Safety and Prevention
Development and behavior
The Newborn Visit
Vaccines
Mental health
100
Families with firearms in their homes should be counseled to store them like this
1. unloaded with ammunition seperate
2. locked
Removal from home is safest
100
AAP recommends this therapy as first-line for preschool-aged children with ADHD.
Behavioral therapy (parent training)
100
You're seeing a newborn in clinic and notice^. You tell mom that by this age, you expect this to fade or resolve completely.
Congenital dermal melanocytosis (slate grey patch)
School age (5-6 years)
100
Infants between 6mo and 1 year old should have this vaccine prior to international travel.
MMR
Should repeat regular series after first birthday
100
This black-box warning should be discussed with teens prior to starting SSRIs for depression.
Increase in suicidality
200
This is the safest seat in the car for a child.
Middle back
200
Age at which a child is expected to point at objects of interest
15-18mo
200
Vitamin D should be supplemented until this age in all breastfed infants.
12 months
Infants taking <32oz formula need vitamin D too!
200
Children who are immunocompromised should avoid these vaccines
Rotavirus, MMR, VZV
200
An adolescent started on an SSRI reports increased agitation and decreased need for sleep—this diagnosis must be considered.
Bipolar disorder
300
When a child has reached this milestone, they are ready to transition to a front-facing car seat.
When they've outgrown the height and weight limits of their rear facing seat. (Usually recommended until 2 years of age)
Most rear facing only seats: 22 to 35 pounds and 26 to 35 inches
Convertible seats: usually have higher weight and height limit for rear facing
300
The age by which a child should be able to climb a step using 2 feet?
18 months
300
Babies who are breech in the 3rd trimester should have this at 6 weeks of life to evaluate for DDH.
Hip ultrasound
Followed by X-rays at 6 months
Positive Ortolani or Barlow maneuvers: Refer to an orthopedic specialist with experience.
300
If you receive your HPV vaccines after this age, the series requires 3 immunizations.
15 years and older
Three-dose series (0, 1-2, 6 months) for persons who initiate vaccination at ages 15 through 45 years, and for immunocompromised persons.
300
ADHD is characterized by these three "symptoms"
Inattention
Impulsivity
Hyperactivity
400
Elevated levels of this can, over a long period of time, cause learning difficulties and behavior issues
Lead
- Risk assessments for sources of lead (house before 1978) in the child’s environment should be completed at well-child visits between 6 months and 6 years (Bright Futures)
- Universal screening is required for children receiving Medicaid benefits at 12 months and 2 years of age.
- Children with developmental disorders, pica behavior or poor cognitive abilities are at increased risk for lead exposure and may warrant monitoring with BLLs.
- Recent immigrants, refugees or international adoptees should be tested at the earliest opportunity.
400
Age at which a child is expected to be able to skip on one foot
4 years
400
You're seeing a newborn in clinic and mom notices this ^ after the umbilical cord falls off. There is also a little yellow discharge coming from this that she can see on the diaper. This treatment is quick, painless, and easy to perform in the clinic.
(umbilical granuloma)
Silver nitrate; can require up to 3 treatments
Can also apply table salt
400
This pediatric vaccine is unique because it must be completed before a child turns 8 months old; it protects against a virus that causes severe gastroenteritis in infants.
Rotavirus
400
Extreme use of this medication has been associated with development of psychosis and schizophrenia
Marijuana
500
Until this age, babies should be kept out of direct sunlight and sunscreen should be avoided.
6 months old
Sunscreens containing titanium dioxide or zinc oxide are less likely to irritate a baby’s sensitive skin
500
Name 2 gross motor milestones expected for a 2 year old
- Kicks ball
- Jumps off ground with 2 feet
- Runs with coordination
- Climbs up a ladder at a playground
500
This type of jaundice occurs more often in newborns who are not getting enough breast milk.
Breastfeeding jaundice
- Breastmilk jaundice: most often occurs in the second or later weeks of life and can continue for several weeks; substances in the mother's milk may inhibit the ability of the infant's liver to process bilirubin
- Jaundice within 24 hours is usually pathologic
500
It is especially important for children with sickle cell disease to receive these 3 vaccines.
- PCV (primary + start PPSV23 after 2nd birthday)
- Meningitis (earlier and more often)
- HIB (routine schedule)
500
This type of therapy uses a child's natural way of communicating to help them express feelings and cope with trauma
Play therapy