of gastroenteritis) |
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How Hepatitis B vaccine is administered.
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HBsAg
(product of genetic engineering in yeast cells) IM |
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Recommended Timing of DTaP vaccine.
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1. 2 months
2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years with Tdap 11-12 yrs & Td every 10 years after that. |
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Tdap
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Vaccine for tetanus, diphtheria, pertusis
for use in adolesents & adults reduced concentration of diphtheria & pertussis, prevention of adverse effects. |
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Recommended Timing of Haemophilus influenzae B vaccine
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1. 2 months
2. 4 months 3. 6 months 4. 12-15 months. |
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Haemophilus influenzae
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G- Rod bacterium
- encapsulated (a-g) & unencapsulated Aerobic / Facultative anaerobe Live in host w/o dx until weakening due to other factors give opportunity |
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Recommended Timing of Pneumococcal vaccine
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1. 2 months
2. 4 months 3. 6 months 4. 12-15 months Revaccination at age 65 & intervals indicated for Asplenia & Nephrotic syndrome |
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Diseases caused by Haemophilus influenzae
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Encapsulated (a-g):
Bacteremia, PNUEMONIA & Bacterial meningitis. Cellulitis, Osteomyelitis, Epiglottitis, infectious arthritis Unencapsulated: Otitis media, conjunctivitis, sinusitis, pneumonia |
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Recommended Timing of Inactivated Polio vaccine
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1. 2 months
2. 4 months 3. 6-18 months 4. 4-6 yrs |
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Recommended Timing of Influenza vaccine
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Annually from 6 months to 18 yrs.
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Recommended Timing of MMR vaccine
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1. 12-15 months
2. 4-6 yrs |
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Recommended Timing of Varicella vaccine
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1. 12-15 months
2. 4-6 yrs |
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Recommended Timing of Hepatitis A vaccine
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2 doses of inactivated Hep A virus.
12-23 months is strongly recommended. 2nd dose should be 6-12 months after the first dose. |
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Recommended Timing of Meningococcal vaccine
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11-12 yr
& often recommended prior to dormitory living in colleges. |
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Recommended Timing of Human Papilomavirus vaccine
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Recommended 3 doses over 6 months
Preferably girls aged 11-12 yrs (essentially to catch girls prior to their exposure to HPV, can be given after exposure as it works against 4 types) |
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What are true Contra-Indications for vaccination?
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History of anaphylactic rxn to vaccine or vaccine components.
Severe illness (with or w/o fever). |
