Term
| In the POMR PMH, what questions are included in prenatal hx? |
|
Definition
-maternal and paternal age
-month prenatal care started
-planned pregnancy
-length of pregnancy
-weight gain
-maternal health and dz
-TOB, drug, ETOH
-Rx
-HTN
-infectious dz: TB, Hep B, HIV
-GTPAL |
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Term
| In the POMR PMH, what questions are included in birth and neonatal hx? |
|
Definition
-site
-NSVD or Cesarean (and why)
-wt and length
-apgars
-feeding
-respiratory
-jaundice
-illness
-d/c with mother or extra NICU stay |
|
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Term
| In the POMR PMH, what questions are included in developmental hx? |
|
Definition
-age of milestones
---personal/social
---language
---fine motor
---gross motor
-delays
-temperament/personality
---moods
---adaptability to change
---consolability
---degree of independence
---congeniality
-habits
---thumb-sucking
---nail-biting
---tics
---rocking
---ritualistic behaviors
-physical growth
---past growth curve and percentile
---growth delay
---precocious puberty |
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Term
| What is the order of the most common childhood vaccinations? |
|
Definition
-Hep B
-DTaP
-IPV
-Hib
-PCV
-rotavirus
-MMR
-Varicella
-Hep A
-meningitis
-HPV |
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Term
| In the POMR PSH, what questions are included in child abuse screening? |
|
Definition
-Has anyone hurt you?
-Have you felt afraid someone would harm you?
-Has anyone ever touched you in your private area when you did not want them to? |
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Term
| In the POMR PSH, what questions are included in discipline? |
|
Definition
-usual methods
-effectiveness
-differences among siblings |
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Term
| In the POMR CHH/RF, what questions are included in infant breastfeeding? |
|
Definition
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|
Term
| In the POMR CHH/RF, what questions are included in infant formula feeding? |
|
Definition
-formula
-# oz/feeding
-# oz/day
-how prepared |
|
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Term
| In the POMR CHH/RF, what questions are included in all infant feeding? |
|
Definition
-introduction of solids and juices
-tolerance of foods
-how prepared
-finger & table foods
-vitamins
-fluoride |
|
|
Term
| In the POMR CHH/RF, what questions are included in toddler feeding? |
|
Definition
-picky eater
-grazing
-food jags: eating only 1 food item |
|
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Term
| In the POMR CHH/RF, what questions are included of the breastfeeding mother? |
|
Definition
-nipple soreness
-breast dz
-fatigue and discouragement
-adequate diet and fluids
-pumping and storing
-weaning
-drugs |
|
|
Term
| In the POMR CHH/RF, what questions are included in child elimination? |
|
Definition
-regularity of bowels and urination
<2 yo:
-stool pattern, frequency, consistency
>2 yo:
-toilet training
-difficulties with bowel or bladder control
-age when control obtained
-enuresis
-encopresis
-parental attitude toward bed wetting |
|
|
Term
| In the POMR CHH/RF, what questions are included in child sleep? |
|
Definition
-naps
-bedtime routine
-location
-position
-shared bed or bedroom
-nightmares
-night terrors
-night waking
-sleepwalking |
|
|
Term
| In the POMR CHH/RF, what questions are included in child dentition? |
|
Definition
-# teeth
-frequency of brushing, cleaning, and flossing
-pattern of tooth eruption and loss
-night bottle
-need for orthodontics |
|
|
Term
| In the POMR CHH/RF, what questions are included in child hygiene? |
|
Definition
-bathing
-frequency
-soaps
-shampoo
-skin care
-lotion |
|
|
Term
| In the POMR CHH/RF, what questions are included in interests and hobbies? |
|
Definition
-total # hours of TV, video game, and computer use
-use of cell phone and texting
-recreation and extracurricular activities
-church |
|
|
Term
| In the POMR CHH/RF, what questions are included in infant and toddler development? |
|
Definition
-milestones
-reflexes
-personality |
|
|
Term
| In the POMR CHH/RF, what questions are included in preschool, school age, and adolescent development? |
|
Definition
School:
-type
-grade: appropriate?
-likes?
