Childrenl &l Familiesl Guide|l Wilkesl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Bloodl glucosel checksl forl newborns
Answer:
arel notl requiredl forl healthy,l terml infants
-necessaryl forl preterm,l SGA,l LGA,l diabeticl mothers,l otherl comorbidities
-checkl atl 2l hoursl ofl agel andl priorl tol feeding
Q:l CHDl (congenitall heartl dz)l screening
Answer:
pulsel oxl measurementl onl rightl handl andl 1l footl
-anytimel afterl 24l hoursl ofl agel orl priorl tol d/cl froml hospital
-notl al definitivel dx,l requiresl furtherl testing
Q:l Pulsel oxl 95%l orl greaterl inl rightl handl andl footl ANDl <3%l differencel betweenl
handl andl foot
Answer:
Passl CHDl screeningl -l proceedl withl d/c
,Q:l Pulsel oxl lessl thanl 90%l inl rightl handl orl foot
OR
Pulsel oxl lessl thanl 95%l inl rightl handl orl footl onl twol occasions
OR
Greaterl thanl 3%l differencel inl 02l satl betweenl rightl handl andl footl onl 2l occasions
Answer:
Faill CHDl screeningl -l requiresl furtherl evaluation
Q:l Pulsel oxl betweenl 90-95%l orl greaterl thanl 3%l differencel betweenl rightl handl andl
footl 1x
Answer:
repeatl CHDl screen
Q:l Measuringl headl circumference
Answer:
-l birthl tol 36mo
-l non-stretchablel measuringl tape
-l broadestl partl ofl head
-l forl greatestl accuracy:l 3x--takel measurementl atl rtl andl ltl sidel ofl headl andl atl mid-
forehead
-l tapel pulledl tol compressl hairl
-l shouldl bel measuredl atl eachl visit
-identifiesl microcephalyl andl macrocephaly
Q:l Underlyingl causesl ofl microcephaly
, Answer:
-geneticl syndrome
-Zikal virus
-fetall alcoholl spectruml disorder
Q:l Underlyingl causesl ofl macrocephaly
Answer:
-canl bel normal
-intracraniall hemorrhage
-tumor
-hydrocephalus
Q:l Mongolianl spots
Answer:
-blue/grayl pigmentedl macules
-morel commonl onl darkerl skinnedl infants
-usuallyl fadel and/orl disappearl entirelyl byl 4l weeksl tol 4l monthsl ofl age
-spotsl notl recedingl byl 1l yearl ofl agel orl thatl arel extensivel mayl bel associatedl withl
inbornl errorsl ofl metabolisml andl otherl rarel geneticl disorders
-f/ul forl large/increasingl spots,l spotsl locatedl nearl mouth,l persistingl beyondl 1l yearl ofl age
Q:l Mongolianl spots
Answer:
Blue-grayl macules,l upl tol 10-cml diameter,l morel commonl in
black,l Nativel American,l andl Hispanicl populations;l usually