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Look at one side, guess the answer, flip it over to check the answer Pediatric Immunization Schedule
birth Hep B (+ HBIG if mother HBsAg +), repeat at 2 and 6 months DTaP, HiB, IPV (polio), PCV13, rotavirus MMR, Varicella, HepA (2 dose series, 6 mos apart), HiB, PCV13 MMR, Varicella, IPV, DTaP boosters HPV, MCV, DTaP OPV, MMR yearly after 6 mos. q10 years, q5 with dirty wound Appearance. blue = 0, trunk pink = 1, all pink = 2 Pulse. none = 0, <100/min = 1, >100/min = 2 Grimace. none = 0, grimace = 1, grimace + cough = 2 Activity. limp = 0, some = 1, active = 2 Respiration. none = 0, irregular = 1, regular = 2 1 min and 5 min

2/4/6 month series

one year

5 years teen live virus vaccines Flu vaccine Td A=?

P=?

G=?

A=? R=?

When is APGAR score measured? What is the scoring scale? 0-3 mo 3 mo 7-9 mo 15 mo 12-24 mo

0-10. 7-10 is normal, 4-6 is low, <3 is critically low. rooting reflex holds head up, Moro reflex disappears sits, crawls walks, Babinski disappears climbs stairs, stacks 3 blocks @ 1yr, 6 blocks @ 2 yr blocks=agex3 orients to voice social smile stranger anxiety few words, separation anxiety object permanence, 200 words, 2-word sentences @ 2 yr core gender identity, parallel play

24-36 mo

30-36 mo 3 yrs

stacks 9 blocks rides tricycle (3 wheels @ 3), copies line or circle stick figures, hops on 1 foot

toilet training (pee @ 3) 900 words, complete sentences

4 yrs

cooperative play, imaginary friends, grooms self, buttons/zips

social smile head up laugh roll over 1 direction sits babbles pincer grasp crawl cruise mama/dad stands walks 1-3 words 1 step commands stairs 2-3 word sentences runs parallel play pronouns copy circle tricycle group play simple games one foot hop speech completely understood past tense overhand throw skips coop games ball catch

2 mo 2 mo 4 mo 4 mo 6 mo 6 mo 9 mo 9 mo 9 mo 9 mo 1 yr 1 yr 1 yr 1 yr 2 yrs 2 yrs 2 yrs 2 yrs 2 yrs 3 yo 3 yrs 3yrs 3 yrs 4 yrs 4 yrs

4 yrs 4 yrs 5 yrs 5 yrs 5 yrs

ties shoes Sensorimotor stage

6 yrs (0-2yrs) egocentric exploration with 5 senses, use objects for goal, object permanence motor skills, magical thinking, no logical thinking start logical thinking (concrete), no longer egocentric abstract reasoning

Preoperational stage Concrete operational stage Formal operational stage childhood pubic hair appears (adrenarche) breasts enlarge pubic hair darkens pubic hair becomes curly penis size/length increase penis width increase darker scrotal skin development of glans raised areolae adult areolae no longer raised

(2-7yrs) (7-12 yrs)

(12+yrs)

Stage 1 Stage 2

Stage 2 Stage 3 Stage 3

Stage 3

Stage 4 Stage 4 Stage 4 Stage 4 Stage 5 Stage 5

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