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Health Supervision

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1developmental surveillane _____birth-6 y/o, assess: personal-social, fine motor-adaptive, language, gross motor
2developmental screening _____produced when the immune response is transferred from on person to another
3Denver II _____common cause of gastroenteritis, shed in stool, live vaccine, must get before 32 weeks
4Metabolic Screening _____IPV (Polio), MMR, Varicella
5Metabolic Screening _____first does after birth/before hospital discharge, 3 dose req
6Hearing Screen _____Dtap, DT, Tdap, Hep A, Hep B, Hib, Influenze, Pneumococcal, HPV, MCV 4
7Weber Test _____MMR, Varicell, Rotovirus, Nasal influenza
8Rinne Test _____TdaP
9Vision Screening under 6 mths _____AE: faint, transient rash, arthralgia and low grade fever; FEMALES should not become pregnant within 3 mths
10Vision Screening younger than 3 y/o _____Vision Screening: non verbal children ability to fixate on and follow objects
11Vision Screening age 3 _____Vision Screening: tumbling "E", allen figures, snellen eye chart
12Iron Deficiency Anemia _____universal, all infants by 1 month of age, done prior to discharge
13Hypertension Screening _____Td
14Hyperlipidemia Screening _____infant with HBsAg + mom's should receive first immunization within 12hrs of birth as well as HBIG
15Immunity _____universal at 3 y/o, anticipatory guidance on diet and lifestyle changes, 90-95th % considered prehypertension
16Active immunity _____the ability to destroy and remove aspecific antigen from the body
17Passive immunity _____Diminished iron stores, rapid growth, high metabolic demand
18Diphtheria, Tetanus, and Acellular Pertussis: under 7 y/o _____assessment that identify children who warrant more intensive assessment and testing
19Diphtheria, Tetanus, and Acellular Pertussis: 11 to 12 _____yearly for 6-59 mths, live attenuated: intranasally, S/E: fever, malaise, myalgia
20Diphtheria, Tetanus, and Acellular Pertussis: every 10 years _____not to be given to any child with an altered immune system or pregnancy
21Haemophilus Influenza Type B (Hib) _____Distinguishes between conductive and sensorineural hearing, places vibrating fork on the middle of the client's head
22Haemophilus Influenza Type B (Hib) infections _____Meningitis, epiglottitis, septic arthritis, pneumonia, sepsis
23Haemophilus Influenza Type B (Hib) _____3-4 doses of conjugate vaccines, not given to children >5 y/o
24MMR _____Vision Screening: black and white patterns
25MMR _____live attenuated virus combo vaccine, can be given same day as other live vaccines, must NOT be give 28 days a part, cannot give to immunocompromised person
26HepB _____state law indicates which test are mandatory, done prior to discharge from birthing unit
27HepB _____Live attenuated virus, 2 doses, S/E: mild fever and/or rash within mouth, may be given post exposure
28Varicella Zoster _____selective screening, children at high risk, risk assessment: family history sedentary lifestyle, smoking, obesity and diet diseases
29Varicella Zoster _____DTaP
30Influenza _____Rotovirus
31Influenza _____deadly disease, spread through direct contact or air droplets, 1 dose
32Rotovirus _____Detectable disorders: metabolic disorders, hematologic disorders, endocrinopathies
33Human Papillomavirus _____acquired when one's own immune system generates immune response
34Meningococcal Vaccine (MCV4) _____bacteria that causes life threatening illnesses in children under 5 y/o
35Vaccine Administration Routes: IM _____Influenza
36Vaccine Administration Routes: Subcu _____Test compares air and bone conduction hearing, Place the vibrating tuning fork on the base of the mastoid bone, Note the time interval and immediatly move the tuning fork to the auditory meatus
37Vaccine Administration Routes: Oral _____transmitted direct skin to skin contact, causes cervical warts and cervical cancer, 3 doses
38Vaccine Administration Routes: Intranasal _____ongoing collection on skilled observations made over time during health care visits
39Live Virus Vaccines _____Contraindication: allergy to eggs
40Live Virus Vaccines _____Contraindicated: hypersensitivity to gelatin, neomycin, immunosuppressed

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