Podcast
Questions and Answers
According to the provided text, which of these is NOT one of the four domains of childhood development?
According to the provided text, which of these is NOT one of the four domains of childhood development?
Which of the following is NOT mentioned in the text as a determinant of growth?
Which of the following is NOT mentioned in the text as a determinant of growth?
What is the primary goal of well-child checks, according to the text?
What is the primary goal of well-child checks, according to the text?
According to the information provided, which of the following is NOT a predictable pattern of growth?
According to the information provided, which of the following is NOT a predictable pattern of growth?
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What is considered a 'Social Determinant of Health' that can negatively affect growth and development, according to the text?
What is considered a 'Social Determinant of Health' that can negatively affect growth and development, according to the text?
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What is a potential consequence of early life stressors & adverse childhood events (ACEs)?
What is a potential consequence of early life stressors & adverse childhood events (ACEs)?
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Which of these factors is NOT mentioned as having an influence on development?
Which of these factors is NOT mentioned as having an influence on development?
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Based on the information provided, what does the acronym 'ACEs' stand for?
Based on the information provided, what does the acronym 'ACEs' stand for?
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Which of the following sources is NOT mentioned in the text as a resource for information regarding child development and growth?
Which of the following sources is NOT mentioned in the text as a resource for information regarding child development and growth?
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What is the primary purpose of measuring parameters of growth, as explained in the text?
What is the primary purpose of measuring parameters of growth, as explained in the text?
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Which of the following is a typical developmental milestone for an 8-month-old infant?
Which of the following is a typical developmental milestone for an 8-month-old infant?
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Which developmental screening tool is appropriate for children from 1 month to 5.5 years?
Which developmental screening tool is appropriate for children from 1 month to 5.5 years?
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Which of the following is NOT typically included in a pediatric history for infants and toddlers?
Which of the following is NOT typically included in a pediatric history for infants and toddlers?
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What is the recommended feeding frequency for a 4-6 month old infant with formula?
What is the recommended feeding frequency for a 4-6 month old infant with formula?
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What is the main purpose of well child checks (WCC)?
What is the main purpose of well child checks (WCC)?
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What is the typical range of daily sleep for a toddler?
What is the typical range of daily sleep for a toddler?
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Which of the following is a normal growth variant that can cause a child to appear shorter than their peers?
Which of the following is a normal growth variant that can cause a child to appear shorter than their peers?
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What is the recommended age for a well child check where standardized developmental screening tools should be administered?
What is the recommended age for a well child check where standardized developmental screening tools should be administered?
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Which developmental screening tool is most commonly used for children aged 2 to 20 years?
Which developmental screening tool is most commonly used for children aged 2 to 20 years?
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Which of the following is NOT typically included in a pediatric history for school-aged children?
Which of the following is NOT typically included in a pediatric history for school-aged children?
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Which of the following is an example of a gross motor milestone in infancy?
Which of the following is an example of a gross motor milestone in infancy?
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Which growth chart is recommended for children with Down syndrome?
Which growth chart is recommended for children with Down syndrome?
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What is the importance of a team approach during well child checks?
What is the importance of a team approach during well child checks?
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Which of the following is a common reason for a child to fall below their expected height percentile?
Which of the following is a common reason for a child to fall below their expected height percentile?
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What is the significance of tracking growth and development during well child checks?
What is the significance of tracking growth and development during well child checks?
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Which of the following is NOT specifically mentioned as a benefit of early childhood programs in the text?
Which of the following is NOT specifically mentioned as a benefit of early childhood programs in the text?
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How can well child checks address parental concerns?
How can well child checks address parental concerns?
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What does the text suggest about the importance of early childhood programs in the progression from preschool to first grade?
What does the text suggest about the importance of early childhood programs in the progression from preschool to first grade?
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What is one way that early childhood programs can help improve health outcomes for children?
What is one way that early childhood programs can help improve health outcomes for children?
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Flashcards
Child Development Domains
Child Development Domains
Development includes physical, cognitive, language, and social-emotional skills.
Well-Child Checks
Well-Child Checks
Examinations to detect developmental delays early.
Predictable Development
Predictable Development
Child development follows a predictable pattern.
Factors Affecting Development
Factors Affecting Development
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Determinants of Growth
Determinants of Growth
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Parameters of Growth
Parameters of Growth
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Adverse Childhood Events (ACEs)
Adverse Childhood Events (ACEs)
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Social Determinants of Health (SDoH)
Social Determinants of Health (SDoH)
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Growth Patterns
Growth Patterns
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Milestones in Growth
Milestones in Growth
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Early Childhood Programs
Early Childhood Programs
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Health Outcomes
Health Outcomes
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School Readiness
School Readiness
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Well Child Checks (WCC)
Well Child Checks (WCC)
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Standardized Developmental Screening
Standardized Developmental Screening
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Gross Motor Milestones
Gross Motor Milestones
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Immunizations
Immunizations
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Team Approach
Team Approach
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Parental Concerns
Parental Concerns
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Social Skills
Social Skills
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Developmental Milestones
Developmental Milestones
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6 Months Milestone
6 Months Milestone
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8 Months Milestone
8 Months Milestone
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9 Months Milestone
9 Months Milestone
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ASQ-3
ASQ-3
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Feeding Norms for 2 Months
Feeding Norms for 2 Months
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Sleeping Norms for 0-6 Months
Sleeping Norms for 0-6 Months
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Pediatric Vital Signs
Pediatric Vital Signs
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Familial Short Stature
Familial Short Stature
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Growth Charts
Growth Charts
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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 and adolescent medicine.
