Term
| What are the components of a well child exam? |
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Definition
-history
-measurements
-sensory screening
-developmental behavioral assessment
-physical exam
-procedures
-oral health
-anticipatory guidance |
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Term
| What are the parameters of childhood lead screening? |
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Definition
-Medicaid clients: blood test
-other: screening questions |
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Term
| What are parameters of childhood PPDs? |
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Definition
| not routine, just screening questions |
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Term
| What ages are included in infancy care? |
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Definition
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Term
| What ages are included in early childhood care? |
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Definition
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Term
| What ages are included in middle childhood care? |
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Definition
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Term
| What ages are included in adolescent care? |
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Definition
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Term
| What are the Healthy People 2020 goals for childhood immunization? |
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Definition
| 90% adherence to basic immunization series, 80% to other in children < 2 yo |
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Term
| What are the basic immunizations for < 2 yo? |
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Definition
-DTaP: diptheria, tetanus, pertussis
-IPV: polio
-MMR: measles, mumps, rubella
-Hep A: Hepatitis A
-Hep B: Hepatitis B
-Hib: Haemophilus influenza type B
-Varicella
-Rotavirus
-Pneumococcal
-Influenza
(-Synagis- for high risk infants) |
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Term
| How many doses of DTap for <2yo? |
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Definition
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|
Term
| How many doses of IPV for <2yo? |
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Definition
|
|
Term
| How many doses of MMR for <2yo? |
|
Definition
|
|
Term
| How many doses of Hib for <2yo? |
|
Definition
|
|
Term
| How many doses of Hep B for <2yo? |
|
Definition
|
|
Term
| How many doses of varicella for <2yo? |
|
Definition
|
|
Term
| How many doses of pneumococcal for <2yo? |
|
Definition
|
|
Term
| How many doses of rotavirus for <2yo? |
|
Definition
|
|
Term
| How many doses of influenza for <2yo? |
|
Definition
|
|
Term
| How many doses of Hep A for <2yo? |
|
Definition
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Term
| Which vaccines are not included in Healthy People 2020? |
|
Definition
-Rotavirus
-Influenza
-Hep A
-Synagis |
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Term
| What is the market names of the Rotavirus vaccine? |
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Definition
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Term
| What are the age guidelines for Rotateq administration? |
|
Definition
-2, 4, 6 months
-minimum interval bw doses: 6 wks
-minimum age: 6 wks
-maximum start age: 15 weeks
-maximum end age: 8 months 0 days |
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Term
| How do age guidelines for Rotarix administration differ from Rotateq? |
|
Definition
| -2, 4 months, NO 6 months |
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Term
| What conditions would warrant precaution with rotavirus vaccine? |
|
Definition
-moderate or severe illness, including acute gastroenteritis
-preexisiting chronic GI dz
-h/o intussusception |
|
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Term
| What are risk factors that indicate Synagis? |
|
Definition
- < 34 wk gestation
-TOB in household
-formula fed
-daycare |
|
|
Term
| How many doses of Synagis? |
|
Definition
| monthly during RSV season in high risk |
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Term
| What boosters are given 4-6 yo? |
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Definition
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Term
| What precautions must be used with live OPV (oral polio vaccine)? |
|
Definition
| no immunocompromised caregiver |
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Term
|
Definition
| vaccine-associated paralytic poliomyelitis, associated with OPV |
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Term
| Hib is a leading cause of ___?___ and ___?___. |
|
Definition
-childhood bacterial meningitis
-postnatal mental retardation |
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Term
| Hib vaccine is NOT given after ___?___ |
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Definition
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Term
| What is the dosing schedule for Hib vaccine? |
|
Definition
|
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Term
| What is the dosing schedule for pneumococcal vaccine? |
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Definition
