Well CHild
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Questions and Answers

What is the recommended action to reduce risks of injury from heavy furniture?

  • Anchor furniture to a wall (correct)
  • Keep furniture away from walls
  • Use smaller furniture pieces
  • Place heavy items on top of furniture

    • Which of the following precautions should be taken to prevent drowning in young children?

  • Install life preservers around swimming areas
  • Supervise children closely around water (correct)
  • Encourage children to play near water
  • Kids should learn swimming at a young age

    • Why should infants be weaned to a cup by 12 months of age?

  • To reduce the risk of dental caries (correct)
  • To encourage social interaction
  • To enhance oral development
  • To prevent choking hazards

    • What is a recommended safety measure for firearms in the home?

    <p>Keep firearms unloaded and locked</p> Signup and view all the answers

    What is a proper water heater setting to prevent scald burns in young children?

    <p>120°F (49°C)</p> Signup and view all the answers

    What is an appropriate type of media for children under 18 months?

    <p>Video chatting</p> Signup and view all the answers

    Which of the following is a choking hazard for young children?

    <p>Latex balloons</p> Signup and view all the answers

    What dental care practice should parents begin as soon as a child's teeth erupt?

    <p>Begin brushing teeth immediately</p> Signup and view all the answers

    What type of car seat should infants use until they are two years old?

    <p>A rear-facing car safety seat</p> Signup and view all the answers

    Which aspect is NOT included in the history review during well-child visits?

    <p>Immunization schedule</p> Signup and view all the answers

    What is an important consideration when assessing breastfed infants?

    <p>Feeding problems</p> Signup and view all the answers

    Which of the following is a potential sign of child abuse that should be assessed during well-child visits?

    <p>Bruises on nonmobile infants</p> Signup and view all the answers

    What should be reviewed and updated during each well-child visit?

    <p>Medical and family histories</p> Signup and view all the answers

    When assessing growth, which growth chart is recommended by the CDC?

    <p>CDC-recommended growth charts</p> Signup and view all the answers

    What should be done to prevent injuries around pools and spas?

    <p>Completely fence them with a self-closing, self-latching gate</p> Signup and view all the answers

    What is a common misconception about the use of infant walkers?

    <p>They should be discouraged for safety reasons</p> Signup and view all the answers

    What is included in a complete history taken during a well-child visit?

    <p>Family and social histories</p> Signup and view all the answers

    Which of the following is recommended for car seat usage?

    <p>Car seats should remain rear-facing until two years of age</p> Signup and view all the answers

    At what age is a one-time vision screening recommended to detect amblyopia?

    <p>Between three and five years of age</p> Signup and view all the answers

    What dietary recommendation is made regarding juice consumption for children?

    <p>Juice should be avoided before one year of age</p> Signup and view all the answers

    What is a recommended practice regarding breastfeeding in infants?

    <p>Breastfeeding should cease before six months</p> Signup and view all the answers

    What aspect of parental care is included during well-child visits?

    <p>Providing anticipatory guidance</p> Signup and view all the answers

    Which screening is recommended for mothers during well-child visits?

    <p>Screening for postpartum depression</p> Signup and view all the answers

    What is the purpose of well-child visits for infants and young children?

    <p>To ensure comprehensive assessments and promote health</p> Signup and view all the answers

    What is the maximum recommended screen time for children aged two to five according to the AAP?

    <p>1 hour per day</p> Signup and view all the answers

    To reduce the risk of SIDS, how should infants be positioned for sleep?

    <p>On their backs</p> Signup and view all the answers

    What supplementation is recommended for exclusively breastfed infants to prevent vitamin D deficiency?

    <p>400 IU of Vitamin D</p> Signup and view all the answers

    What is the recommended age to introduce highly allergenic foods such as peanuts to reduce food allergy development?

    <p>Before 1 year</p> Signup and view all the answers

    What effect does delaying the transition to cow's milk until 12 months have?

    <p>Decreases iron deficiency incidence</p> Signup and view all the answers

    How much active free play do the AAFP and AAP recommend for children each day?

    <p>60 minutes</p> Signup and view all the answers

    Which of the following practices is associated with an increased risk of SIDS?

    <p>Exposure to tobacco</p> Signup and view all the answers

    What is the recommendation regarding juice consumption for children under one year?

    <p>No juice should be given at all</p> Signup and view all the answers

    What is the main reason young children should be closely supervised around bodies of water?

    <p>To prevent drowning incidents</p> Signup and view all the answers

    Why should parents avoid giving juices to infants younger than 12 months?

    <p>Juices have insufficient nutrients for infants</p> Signup and view all the answers

    What is an important practice regarding dental health for infants?

    <p>Begin brushing as soon as teeth erupt</p> Signup and view all the answers

    What safety measure is recommended for furniture to prevent accidents in young children?

    <p>Anchor heavy furniture to walls</p> Signup and view all the answers

    Which action significantly reduces the risk of fire-related deaths?

    <p>Regularly maintaining smoke detectors</p> Signup and view all the answers

    What is an appropriate method for managing screen time for children aged 18 to 24 months?

    <p>Only educational programs and applications</p> Signup and view all the answers

    What is a recommended prevention method for choking hazards for young children?

    <p>Keep small objects away from children</p> Signup and view all the answers

    What is the recommended maximum temperature setting for water heaters to prevent scald burns?

    <p>120°F (49°C)</p> Signup and view all the answers

    What is the primary purpose of well-child visits for infants and young children?

    <p>To screen for medical problems and provide anticipatory guidance</p> Signup and view all the answers

    Which history component is essential to gather during the well-child visit?

    <p>Prior hospitalizations and surgeries</p> Signup and view all the answers

    At what age is a one-time vision screening recommended to detect potential issues like amblyopia?

