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13 Cards in this Set

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What should be done at every pediatric visit?
Height, weight, BP, H & P, developmental and behavioral assessment, and counseling about age-appropriate concerns.
What congenital diseases are screened for at birth?
All states screen for hypothyroidism and phenylketonuria.
Most states screen for galactosemia and sickle cell.
What is the next step if a child is screened for phenylketonuria and the test is positive?
A confirmatory test should be performed to make sure it isn't a false positive.
What are some examples of anticipatory guidance?
Use of car restraints, placing baby on back on a firm surface with light clothing to prevent SIDS, introduction of solid foods at 6 months of age, not giving a child cow's milk before 1 year of age, not using infant walkers, supervising a child in a bathtub or pool, keeping chemicals out of reach, and keeping water heater at 110-120 degrees F.
When should head circumference be measured?
Routinely in the fist 2 years of life.
WHen should height and weight be measured?
Routinely until adulthood.
If the pattern of growth along plotted growth curves goes from a normal curve to an abnormal one, is this worrisome?
Yes.
What is the significance of increased head circumference?
It could indicate the presence of hydroccephalus or tumor.
What is the significance of decreased head circumference?
Can indicate microcephaly due to intrauterine or perinatal infection with toxoplasmosis, congenital syphilis, HIV, rubella, herpes simplex virus, cytomegalovirus, or other viruses.
What causes obesity in a child?
Overeating and lack of exercise with genetic tendencies.
What percentage of child obesity is due to organic causes?
<5%.
What is failure to thrive?
It is defined as growth below the 5th percentile for age.
What is the most common cause of failure to thrive?
Psychosocial or functional problems (e.g., child abuse).