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2 Peds Lab Studies

QuestionAnswer
All states have what in the newborn screening? pku and congenital hypothyroidism
pku causes mental retardation
Hearing screen AAP recommends universal hearing screening for all newborns by 1 month of age, with appropriate intervention before 6 months of age
Hearing risk assessment do at all health maintenance visits, and periodic hearing screening between ages 4 and 10 years of age.
When should vision be assessed? recommended screening to detect amblyopia, strabismus and defects in visual acuity in children younger than 5 years of age. AAP/bright futures suggests at 3-4 years of age. >5 at all health maintenance visits
Autism screening at 18 and 24 months of age
Developmental screening 9, 18 and 30 months of age
Iron deficiency screening once between 9-12 months and 15-18 months. Annually thereafter until age 5.
Neonates testing newborn screen, blood type and screen/DAT (from cord blood usually), bilirubin, glucose, TORCH, HgB
Ideal timing of newborn screen between 24-72 hours post birth. Ideally after baby is 1 day old. PKU will be false negative if done <24 hours and must be repeated in 7 days
Information to include on heel stick filter paper date, time, feeding source on requisition. In NC, you need to mail this to State Laboratory of Public Health w/in 24 hours
Which part of the heel do you stick for blood collection in a newborn? lateral to avoid bone
Newborn screening in NC 35 disorders
If mother is type O or Rh-negative then what test is performed in addition to blood type? Direct Antiglobulin test
Cord blood and DAT are used to diagnose Hemolytic dz of the newborn. Infants <4 months old rarely make red cell alloantibodies
what assesses for kernicterus in neonates? bilirubin levels. Kernicterus is aka bilirubin encephalopathy. Bilirubin reference ranges vary depending on preterm vs term, but M=F
Infants at risk for hypoglycemia diabetic mom, preterm, SGA/LGA, stressed (difficult labor or some other condition)
Level of glucose to confirm and treat <45mg/dl
TORCH Toxoplasmosis. Other (syphilis, varicella zoster, parvovirus, HIV, Hep B, Borrelia burgdorferi). Rubella. CMV. Herpes Simplex
Hemoglobin Screen neonates with risk or symptoms of anemia or polycythemia vera at 3-6 hours
Children screens hemoglobin, hemoglobin electrophoresis, blood lead level, TST, cholesterol/lipids
Lead poisoning level in children venous blood lead level>/= 10mcg/dL. Guidelines: screen at least once before age 6. Ideal: test at 12-24 months and repeat in 12 months for high risk kids
Which site is used to collect a blood specimen for lead levels? fingertip capillary specimen. MUST BE A VENOUS SPECIMEN. PUT IN TUBE WITH ROYAL BLUE TOP: EDTA TUBE. If capillary screen is +, must be f/u with venous confirmation
Lead level 10-19ug/dL venous diagnostic test within 3 months. retest Q 2-3 months until 3 consecutive levels<10
Lead level 20-44ug/dL venous diagnostic test w/in 1 week. If +, refer for medical evaluation and environmental investigation
Lead level >/=45ug/dL venous diagnostic test ASAP. If +, chelation
TB testing is appropriate in all children at HIGH RISK for TB. TST is the only recommended screening test. Can begin TST>/= 3 months. Repeat annually if TB risk persists
When is it appropriate to screen a child's lipids? child >2 if: parent with total chol>240 then child should get a total cholesterol. If fm hx of CVD before age 55, get a lipid panel
when should female adolescent's hgb be measured? heavy menses, chronic weight loss, poor nutrition or vegetarian diet, athletes
Cervical cancer screening Begin screening via annual Pap smear 3 years after sexual debut or with history of child sexual abuse
Created by: ltm12
 

 



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