Podcast
Questions and Answers
What are the four domains of childhood development?
What are the four domains of childhood development?
What is the goal of well-child checks?
What is the goal of well-child checks?
Which of these factors is NOT considered a determinant of growth?
Which of these factors is NOT considered a determinant of growth?
What is the main benefit of understanding the norms of growth and development?
What is the main benefit of understanding the norms of growth and development?
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Which of these is NOT a potential negative effect of early life stressors and adverse childhood events (ACEs)?
Which of these is NOT a potential negative effect of early life stressors and adverse childhood events (ACEs)?
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What is the most accurate statement regarding the patterns of growth?
What is the most accurate statement regarding the patterns of growth?
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Which of these is NOT a commonly measured parameter of growth?
Which of these is NOT a commonly measured parameter of growth?
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Which of these is NOT a resource for learning more about child development and well-child checks?
Which of these is NOT a resource for learning more about child development and well-child checks?
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What is one of the main benefits of early childhood programs like Head Start?
What is one of the main benefits of early childhood programs like Head Start?
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What is the purpose of well child checks (WCC)?
What is the purpose of well child checks (WCC)?
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At what ages should standardized developmental screening tools be administered according to the guidelines?
At what ages should standardized developmental screening tools be administered according to the guidelines?
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Which of the following is NOT a component of the well child checks?
Which of the following is NOT a component of the well child checks?
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Which aspect of early childhood programs contributes to improving academic achievement?
Which aspect of early childhood programs contributes to improving academic achievement?
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Which of the following developmental milestones is typically achieved at 8 months of age?
Which of the following developmental milestones is typically achieved at 8 months of age?
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According to the provided information, which developmental screening tool is suitable for children from 1 month to 5.5 years old?
According to the provided information, which developmental screening tool is suitable for children from 1 month to 5.5 years old?
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Which category of information is NOT included in the "Pediatric History: Infants and Toddlers (0-3yrs)" section?
Which category of information is NOT included in the "Pediatric History: Infants and Toddlers (0-3yrs)" section?
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Which of the following statements about infant feeding is accurate based on the provided information?
Which of the following statements about infant feeding is accurate based on the provided information?
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According to the information provided, what is the recommended daily sleep duration for a 6-month-old infant?
According to the information provided, what is the recommended daily sleep duration for a 6-month-old infant?
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What are the normal variants in growth mentioned in the content?
What are the normal variants in growth mentioned in the content?
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Which of the following is NOT a reason why growth charts are used in pediatric care?
Which of the following is NOT a reason why growth charts are used in pediatric care?
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Which of the following is NOT a category of information included in the "History: School-Aged Children (4-11yrs)" section?
Which of the following is NOT a category of information included in the "History: School-Aged Children (4-11yrs)" section?
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Flashcards
Early Childhood Programs
Early Childhood Programs
Programs like Head Start that improve health and educational outcomes for young children.
Well Child Checks (WCC)
Well Child Checks (WCC)
Regular health check-ups focused on prevention, growth tracking, and parental concerns for children.
Developmental Screening
Developmental Screening
Standard assessments at specific ages to monitor children's growth and development milestones.
Gross Motor Milestones
Gross Motor Milestones
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Importance of Home Visitations
Importance of Home Visitations
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Domains of Childhood Development
Domains of Childhood Development
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Goal of Well-Child Checks
Goal of Well-Child Checks
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Predictable Development
Predictable Development
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Factors Affecting Development
Factors Affecting Development
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Normal Growth Parameters
Normal Growth Parameters
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Social Determinants of Health
Social Determinants of Health
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Adverse Childhood Events (ACEs)
Adverse Childhood Events (ACEs)
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Milestones of Development
Milestones of Development
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Developmental Milestones
Developmental Milestones
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Pincer Grasp
Pincer Grasp
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ASQ-3
ASQ-3
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Feeding Norms for Infants
Feeding Norms for Infants
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Growth Charts
Growth Charts
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Sleeping Norms for Toddlers
Sleeping Norms for Toddlers
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Constitutional Delay
Constitutional Delay
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Pediatric Vital Signs
Pediatric Vital Signs
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Study Notes
Pediatrics and Adolescent Medicine Module 3: H&P; Well-Child Checks
- This module focuses on well-child checks in pediatrics, covering infants, toddlers, and school-aged children.
Introduction to Development & Growth: Pediatric Health Maintenance
- Pediatric health maintenance begins immediately after birth, focusing on growth and developmental milestones.
- Routine screening is used to identify potential issues early.
- Resources such as the American Academy of Pediatrics, Bright Futures, the Center for Disease Control, the NM Department of Health, and the CDC are utilized.
Development
- Child development encompasses four domains: physical/motor skills, cognitive skills, language skills, and behavioral/social-emotional/mental health.
- Well-child checks aim to detect developmental delays or risk factors.
4 Principles of Child Development
- Development is predictable and its trajectory is measurable.
- Wide range of norms exists based on age, sex, and individual rates.