-grades
-teacher concerns
-attendance
-special classes
Peers:
-how well plays with others
-friends
-activities
-supervision
Family:
-get along
-chores |
|
|
Term
| In the POMR CHH/RF, what questions are included in adolescent development? |
|
Definition
-dating
-sexual activity
-birth control
-future plans
-body image
-self-esteem
-peer pressure
-body piercing and tattoos
-gangs
-driving skills and safety |
|
|
Term
| In the POMR ROS, what is included in growth and measurement? |
|
Definition
-BP (starting at 3 yrs)
-head circumference (until 12 mos, or 2 yrs if abnormal)
-percentiles: ht, wt, HC
-BMI |
|
|
Term
| What is included in the Maryland newborn metabolic screen? |
|
Definition
-PKU
-galactosemia
-congenital hypothyroidism
-Sickle Cell Dz
-congenital adrenal hyperplasia
-biotinidase deficiency
-MSUD: maple sugar urine dz/BCK: branched chain ketoaciduria
-homocystinuria
-tryosinemia |
|
|
Term
| What is the newborn hearing screening protocol for hospital births? |
|
Definition
| 2 OAE (otoacoustic emissions) or AABR (automated auditory brainstem response) attempts prior to discharge |
|
|
Term
| What is the newborn hearing screening protocol for hospital fails or home and birth center birth? |
|
Definition
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|
Term
| What is the CDC Level of Concern for lead blood tests? |
|
Definition
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|
Term
| What are some risk factors that indicate cholesterol screening for a 2-18 year old? |
|
Definition
-family h/o premature cardiovascular dz
-parent with >239 mg/dL cholesterol
-lifestyle risk factors |
|
|
Term
| What is the upper limit of acceptable cholesterol levels for a child with risk factors? |
|
Definition
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|
Term
| What are some risk factors that indicate lead screening for a 9 month-6 year old? |
|
Definition
-building built before 1950
-building built before 1978 that is being/was recently remodeled
-sibling or playmate who had/has lead poisoning |
|
|
Term
| What are some risk factors that indicate annual tuberculin skin test for all ages? |
|
Definition
-HIV infection
-incarceration |
|
|
Term
| What are some risk factors that indicate screening for latent TB infection in all ages? |
|
Definition
-contact with TB
-contact with positive PPD
-born in or traveled to high risk country |
|
|
Term
| What are the universal screening guidelines for anemia? |
|
Definition
| initial measurement of Hgb or Hct for all full term infants 9-12 mos |
|
|
Term
| What are the universal screening guidelines for lead? |
|
Definition
| all children 9 mos-6 years old, except in communities with low risk of exposure |
|
|
Term
| At what age should repeat lead testing be considered d/t peak blood levels? |
|
Definition
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|
Term
| What are universal screening guidelines for dyslipidemia in older adolescents and adults, 20 years and older? |
|
Definition
| fasting lipoprotein profile every 5 yrs |
|
|
Term
| What does HEADSSS stand for in adolescent screening? |
|
Definition
-home
-education
-activities and peers
-drugs, alcohol, tobacco
-sexuality and abuse
-suicide and depression
-safety |
|
|
Term
| What is the DDST (Denver Developmental Screening Tool) II used for? What is a drawback? |
|
Definition
-monitor development of 0-6 year olds in 4 areas:
-social
-speech and language
-fine motor
-gross motor
-biased depending on environment where growing up |
|
|
Term
| What is the ASQ (Ages and Stages Questionnaire) used for? What is a drawback? |
|
Definition
-screening 1 month-5 1/2 year olds for development and social-emotional wellness
-long |
|
|
Term
| What is the PEDS-DM (Parents' Evaluation of Developmental Status- Developmental Milestones) used for? |
|
Definition
| eliciting concerns of parents of 7-11 year olds with a 6-8 item questionnaire each age or encounter |
|
|
Term
| What is the CAT/CLAMS (Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale) used for? |
|
Definition
| screening high risk preemies and low SES children for delays through direct observation |
|
|
Term
| What is the M-CHAT (Modified Checklist for Autism in Toddlers) used for? |
|
Definition
| screening toddlers for autism through a parent checklist |
|
|
Term
| What is the Pediatric Symptom Checklist used for? |
|
Definition
| screening for ADD/ADHD, depression, anxiety, conduct d/o, oppositional defiant d/o, and rage d/o through a parent questionnaire |
|
|
Term
| What are some exam approaches with the infant? |
|
Definition
-keep warm
-calm, gentle, soothing
- < 6 mos- exam table, > 6 mos- parent lap
-thorax, heart, abdomen 1st; mouth, pharynx last
-cephalo-caudal
-bright object for distraction or attention |
|
|
Term
| What are some exam approaches with the toddler? |
|
Definition
-talk to parent 1st
-allow to play with safe equipment
-seated on parent's lap
-move from non-invasive to invasive
-undress as go
-tell what going to do and do it
-praise
-education re: self care |
|
|
Term
| What are some exam approaches with the preschooler? |
|
Definition
-seated on exam table alone or with parent
-concrete, simple answers (concrete and magical thinking)
-education re: simple anatomy |
|
|
Term
| What are some exam approaches with the school age child? |
|
Definition
-tell if no shots today
-ask about privacy and modesty
-listen to own heartbeat
-educate
-proper terminology
-answer questions |
|
|
Term
| What are some exam approaches with the adolescent? |
|
Definition
-heightened privacy, respect, confidentiality
-time separate from parent
-non-judgemental
-reassure re: normalcy
-set realistic goals |
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