Podcast
Questions and Answers
Which of the following is NOT a typical offering of early childhood programs?
Which of the following is NOT a typical offering of early childhood programs?
- School meals
- Home visitations
- Parent classes
- Job placement services (correct)
What is the primary focus of well-child checks (WCC) concerning a child's development?
What is the primary focus of well-child checks (WCC) concerning a child's development?
- Addressing sleeping and eating habits exclusively.
- Tracking milestones, social behaviors, and learning, while also being aware of parental concerns. (correct)
- Primarily focusing on physical health issues, such as immunizations and nutrition.
- Administering standardized developmental screening tools only at specific ages
At what age should standardized developmental screening tools be administered during well-child checks, according to the provided information?
At what age should standardized developmental screening tools be administered during well-child checks, according to the provided information?
- At 6-month, 12-month, and 18-month visits
- At 3-month, 12-month, and 24-month visits
- At 9-month, 18-month, and 24- or 30-month visits (correct)
- Only at 24- or 30-month visits
According to the information provided, what is typically the first gross motor milestone achieved in infancy?
According to the information provided, what is typically the first gross motor milestone achieved in infancy?
What is the role of a team approach in well-child checks?
What is the role of a team approach in well-child checks?
Which of the following is NOT considered one of the four main domains of childhood development?
Which of the following is NOT considered one of the four main domains of childhood development?
What is the primary goal of well-child checks?
What is the primary goal of well-child checks?
Which of the following is NOT an established principle of child development?
Which of the following is NOT an established principle of child development?
Which of these is NOT a direct determinant of growth parameters?
Which of these is NOT a direct determinant of growth parameters?
Which of the following is NOT a typical parameter used to track growth in children?
Which of the following is NOT a typical parameter used to track growth in children?
Which of these is considered a Social Determinant of Health (SDoH) that can negatively affect growth and development?
Which of these is considered a Social Determinant of Health (SDoH) that can negatively affect growth and development?
Which of the following is a negative effect of early life stressors and adverse childhood events (ACEs)?
Which of the following is a negative effect of early life stressors and adverse childhood events (ACEs)?
What is a characteristic of normal growth patterns?
What is a characteristic of normal growth patterns?
At what age do infants typically develop the ability to sit unassisted?
At what age do infants typically develop the ability to sit unassisted?
Which developmental milestone is typically achieved around 8 months of age?
Which developmental milestone is typically achieved around 8 months of age?
What is the typical feeding amount for a 4-month old infant?
What is the typical feeding amount for a 4-month old infant?
Approximately how much sleep per day is typical for a newborn?
Approximately how much sleep per day is typical for a newborn?
Which of these is NOT typically included in the pediatric history for school-aged children (4-11 years)?
Which of these is NOT typically included in the pediatric history for school-aged children (4-11 years)?
Which of the following developmental screening tools is appropriate for use with children 1 month to 5.5 years?
Which of the following developmental screening tools is appropriate for use with children 1 month to 5.5 years?
When are solid foods typically introduced to an infant?
When are solid foods typically introduced to an infant?
If a two-year old needs to be plotted on a growth chart, which growth chart should be used?
If a two-year old needs to be plotted on a growth chart, which growth chart should be used?
Which of the following is least likely to be a direct benefit of high-quality early childhood programs?
Which of the following is least likely to be a direct benefit of high-quality early childhood programs?
During a well-child check, the identification of a child not reaching specific milestones is primarily used to:
During a well-child check, the identification of a child not reaching specific milestones is primarily used to:
What is the primary focus of tracking growth parameters and developmental milestones during well child checks?
What is the primary focus of tracking growth parameters and developmental milestones during well child checks?
If a parent expresses concern about their child's development during a well-child check, what is the most appropriate next step?
If a parent expresses concern about their child's development during a well-child check, what is the most appropriate next step?
Which scenario most appropriately aligns with the recommended use of standardized developmental screening tools during a well-child check?
Which scenario most appropriately aligns with the recommended use of standardized developmental screening tools during a well-child check?
