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26 Cards in this Set
- Front
- Back
New time for the old “two week” visit
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48 to 72 hours after release from nursery
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Important specifics to evaluate and record on first visit
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• Mom’s appearance
• Infant’s appearance • Vital signs (through at least 3 years) |
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Vitals to account for in the infant
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Length, weight, head circumference, temperature
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Amount of weight the baby can normally lose during the 1st week of life
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10% of body weight
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Important aspect of HEENT on every well-child exam (always, always, always...)
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Red reflex (most common pathology seen is cataracts)
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Maneuvers to use to check hip integrity (through about 3 months of age)
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Ortalani/Barlow maneuvers
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Questions to ask at first visit
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• Sleep patterns
• Feeds/day and stool production/character • Any other concern • Hep B vaccine given in the hospital |
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Sleep position for babies
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Back is best
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Reason for Tylenol infant drops at one month visit
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Immunizations
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Important vitamin supplementation w/ formula and the introduction of solid foods
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Iron
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Time for introduction of solid foods
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4-6 months
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• Responds to sounds
• Watches mom’s face, briefly • Lifts head when on tummy, briefly • Moves all extremities, jerky • Smiles spontaneously • Calms w/ soothing voice or soft repetitive sounds • Clams self briefly |
development at 1 month
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• Cooing, vocalization of pleasure
• Lifts head and chest while prone • Improved head control • Variety of emotions • Begins to discover fingers/hands |
development at 2 months
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• Laugh/squeal/smile
• Roll (F -> B) • Open hands, grasp toy, hold hands together • Reach for objects • Recognize breast/bottle • Look intently at parent’s hands • Follow parents around room w/ eyes • Entertain self for brief periods |
development at 4 months
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• Rolling (F -> B -> F)
• Sits w/ some support • Anticipates spoonfuls • Anticipates being picked up • Repeats actions that receive good reviews • Babbles and smiles • Has definite ‘space’ • Everything goes to the mouth |
development at 6 months
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• Sitting to prone w/out assistance
• Stands holding on • Bangs items together • Explores foods w/ fingers • ‘shows off’ • Imitates vocal inflections and behaviors • Regularity in stool pattern/bladder control |
development at 9 months
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• Moves rapidly, crawls, walks
• Enjoys the ‘art’ of feeding self • Expresses a complete thought w/ one syllable • Continues to prefer familiar people • Likes rhythms and rhymes • Displays sense of humor • Often examines items visually before putting them in mouth |
development at 12 months
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• 3-6 to 20 words
• Walking well and in reverse by 18 months • Understanding of simple queries • Throws, pushes, rolls toys • Listens to a short story w/ pictures • Imitates parents |
development at 15-18 months
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Age to pay particular attention to muscle tone and range of motion
early signs of cerebral palsy/extremity spasticity begin to be evident |
4 months
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special attention during HEENT exam on a 4 month old
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gaze (eyes)
eyes should no longer wander |
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usual time for eruption of teeth
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between 5 and 10 months of life
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Usual timeframe for first URI
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Six months
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breast feeding and/or formula feeds continue until...
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one year of age
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Food stages to introduce at the nine month visit
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• Stage 1: fine puree, small jars
• Stage 2: bigger jars • Stage 3: larger chunks |
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Tested for on the Denver II standard development test, introduced at the nine month visit
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• Personal/social development
• Language • Fine motor • Gross motor |
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Age for introduction of whole milk (preferred through two years of age) and weaning from bottle/breast
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12 months
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