- Developmental level and understanding norms are needed to conduct accurate health assessments.
- Factors such as physical, social, environmental, and illnesses affect development.
- History and physical (H&P) are variable depending on developmental level and understanding of norms.
To Recognize Abnormal Growth
- Determinants of growth include maternal nutrition, intrauterine environment, genetics, environment & diet, and chronic illness.
- Growth patterns can be predictable, pulsatile, or seasonal.
- Parameters of growth include weight, length/height, weight-for-length, BMI, head circumference, and Tanner stages.
Social Determinants of Health (SDOH)
- Early life stressors and adverse childhood events (ACEs) negatively impact growth and development.
- Maltreatment, poverty, family instability, unsafe neighborhoods, lead exposure, and racism are examples of SDOH that have negative impacts.
- Negative effects include inadequate coping skills, difficulty regulating emotions, reduced social functioning, cognitive delays, poor academic achievement, and chronic diseases.
Overcoming Adversity: Early Childhood Programs
- High-quality developmental and educational programs, such as Head Start, are essential for improving early childhood outcomes.
- Such programs improve health, learning, social skills, and school readiness.
- These programs involve school meals, home visitations, and supportive social services, including classes for parents.
Well-Child Checks: Why?
- Well-child checks aim at illness prevention through immunizations and safety/nutrition discussions.
- They track growth and development, including milestones, social behaviors, and learning.
- They also address parental concerns about sleeping, eating, development, and social interactions.
- A team approach strengthens trustworthy relationships to better serve infants, children, and adolescents.
Developmental Screening Tools
- Examples include the Ages and Stages Questionnaire (ASQ-3), used for 1 to 5.5-year-olds, and covering communication, gross motor, fine motor, problem-solving and personal-social skills.
- Standardized screening tools for 9-month, 18-month, and 24- or 30-month well-child check-ups should be administered. Gross motor milestones at various ages are to be observed.
Pediatric History (Infants & Toddlers)
- Comprehensive history taking includes birth history, medical history, family history, social history, and developmental milestones.
- Feeding patterns, sleeping habits, stooling and urination, and vaccinations are also crucial elements.
Examples of Infant and Toddler Norms
- Feeding patterns for infants and toddlers, ranging from newborns to toddlers and beyond
- Sleeping habits for infants and toddlers
- Stools and urine frequency for infants and toddlers
History: School-Aged Children
- Involves similar components of the well-child visit, like birth and medical history, family history, and social history
- Developmental milestones, feeding patterns, sleeping habits, vaccinations, and school performance are recorded.
Pediatric Vital Signs
- A table listing normal vital signs across different age groups in pediatrics (newborn-13+ year olds).
- Includes heart rate, respiratory rate, systolic blood pressure, and diastolic blood pressure for each age group.
Examples of Pediatric Growth Charts
- Growth charts are crucial for monitoring physical development
- Charts provided include WHO for 0-2 years, CDC for 2-20 years, Down Syndrome, and Cerebral Palsy.
- Using charts helps track growth compared to population norms.
Normal Variants in Growth
- Different types of growth patterns are described, including constitutional delay, familial short stature, congenital GH deficiency, and Turner Syndrome.
Growth Chart Practice
- Includes plotting the growth of 1-year-old male, 4-year-old female, and 9-year-old male on appropriate growth charts.
Well-Child Checks: Components
- Discusses the context of the visit, priorities of the visit, and health supervision aspects in a well-child visit
- Context includes age and development, surroundings, and family needs
- Priorities include family concerns, health concerns, and surveillance of development
- Health supervision includes history, surveillance, observing interaction with others, screening, and vaccinations
Timing of WCC: Infants, Toddlers & Children
- A suggested schedule for well-child check-ups throughout different age ranges (Newborn to 10 years of age)
Class Discussion: Infants
- Discusses unique and challenging aspects of examining infants, along with well-child visit components
Childhood Vaccines
- The need for and required vaccines for 1 day old, 6 months old, 15 months old, 5 years old, and 10 years old is emphasized.
Class Discussion: Toddlers & School-aged Children
- Discusses unique and challenging aspects of examining toddlers and school-aged children and components of well-child visits
A note on lead screening
- All children enrolled in NM Medicaid, at 12 months and 24 months must be screened for lead.
- Levels should be under 5mcg/dL
- Retesting and follow-up is required if lead levels are above 5 mcg/dL
Group Work: 6 mo old WCC
- A case study of a 6-month-old female, including her nutrition, sleep, elimination, and measurements.
- Questions are posed regarding growth, immunizations, developmental milestones, introducing solids, anticipatory guidance, and universal screening.
Additional questions and prompts (Page 25, 26, 27)
- Questions regarding growth, immunizations, milestones, solid introduction, guidelines, and screenings are provided; answering them involves applying learned concepts to hypothetical cases.
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Description
Test your knowledge on childhood development concepts, including the four domains of development, well-child checks, and growth determinants. This quiz will challenge your understanding of important factors affecting child growth and development. Perfect for students and professionals in the field of child health.