EXAM 1 - Well Child Exams with correct answers

EXAM 1 - Well Child Exams with correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answers


What is the schedule of well child exams for the first ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




2 years?
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⦿ Birth ||\\||\\




⦿ 3-5 days ||\\||\\ ||\\||\\




⦿ 1 month ||\\||\\ ||\\||\\




⦿ 2, 4, 6, 9, 12, 15, 18, 24 months
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⦿ 2 ½ years ||\\||\\ ||\\||\\ ||\\||\\




⦿ Annually beginning at 3 years
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WHAT IS THE MOST IMPORTANT QUESTION? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Do the parents have any concerns?
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COMPONENTS OF THE VISIT ||\\||\\ ||\\||\\ ||\\||\\




⦿ Surveillance and screening
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⦿ Physical Examination
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,⦿ Health Promotion
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◼ Focus on wellness
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⦿ Anticipatory Guidance
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◼ Anticipate emerging issues
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◼ Provide education
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Vital signs in well child exam
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⦿ Height and Weight
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◼ Every Visit
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⦿ Head Circumference
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◼ Birth - 3 years
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⦿ Weight for Length
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◼ Birth - 23 months
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⦿ Body Mass Index
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◼ 2 - 21 years
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GENERAL CONCEPTS IN GROWTH - weight ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




◼ Initial loss with return by 7-10 days of age
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◼ Average daily weight gain
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,20-30g up to 3-4 months ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




15-20g up to 12 months ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




GENERAL CONCEPTS IN GROWTH - height ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




◼ Consider mid-parental height
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mid-parental height - boys and girls ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Boys inches - (Father's Ht + Mother's Ht + 5)/2
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Girls inches - (Father's Ht - 5 + Mother's Ht)/2
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GENERAL CONCEPTS IN GROWTH - head ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




circumference
◼ 1cm monthly up to 12 months
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growth charts ||\\||\\




charts that show average values of height, weight,
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and other measures of growth, based on large
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samples of normally developing infants; the charts ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




are used to evaluate an infant's development
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, SHORT STATURE ||\\||\\




Height = ≥ 2 standard deviations below the mean
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(per gender and age), or
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Slowed growth, now crossing ≥ 2 growth curves
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Bone age ||\\||\\




-Degree of skeletal maturity ||\\||\\ ||\\||\\ ||\\||\\




-X-rays can be used to determine how much growth
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remains to occur. ||\\||\\ ||\\||\\




Causes of childhood short stature||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




childhood short stature ||\\||\\ ||\\||\\




Normal variant ||\\||\\




Pathologic etiologies ||\\||\\




childhood short stature ||\\||\\ ||\\||\\




smaller than midparental height but not abnormal
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familial short stature ||\\||\\ ||\\||\\