Components of Well Child Visits
Challenges to Health Supervision
Developmental Milestones
Gross and Fine
100

This term describes the response of a patient to a disease, characterized by an abnormal change in baseline of functioning. 

What is illness?

100

This childhood disease process affects 1 in 3 children nationally, with the highest concentration of states found in the South. 

What is obesity (overweight) ?

100

This term is defined as the cognitive ability to process and understand information. 

What is receptive language? 

100

This highly specific physical milestone is achieved right at 12 months of age, marking the transition from an infant raking, to neat fingertip precision

What is fine pincer grasp? 

200

This health supervision task requires a skilled nurse to track developmental achievements over multiple visits by observing the child and addressing parental concerns. 

What is developmental surveillance ?

200

These are two special circumstances children can fall under that require more frequent wellness visits. 

What are chronic disease and internationally adopted?

200

This is the meaning behind the scientific term, cephalocaudal. 

What is head to tail? 

200

 A healthy baby is expected to hold their head steady without support when upright, and push up on their forearms or elbows when prone, at this exact month mark.

What is 4 months? 

300

These six lifestyle or preventative focus topics under the umbrella of anticipatory guidance.

What are: injury prevention, violence prevention, nutritional counseling, dental hygiene and sun safety? 

300

This socioeconomic issue has been linked to low birthweight, and can lead to food insecurity and hunger or obesity, among other health problems.

What is poverty.? 
300

 A child can alternate feet going up and down steps, throw a ball overhand, and use scissors successfully at this specific age.

What is 4 years old?

300

 A child can independently run, kick a ball, walk upstairs, and successfully stack a tower of 6 to 7 cubes at this exact month marker.

What is 24 months? 

400

These are the two consecutive supervision checkpoints that follow the 12 month check up. 

What are the 15 and 18 month visits.?

400

Substandard housing can lead to these two illnesses.

What are asthma and lead poisoning? 

400

A child should develop a vocabulary of approximately 50 words by this exact month of age.  

What is 24 months? 

400

A child achieves advanced fine motor coordination by successfully printing some letters, fastening buttons, and drawing a person with a body and at least six parts at this age.  

What is 5 years ?

500

After completing the 24 month well child assessment, children should condition to this frequency until age 21. 

What is yearly (annually) ?

500

Some of the ways a nurse can assist a family with difficult stressors. 

What are: the nurse can assist the family to find financial and medical assistance programs, take advantage of community resources, and participate in support groups. The nurse can also educate school personnel about the child’s illness and assist them in maximizing the child’s potential for academic success.

500

 A child achieves the milestone of looking at an adult when communicating and following a one step command without a gesture at this exact month mark.

What is 15 months of age? 

500

It is a red flag if a child is unable to sit without assistance by this chronological month marker. 

What is 6 months of age? 

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