|
|
Term
| What is the brand name of pneumococcal vaccine? |
|
Definition
|
|
Term
| What are catch up guidelines for pneumococcal vaccine? |
|
Definition
| 1 dose to healthy 24-59 mo olds |
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Term
| Pneumococcal Polysaccharide Vaccine/Pneumovax is indicated for ___?___ |
|
Definition
| children with compromised spleen function (Sickle Cell, Sickle/Thalassemia) |
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Term
| What are the basic immunizations for children and adolescents? |
|
Definition
-DTaP
-Hep A
-Hep B
-MMR
-Varicella
-Meningococcal
-HPV |
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|
Term
| How many doses of Hep B for >2yo? |
|
Definition
|
|
Term
| How many doses of MMR for >2yo? |
|
Definition
|
|
Term
| How many doses of varicella for >2yo? |
|
Definition
|
|
Term
| How many doses of Hep A for >2yo? |
|
Definition
|
|
Term
| What are the age guidelines for meningococcal? |
|
Definition
- >11 yo
- 2 yo-older adult if high risk |
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|
Term
|
Definition
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Term
| What are the dosing interval guidelines for DTaP? |
|
Definition
-6-8 weeks between doses 1,2,3
-6 months between doses 3,4
-don't need 5th dose if received 4th dose >4yo |
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Term
| What are the age guidelines for DTaP? |
|
Definition
-primary series: 2,4,6 months
-boosters: 12-18 months, 4-5 yrs |
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Term
| What are the age and dosing guidelines for Tdap? |
|
Definition
-adolescents-64yo
-booster 11 yo and 5 yrs from last Td
-minimum age: Boostrix- 10 yo, Adecel- 11 yo |
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Term
| What are the age guidelines for HBV? |
|
Definition
-birth, 1-2 mos, 6 mos
-older than 6 mos: 3 dose series |
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Term
| What are the age guidelines for MMR? |
|
Definition
|
|
Term
| What are the catch up guidelines for MMR? |
|
Definition
|
|
Term
| What are age guidelines for varicella? |
|
Definition
|
|
Term
| What are interval guidelines for varicella? |
|
Definition
| -3 months for 12 month-12 yo |
|
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Term
| What are catch up guidelines for varicella? |
|
Definition
| -after age 13, repeat dose in 1 month |
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Term
| When is the MMRV vaccine recommended? |
|
Definition
| Dose 2 and any dose > 48 months old |
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Term
| What are age guidelines for Hep A? |
|
Definition
|
|
Term
| What are interval guidelines for Hep A? |
|
Definition
|
|
Term
| What are catch up guidelines for Hep A? |
|
Definition
|
|
Term
| What are interval guidelines for HPV? |
|
Definition
-4 wks bw 1&2
-12 wks bw 2&3 |
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|
Term
| What are age guidelines for HPV? |
|
Definition
-routine 11-12 yo
-approved 9-26 yo |
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Term
| HPV vaccine may still be given if: ___?___ |
|
Definition
-no baseline Pap or pelvic exam
-abnormal Pap, positive HPV, or genital warts
-lactating and breastfeeding
-immunocompromised |
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Term
| Patient signature is required upon receipt of VIS (Vaccine Information Sheet). true/false |
|
Definition
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Term
| Allergy to Baker's yeast is a contraindication for ___?___ |
|
Definition
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|
Term
| Egg allergy is a contraindication for ___?___ |
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Definition
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|
Term
| Neomycin allergy is a contraindication for ___?___ |
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Definition
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|
Term
| Streptomycin allergy is a contraindication for ___?___ |
|
Definition
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|
Term
| Pregnancy is a contraindication for ___?___ |
|
Definition
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Term
| What are contraindications for the flu vaccine? |
|
Definition
-chicken or egg allergy
-moderate to severe febrile illness
-h/o Guillain Barre Syndrome
live attenuated:
-no other live vaccines w/i 4 wks
- < 5 yo with h/o wheezing |
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Term
| When is the flu TIV (trivalent inactivated vaccine) given? |
|
Definition
-6mos-2yo
-children with chronic medical conditions
-children with nasal congestion
-pregnancy
-close contact with person who is severely compromised |
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Term
| What are guidelines for the 1st flu vaccine for children 6mos-8yo? |
|
Definition
|
|
Term
| What are 2 vaccine options for immunosuppressed persons? |
|
Definition
-inactivated vaccines (safe, but less effective)
-IVIG: intravenous immunoglobulin |
|
|
Term
| What are guidelines for vaccines for children receiving immunosuppressive agents, chemotherapy? |
|
Definition
| vaccines at least 3 mos after stopping agents |
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