    <p>Between three and five years</p> Signup and view all the answers

    What dietary practice is associated with improved dental health for children?

    <p>Avoiding or limiting juice and weaning to a cup by 12 months</p> Signup and view all the answers

    What is linked to childhood obesity regarding breastfeeding and solid food transition?

    <p>Cessation of breastfeeding before six months</p> Signup and view all the answers

    Which recommendation is provided for car seat usage for infants?

    <p>Remain rear-facing until two years or height/weight limit</p> Signup and view all the answers

    Which screening is recommended for mothers during well-child visits?

    <p>Screening for postpartum depression up to six months postpartum</p> Signup and view all the answers

    What advice is given regarding juice consumption for children older than one year?

    <p>Provide juice only in limited quantities</p> Signup and view all the answers

    What should be assessed in breastfed infants during well-child visits?

    <p>Feeding problems or difficulties</p> Signup and view all the answers

    Which factors should be included when assessing a child's growth?

    <p>Age, sex, and gestational age growth charts</p> Signup and view all the answers

    What should be monitored regarding child safety in well-child visits?

    <p>Signs of potential abuse or neglect</p> Signup and view all the answers

    What is a recommended guideline for non-mobile infants' safety?

    <p>Ensuring they are never left alone on high surfaces</p> Signup and view all the answers

    What precaution is suggested concerning car seat usage after age two?

    <p>Using a forward-facing car seat for as long as allowed</p> Signup and view all the answers

    Which aspect is critical when evaluating nutritional history during a well-child visit?

    <p>Types and quantities of iron-fortified formula</p> Signup and view all the answers

    What is included in the anticipatory guidance for child safety?

    <p>Fencing pools and spas for safety</p> Signup and view all the answers

    What aspect of family history should be reviewed at well-child visits?

    <p>Current and past medical issues in the family</p> Signup and view all the answers

    What is the primary reason for the AAP's recommendation regarding screen time for children aged two to five?

    <p>To prevent sleep problems</p> Signup and view all the answers

    What is recommended to decrease the risk of Sudden Infant Death Syndrome (SIDS) during the first year of life?

    <p>Positioning infants on their backs to sleep</p> Signup and view all the answers

    What consequence is associated with early introduction of solid foods before six months of age?

    <p>Higher consumption of unhealthy foods</p> Signup and view all the answers

    How does delaying the transition to cow's milk until 12 months affect infants?

    <p>It decreases the likelihood of iron deficiency</p> Signup and view all the answers

    What is the recommended daily amount of active free play for children according to the AAFP and AAP?

    <p>60 minutes</p> Signup and view all the answers

    What effect does exposure to tobacco, alcohol, and drugs have on infants in relation to SIDS risk?

    <p>It increases the risk of SIDS.</p> Signup and view all the answers

    What should be avoided before one year of age to support healthy dietary habits in infants?

    <p>Juice consumption</p> Signup and view all the answers

    What practice is recommended to decrease the likelihood of developing food allergies in children?

    <p>Introducing allergenic foods early</p> Signup and view all the answers

    Study Notes

    Well-Child Visit Importance

    • Well-child visits provide comprehensive assessments and opportunities for further evaluation if abnormalities are detected.
    • They promote good health, allow family physicians to build relationships with parents, and provide anticipatory guidance to address potential concerns.

    Well-Child Visit Components

    • History: complete birth history, including prematurity, and feeding information.
    • Examination: head-to-toe examination, including growth assessments using CDC-recommended growth charts.
    • Immunizations: administer and update immunizations as appropriate.
    • Screenings: Conduct postpartum depression screening in mothers up to six months of age.

    Anticipatory Guidance

    • Safety: Emphasize safe sleep practices, secure home environment with gates, window locks, and anchored furniture.
    • Water Safety: Supervise children around water, including bathtubs, toilets, and swimming pools.
    • Car Safety: Use rear-facing car seats until two years of age or the weight/height limit is reached.
    • Fire Safety: Functioning smoke detectors and escape plans are crucial.
    • Choking Hazards: Supervise young children closely, as small objects, balloons, and loose strings pose choking risks.

    Dental Care

    • Fluoride: Ensure fluoride use, either through water supply or supplementation, to prevent tooth demineralization.
    • Juice: Avoid juice in infants under 12 months and limit sugary drinks for older children.
    • Weaning: Transition infants to a cup by 12 months of age.
    • Regular Dental Visits: Encourage regular dental visits and assess dental health during well-child visits.

    Screen Time

    • Young Children: Limit screen time for children under two years old; video chatting is acceptable for children under 18 months.
    • Older Children: Educational programs are acceptable for children ages 18-24 months. For children ages 2-5, limit screen time to one hour per day, avoiding use within one hour of bedtime.

    Sleep

    • Safe Sleep: Infants should sleep on their backs on a firm mattress with no blankets or soft objects.
    • SIDS Prevention: Breastfeeding, pacifier use, and room sharing without bed sharing reduce the risk of SIDS.

    Diet and Activity

    • Breastfeeding: Recommended until at least six months and ideally for the first year.
    • Vitamin D: Supplement exclusively breastfed infants with 400 IU of vitamin D daily for the first year.
    • Solid Food Introduction: Introduce solid foods at six months of age to reduce the risk of atopic disease.
    • Cow's Milk: Delay cow's milk introduction until 12 months to prevent iron deficiency.
    • Allergenic Foods: Introduce highly allergenic foods, such as peanut-based foods and eggs, before one year to lower allergy risks.
    • Obesity Prevention: Avoid juice before one year of age, and limit sugary drinks for older children. Encourage at least 60 minutes of active free play daily.

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