- Well-child checks aim to identify developmental delays or risks in children.
- Child development includes four key domains: physical/motor skills, cognitive skills, language skills, and behavioral/social-emotional/mental health.
- Developmental milestones are tracked from birth.
- Screening tools, such as the ASQ-3, aid in identifying developmental concerns.
- Key factors affecting development include physical, social, and environmental elements.
- Development is predictable, measurable, and has a variable pathway.
Introduction to Development & Growth: Pediatric Health Maintenance
- Growth and development are monitored from birth.
- Screening helps to ensure that no issues are missed.
- Resources, such as the American Academy of Pediatrics and the Centers for Disease Control, are used.
4 Principles of Child Development
- Development is predictable.
- Pathways are measurable.
- There's a range of norms in development.
- Individual rates of development vary.
- The History and Physical (H&P) is variable, depending on the child's developmental level and understanding of norms.
To Recognize Abnormal Growth
- Key determinants of growth include maternal nutrition, intrauterine environment, genetics, environment and diet, and chronic illnesses.
- Parameters of growth include weight, length/height, weight-for-length or BMI, head circumference, and Tanner stages.
- Understanding normal growth patterns is essential to identify abnormalities.
How do Social Determinants of Health (SDoH) affect growth and development?
- Early life stressors and adverse childhood events (ACEs) can negatively affect growth and development.
- Negative effects include difficulties with coping skills, emotional regulation, reduced social functioning, cognitive delays, poor academic achievement, chronic diseases, and tobacco, alcohol, and drug use.
- Maltreatment, poverty, family instability, unsafe neighborhoods, lead exposure, and racism are some examples of SDoH.
Overcoming Adversity: Early Childhood Programs
- High-quality developmental and educational programs (like Head Start) are essential for improving outcomes.
- These programs improve health outcomes, learning, social skills, and school readiness.
- Supportive social services and classes for parents can aid children's academic achievement.
Well Child Checks (Why?)
- Well-child checks are essential for preventing illness via immunizations and promoting safety.
- Monitoring growth and development helps detect milestones, social behaviors, and learning patterns.
- Identifying parental concerns is vital and helps with sleeping, eating, development, and interactions with others.
- A team approach fosters strong relationships and addresses various needs of infants, children, and adolescents.
Standardized Developmental Screening Tools
- At minimum, screenings should occur at 9-months, 18-months, and 24 or 30-months of age, and any time concerns are raised.
- Examples of gross motor milestones include those like chin-up, visual tracking, reaching, sitting, unassisted, pincer grasp, crawling, and standing/cruising, with approximate ages.
Examples of Developmental Screening tools
- The Ages and Stages Questionnaire® (ASQ-3) assesses communication, gross motor skills, fine motor skills, problem-solving, and personal-social development.
Pediatric History (Infants and Toddlers)
- History encompasses birth, medical, family, social, developmental milestones.
- Key elements include feeding, sleeping, stooling/urination, and vaccinations.
Examples of Infant and Toddler Norms
- Typical feeding patterns (e.g., formula, solids, milk).
- Sleeping durations and frequency (e.g., newborns sleep more than toddlers).
- Stooling and urination frequencies.
History: School-Aged Children (4-11yrs)
- History includes birth (if applicable), medical, family, and social histories.
- Key elements include developmental milestones, feeding, sleeping, vaccinations, and school performance/
Pediatric Vital Signs
- Vital signs like heart rate, respiratory rate, systolic blood pressure, and diastolic blood pressure vary across different age groups.
Examples of Pediatric Growth Charts
- Growth charts are used to track child growth and compare to standards.
- Different charts exist for various ages and groups (e.g., WHO for 0-2 years, CDC for 2-20 years).
Normal Variants in Growth
- Variations, such as constitutional delay, familial short stature, congenital GH deficiency, and Turner syndrome, affect growth patterns.
Growth Chart Practice
- Plot children's growth parameters on appropriate growth charts.
Well-Child Checks: Components
- Visit context considers child's age and development.
- The agenda centers on family needs.
- Health supervision includes development history, observation of interaction, screenings, and vaccinations.
Timing of WCC: Infants, Toddlers & Children
- Specific schedules exist for well-child check-ups at various ages (i.e., newborns, 1-week old, 1, 2, 4..., 18 months).
- Routine checkup is recommended regularly through childhood and adolescence.
Class Discussion: Infants
- Special aspects/challenges of examining infants.
Childhood Vaccines: Practice!
- Vaccination schedule for various ages.
Toddlers & School-aged Children
- Unique examination considerations and well-child visit structure for this age group.
A note on Lead Screening
- Lead testing is required for all children enrolled in NM Medicaid at 12 and 24 months.
Group Work: 6 mo old WCC
- Case study involving a 6-month-old child for a well-check.
- Includes questions regarding growth, immunizations, milestones, solid food introduction, anticipatory guidelines and universal screening
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Description
This quiz focuses on well-child checks in pediatrics and adolescent medicine. It covers developmental milestones, key factors affecting child development, and the use of screening tools to identify potential delays. Understanding these components is crucial for effective pediatric health maintenance.
