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29 Cards in this Set
- Front
- Back
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How many office visits during the first second and third years of life?
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8 routine office visits in the first year of life
3 routine office visits in the second year of life yearly visits after the second year of life |
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Questions to ask mom during prenatal period.
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illnesses
fever rashes medications vaginal bleeding hypertension |
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Components of "birth history"
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Type of delivery
Birth weight Nursery course Problems ( feeding problems, fever, jaundice, etc.) |
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Components of the "family history"
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Age of parents and siblings
Medical problems in the family: -children that died early in life -congenital diseases -diabetes, heart disease, cancer, thyroid disease... |
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Components of "social history"
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Living conditions of the home
Number of caretakers Number of people living in the home Smokers in the home Pets in the home Firearms in the home |
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components of "daily history"
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Nutrition
Elimination -bowel movements -urination Sleeping habits Activity Dental Problems |
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Physical exam for Children less than 3 years of age:
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height
weight head circumference BMI |
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Physical exam for Children greater than 3 years of age:
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height
weight BMI blood pressure hearing vision |
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Components of "Developmental assessment"
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Eruption of deciduous teeth
Denver developmental screening test -personal/social, fine motor, language, gross motor development Development of secondary sexual characteristics - Tanner Score |
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the first stage of secondary (postnatal) breast development, usually occurring at the beginning of puberty in girls.
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Thelarche
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screening tests for office visit
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Visual Acuity
Audiometry Hemoglobin and Hematocrit Lead screening Urinalysis |
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causes of a small head
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craniosynotstosis
"bad brain" (that's all he said) |
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components of "anticipatory guidance" for office visit
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Tell parents what to expect each visit
Household safety instructions Toilet training Discipline Firearm safety Dental care HIV counseling, ETOH, cigarettes |
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If HIV test is negative, what next?
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repeat in 6 months
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timing of Hep B vaccinations
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birth
1-2 months of age 6-18 months of age |
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Timing of Diphtheria, acellular pertussis, tetanus (DTaP) vaccination
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2 months
4 months 6 months 12-18 months 4-6 years of age |
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Timing of vaccinations with TdaP (adult Tetanus-diphtheria-acellular pertussis)
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Booster given every 10 years
For deep wounds, within 5 years |
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In 2003, __% of the reported cases occurred in adolescents between the ages of 10 to 19 years of age
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In 2003, 39% of the reported cases occurred in adolescents between the ages of 10 to 19 years of age
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Adolescent pertussis suffers may experience more than _ months of severe coughing episodes, which can lead to vomiting, a hernia, fractured rib or pneumonia
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Adolescent pertussis suffers may experience more than 2 months of severe coughing episodes, which can lead to vomiting, a hernia, fractured rib or pneumonia
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Timing of Poliomyelitis ( inactivated) vacc
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2 months
4 months 6-18 months 4-6 years of age May be given as a combined vaccine. Dtap-Ipol-HepB (Pediarix) |
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TIming of Haemophilus influenza B (Hib)
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2 months
4 months 6 months 12-18 months May be given as a combined vaccine Dtap-Hib at the 12-18 month booster |
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Timning of Measles Mumps and Rubella (MMR):
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12 months
4-6 years of age Live virus* Combination vaccine with VZV (ProQuad) |
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Timing of Varicella (Varivax)
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12 months- 13 years of age one dose
13 years or older, two doses 1 month apart Live virus* Combined vaccine with MMR (ProQuad) Booster at 4 years old |
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Which vaccines are live?
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Measles Mumps and Rubella (MMR)
Varicella (Varivax) Rotavirus |
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Timing of Pneumococcal Conjugate Vaccine
Heptavalent pneumococcal conjugate vaccine |
0-6 months of age: 4 doses
7-11 months of age: 3 doses 11-24 months of age: 2 doses 24-59 months of age: 1 dose |
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Where is Hep A vaccine given
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only given in some “high-risk” states (such as Georgia) and patients travelling abroad
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What do you know about Neisseria meningitis vaccine
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MCV4 ,the new meningococcal conjugate vaccine
Recommended for children 11 -12 years of age Concerns regarding Guillain-Barre Syndrome Conjugate for A/C/Y and W-135 Recommended for all college students living in dormitories Preferred vaccine for high-risk people, travelers and for use during meningococcal outbreaks The future indications may be for infants and toddlers (studies ongoing) |
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What do you know about Rotavirus vaccine?
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Oral
Live* Given at 2, 4, 6 months (must finish by 32 weeks) Concern regarding intussusception |
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The future .... regarding pneumococcal vaccination
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Maternal vaccine could prevent pneumococcal disease in the newborn
20-30% of invasive disease occurs in newborns at 2-3 months of age Vaccination with the heptavalent pneumococcal vaccine occurs at 2 months of age and may not offer adequate protection during the first 2-3 months of age. |
