"Bouncing baby boy"

"Bouncing baby boy"

1. Well-baby visits (9 times through childhood)

   • Autism screening (1.5, 2.5 years)
   • Growth
     • Teeth
       • 6-33 mo.: milkey teeth, 6-12 y.: permanent teeth
     • Weight, height, and head circumference
       • Growth chart
   • Counseling
   • CBC (1 year)
   • Immunization (according to schedule)
   • Developmental milestones
     • Gross motor
       • 9mo.: sitting, 12mo.: standing, 13mo. walking
     • Fine motor
       • 4mo.: grasp hand, 7mo.: palmar grasp, 9mo.: pincer grasp
     • Language
       • 3mo.: cooing, 9mo.: Bi-syllables, 12mo.: 2 words
     • Personal/social skills
       • 2mo.: smile, 9mo.: wave, 12mo.: play

2. Newborn examinations

   • Skin
     • skin is reddish, fingers and toes have a bluish tinge
   • Abdomen
     • soft and not distended or scaphoid
   • Apgar score
     • reflects the cardiorespiratory and neurologic status at birth
   • Head and neck
     • symmetrical with no abnormalities
   • Heart and lungs
     • no heart murmur or lung congestion
   • Nervous system
     • normal alertness, reflexes, and muscle tone

3. Nutrition

   • 0-6 mo.
     • Breastfeeding and Vitamin D
   • 6-12 mo.
     • Breastfeeding, solid food, and Vitamin D
   • 12-24 mo.
     • Breastfeeding, formula milk, solid food, Iron, and Vitamin D
   • 24 mo. ~
     • formula milk, and iron-suplemented solid food

4. GI disorders

   • Infantile colic
     • Signs
       • wails, redness, crying, and decreased appetite
     • causes
       • theories: immature GI, acid reflux, or allergy
     • Treatment
       • Colic carry
   • Gastroentaritis
     • Causes
       • Contamination of food
       • Contact with sick person
     • Symptoms
       • Diarrhea
       • Vomiting
       • nausea
     • Treatment
       • ORS
   • Diarrhea
     • Causes
       • Viral
       • Bacterial
     • Symptoms
       • Nausea
       • Dehydration
     • Treatment
       • Depends on the cause

5. Child abuse

   • Exploitation
   • emotional
   • neglect
   • Sexual
   • Physical

6. Electrolyte balance

   • Major electrolytes
     • Sodium
     • Potassium
     • Calcium
     • Phosphate
     • Bicarbonate
     • Chloride
   • Osmolarity
     • 280mosm/l
   • Control
     • Endocrine & nervous systems
   • Imbalance
     • ORS

7. Normal behaviour

   • Year 4-5
     • plays with others
     • likes to share
     • Touches genatalia
   • Year 1
     • Obeys limited commands
     • Smiles
     • Tics