Important time marks for development (WCC)

What vaccines are needed at 16 years old?

- Meningococcal - Influenza

What vaccines are needed at 11-12 years old?

- TDap - Meningococcal

How much does the head circumference increase after the 1st 3 months to one year?

1 cm per month

When should a child be weaned off the bottle?

1 years old

Which age has the highest rate of drowning incidents?

1-3 y/o UNDER 1 = BATHTUB!

What are the contraindications to breastfeeding? (4)

1. Active disease 2. Galactosemia - baby cannot break down galactose into glucose 3. Primary lactase deficiency - cannot break down lactose into galactose + glucose 4. Drug use in mom

What are the S/Sx of formula intolerance in a baby?

1. Excessive spitting up 2. Gas 3. Constipation 4. Irritability

What are some causes of formula intolerance in a baby? (4)

1. GERD 2. Lactose intolerance 3. Milk protein 4. Iron content

What foods should you avoid giving your child until 1 y/o? (5)

1. chocolate 2. peanuts 3. wheat 4. egg 5. seafood

What is the screen time plan for those over 6 years old ?

1. healthy habits 2. limit activity with screens

How do you measure a head circumference? (2)

1. largest occipital to frontal circumference 2. go above the ears + eyebrows

When can a baby stop receiving vitamin D supplementation? (3)

1. weaning 2. can drink 32 oz of vit D fortitifed formula 3. after 12 months old (use breastmilk)

When do females usually hit puberty?

10-14 y/o

What is the dose of APAP in peds?

10-15 mg/kg/dose q 4-6 hrs

When do males usually hit puberty?

11-16 y/o

At what age can a *child stand alone BRIEFLY + BEGIN walk alone*?

12 months

At what age is a child able to *stack ONE block in a cup*?

12 months (1 year old)

At what age can a child have a *pincer grasp*?

12 months old

When are lead levels checked?

12 months old

Until what age must a child remain in the back seat?

13 y/o

What is the average head circumference at birth?

14 inches (35 cm)

By which age is a child *ABLE to say 2-3 words* past mama or dada?

15 mnths

By which age can a child ACTUALLY walk on their own?

15 months

At which age are children mimicking adults? (watch out!)

15 months old

At what age will a toddler *attempt (try) to use a spoon + can (not try) drink from a cup without a lid*?

18 months

By which age is a child TRYING to say *3 or more words* past mama/dada?

18 months

When are the 2 screening ages for autism & developmental delays?

18 months + 2 years (24 mnths)

How much does the head circumference increase in the 1st 3 months?

2 cm per month

By which age should a child be able to *POINT to at least 2 body parts*?

2 years old

By which age is a child able to say *AT LEAST 2 words* together?

2 years old (24 months)

When is the first Hep A given?

2 yr old

When should you introduce cow's milk?

2 yr old

For the first 2-3 weeks of life, how much formula should be given?

2-3 oz every 2-3 hours

When do you start hearing and vision testing?

3 y/o

At what age do kids *separate from their mother willingly*?

3 years old

By which age is a child able to say their first + last name?

3 years old

By which age should a child be able *to draw a circle*?

3 years old

By which age can a child dress themselves?

3 yr old

By which age is a child able to say *50 or more* words but only *2-3 together*?

30 mnths

By which age can a child jump without losing balance?

30 months

By which age should a child know *AT LEAST one color*?

30 months

At which age is a child able to *follow simple directions and play with other children*?

30 months old

When should a baby start eating other foods? Why?

4 months - iron stores are depleted

At what age do kids start to make *raspberry noises*?

4 months old

At what age does a baby pay *special attention to their hands*?

4 months old

At what age is a child *opening their mouth in response to seeing a bottle*?

4 months old

When should a baby start eating solid foods?

4 months old

At what age do kids like to be *a helper & avoid danger*?

4 years old

What is the dose of Ibuprofen in peds?

4-10 mg/kg/dose q 6-8 hrs

When should solid foods begin to be introduced?

4-6 months

Breastfed or partially breastfed babies need what for nutrition?

400IU of Vit D EVERY DAY!

By which age is a child able to tell a story?

5 years old

By which age should a child be able to count to 10?

5 years old

By which age can a child balance on one foot?

5 yr old

When should brushing teeth and use of fluoride be talked about?

6 month WCC

When do teeth start erupting?

6 months

At what age can a baby roll over?

6 months old

At what age do kids start *LAUGHING?*

6 months old

When should you introduce finger foods?

8-9 months

At what age can a child stand with support and sit without help?

9 months old

At what age does a baby *wave bye & stranger danger & react when you leave the room*?

9 months old

At what age is a child able to *bang two objects toegther* and *sit alone*?

9 months old

When are HgB levels checked?

9 months to 1 year old

When are there no vaccines given

9 months, 18 months, 3 years.

What are tetracyclines CI in children < 12 y/o and pregnant women?

Discoloration of tooth enamel + incorporation into tooth structure

True or False: Under 4 months, you must supply water with breastmilk.

FALSE! - don't do it!

What is the leading cause of child death at home?

Fire + burn injury - Scalding being the most common.

What is the main source of nutrition in children 4-6 months old?

Formula or breast-feeding

How much formula should you be giving up to day 3?

Initial - - 0.5 oz/feeding Day 3 - - 2-3 oz

Why do breastfed babies need Vitamin D?

Need Vit D to absorb calcium + phosphorus ⇒ too little vit D can cause rickets

Why should a child drink cow's milk?

Need the fat for the development of the nervous system

What is the screen time plan for those 2-5 years old?

Non-educational - 1 hour per weekday - 3 hours on weekend days

By which age does a child say *mama/dad non-specifically? specifically?*

Non-specifically - 9 months Specifically - 12 months

What is the first solid food that you start? why?

Single grain cereal - less intolerance + allergies

True or False: After teeth begin erupting, there should *only be water in the NIGHT bottle*.

TRUE!

Which gender is more genetically prone to more STDs?

Women

When is the highest incidence of choking?

before 8 months old

What are the best ways to dose pediatric meds? With what instruments?

calibrated spoon or synringe *never exceed the adult dose!*

Why would BP be done earlier?

congenital adrenal hyperplasia

What is the screen time plan for those 18-24 months old?

educations programs with parent

What is a NORMAL lead level?

less than 10 mg/dL

How should you introduce food in children aged 4-6 months?

new food *every 3-5 days* to watch for reactions

By which age can a child actually eat with a spoon? a fork?

spoon = 2 yr old fork = 3 yr old

What organism is the MCC for carries in children?

strep mutans

Choking incidents are most common in what ages?

under 3 y/o

How long do you use a REAR facing car seat for?

until 2 y/o OR child reaches the limits on the carrier

What is the screen time plan for those *under 18 months old*?

video chat with adults only

When can a child stop using a car seat?

when they hit 4'9"