Which of the following best describes the relationship between growth and development?
Which of the following best describes the relationship between growth and development?
Which factor has the least direct impact on a child’s developmental trajectory, according to the provided content?
Which factor has the least direct impact on a child’s developmental trajectory, according to the provided content?
What is the primary purpose of the American Academy of Pediatrics Bright Futures initiative, in the context of pediatric health?
What is the primary purpose of the American Academy of Pediatrics Bright Futures initiative, in the context of pediatric health?
What is meant by the statement 'development is predictable'?
What is meant by the statement 'development is predictable'?
Which of the following statements most closely describes the relationship between Social Determinants of Health (SDoH) and child development?
Which of the following statements most closely describes the relationship between Social Determinants of Health (SDoH) and child development?
Why is it important to understand 'normal' growth patterns when evaluating a child's development?
Why is it important to understand 'normal' growth patterns when evaluating a child's development?
What does the 'pulsatile' nature of growth refer to?
What does the 'pulsatile' nature of growth refer to?
Which of the following factors is least likely to influence the accuracy of a child’s growth parameter measurements?
Which of the following factors is least likely to influence the accuracy of a child’s growth parameter measurements?
At what age does an infant typically begin to crawl?
At what age does an infant typically begin to crawl?
What is the typical amount of formula a 4-6 month old infant consumes per feeding?
What is the typical amount of formula a 4-6 month old infant consumes per feeding?
Which developmental skill is typically identified around 11 months of age?
Which developmental skill is typically identified around 11 months of age?
What frequency of sleeping hours is typical for a toddler?
What frequency of sleeping hours is typical for a toddler?
What is a significant aspect of the CDC checklist in pediatric assessments?
What is a significant aspect of the CDC checklist in pediatric assessments?
What is the characteristic feeding pattern for an infant aged 2 months?
What is the characteristic feeding pattern for an infant aged 2 months?
Which pediatric growth chart is recommended for children aged 2-20 years?
Which pediatric growth chart is recommended for children aged 2-20 years?
What is the appropriate number of wet diapers an infant should have daily?
What is the appropriate number of wet diapers an infant should have daily?
Flashcards
What are the four domains of childhood development?
What are the four domains of childhood development?
The four areas of development that are assessed during well-child checks: physical/motor skills, cognitive skills, language skills, and behavioral, social-emotional, and mental health.
What is the purpose of well-child checks?
What is the purpose of well-child checks?
The goal of regular well-child checks is to identify developmental delays in children early on and provide appropriate interventions or support.
What are the principles of child development?
What are the principles of child development?
Development follows a predictable pattern and milestones are measurable, meaning we can track children's progress and identify any potential issues.
What factors can influence child development?
What factors can influence child development?
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What are Adverse Childhood Experiences (ACEs)?
What are Adverse Childhood Experiences (ACEs)?
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What are the effects of ACEs on children?
What are the effects of ACEs on children?
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What are Social Determinants of Health (SDoH)?
What are Social Determinants of Health (SDoH)?
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Why is understanding SDoH important for child development?
Why is understanding SDoH important for child development?
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Early Childhood Programs: Benefits
Early Childhood Programs: Benefits
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Well Child Checks: Purpose
Well Child Checks: Purpose
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Well Child Checks: What's Included?
Well Child Checks: What's Included?
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Developmental Screening Tools
Developmental Screening Tools
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Gross Motor Milestones
Gross Motor Milestones
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What is a developmental screening tool?
What is a developmental screening tool?
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What is pincer grasp?
What is pincer grasp?
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What are infant and toddler norms?
What are infant and toddler norms?
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What is a pediatric history?
What is a pediatric history?
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What is constitutional delay?
What is constitutional delay?
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What are pediatric vital signs?
What are pediatric vital signs?
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What are pediatric growth charts?
What are pediatric growth charts?
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What is the CDC checklist?
What is the CDC checklist?
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Why are well-child checks important?
Why are well-child checks important?
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What are the components of a well-child check?
What are the components of a well-child check?
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How are developmental delays detected?
How are developmental delays detected?
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What are the benefits of early childhood programs?
What are the benefits of early childhood programs?
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What are gross motor milestones?
What are gross motor milestones?
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What are the four core domains of childhood development?
What are the four core domains of childhood development?
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What is the main purpose of well-child checks?
What is the main purpose of well-child checks?
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What are the effects of ACEs on children's development?
What are the effects of ACEs on children's development?
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What benefits are associated with Early Childhood Programs?
What benefits are associated with Early Childhood Programs?
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Study Notes
Pediatrics and Adolescent Medicine - Module 3: H&P; Well-Child Checks
- This module covers well-child checks for infants, toddlers, and school-aged children (0-11 years).
- Development is a broad term including four domains; physical/motor skills, cognitive skills, language skills, and behavioral, social-emotional, and mental health domains.
- The goal of well-child checks is to identify children with developmental delays or at risk, early.
- Development is predictable, and pathways are measurable.
- The range of norms for development is wide, depending on age, sex, and individual rate.
- H&P examinations are variable based on developmental level, and understanding the norms.
- Determinants of growth include maternal nutrition, intrauterine environment, genetics, the environment and diet, and chronic illness.
- Parameters of growth include weight, length/height, BMI, head circumference and Tanner stages.
- Social Determinants of Health (SDoH) affect growth and development, including factors such as adversity (maltreatment, poverty, family instability, unsafe neighbourhoods, lead exposure, racism).
- Negative effects of SDOH include: inadequate coping skills, difficulty regulating emotions, reduced social function, Cognitive delays, poor academic achievement, chronic diseases, and tobacco, alcohol and drug use.
- High-quality developmental and educational programs, like Head Start, improve health outcomes, learning and social skills, school readiness, and academic achievement.
- Well-child checks aim to prevent illness (immunizations, safety and nutrition), track growth and development (milestones, social behaviors, learning), discuss parental concerns (sleeping, eating, development, relations with others), and build strong relationships with families.
- Standardised developmental screening tools should be administered at 9-month, 18-month, and 24- or 30-month well-child checks, and whenever concerns arise.
- Examples of gross motor milestones in infancy include chin up when prone (1 month), visual tracking of an object (2 months), reaching for objects (4 months), sitting unassisted (6 months), pincer grasp (8 months), crawling (9 months), and standing and cruising (11 months) .
- Examples of developmental screening tools include the ASQ-3 (Ages and Stages Questionnaire, 3rd edition), for ages 1 month to 5.5 years. This covers communication, gross motor, fine motor, problem-solving, and personal/social skills.
- Pediatric history for 0-3 years includes birth history, medical history, family history, social history, developmental milestones, feeding, sleeping, stooling, urination and vaccinations.
- Pediatric history for 4-11 years includes birth history (if applicable), medical history, family history, social history, developmental milestones, feeding, sleeping, vaccinations, and school performance.
- Examples of infant and toddler norms include feeding (e.g., 2-month-old infant: 4-5 oz formula every 3-4 hours), sleeping (0-6 months: 15-16 hours/day; 6 months-toddler: 10-11 hours/day), stooling and urination (infants may defecate once a day, several times per day, or go several days; infants: 4-6 wet diapers per day or more).
- Important factors for lead screening: all enrolled NM Medicaid children MUST be tested for lead at 12 months old; 24 months old. AAP recommends universal lead screening at each age. Levels should be less than 5mcg/dL; If 5mcg/dL+ follow up and retesting is needed.
- A typical 6-month-old well-child visit would include questions concerning growth, immunizations, age-appropriate milestones, introduction of solids, anticipatory guidance, and universal screening.
Childhood Vaccines
- The recommended childhood vaccination schedule should be referenced and reviewed.
- Specific examples of vaccines due for infants include those at 1 day old, 6 months old, 15 months old, 5 years old, and 10 years old. (Note: this is not an exhaustive list, and scheduling must be tailored to individual needs).
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