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Well Baby

Apgar test 7-10 = good - excellent condition (only routine post-delivery care) 4-6 = fair condition (may require some resuscitative measure) under 4 = poor (will require immediate/maximal lifesaving efforts)
newborn reflexes Startle or moro, Babinski, rooting, walking/stepping, Palmar grasping and tonic neck.
circumcision Eliminates the risk of PHIMOSIS (condition when the foreskin remains tight and cannot retract).
reasons for circumcision Religious, cleanliness, appearance, health, locker-room syndrome.
reasons against circumcision Lack of medical necessity, fear of bleeding/infection, concerns about pain, belief in children's rights, allow optional sexual enjoyment, less risk of diaper irritation, not covered by OHIP, be like uncircumcised father.
breastfeeding Individualized for your baby, better digestibility, less sodium/protein, better absorpt of calcium, less allergies, no constipation/diarrhea, less diaper rash, better health for baby, less obesity, sucking satisfaction, convenient, lower cost, bonding,
bottle feeding Intake monitoring, help from father/siblings, fewer dietary/meds restrictions, less stress feeding in public, longer satisfaction for baby, more freedom, fewer demands, no interference lovemaking or fashion.
pertussis (whooping cough) Caused by germs in throat/lungs, violent coughing causes vomiting and stop breathing, can cause pneumonia, brain damage and death, spread by coughing/sneezing, 1-3 deaths per year in Canada
What is measles? High fever, coughing, rash, runny nose and watery eyes, can get ear infections and pneumonia, severe cases-brain damage, mental retardation and even death, can cause miscarriages or premature births, spread by coughing/sneezing.
What is mumps? Causes fever, headaches, swelling of cheeks and jaw, can cause meningitis or deafness and painful infections of the ovaries/testes, spread by coughing/sneezing.
chicken pox (varicella) Caused by virus, itchy rash or spots on the skin (like water blisters), blisters dry up and scab in 4-5 days, spreads through touching, coughing and sneezing, can be passed to fetus, can be serious and cause death in newborns, adults, weak immune.
2 forms of meningococcal disease Meningitis and a blood infection - both very serious, can cause brain damage and even death, spread by kissing, coughing, sneezing and also caused by sharing drinks, toothbrushes, mouthguards, etc.
Who should get Men-C vaccine? Who live with/care for people with men-c disease, all one year old children, children/youth who did not receive the vaccine previously, high risk.
What is Hepatitis B? A virus that affects your liver, can cause liver cancer, people become tired, feverish and lose their appetite, some get jaundice, you can die from it, there is no cure, some people asymptomatic but can still give the disease to others.
Who should get the Hep B vaccine? All children before they become teenagers (12 years old), newborns if the mother has Hep B, health care workers, people who need frequent blood transfusions or blood products, people with chronic liver disease or awaiting liver transplant.
When do I call my doctor? Call your doctor if you or your child has any of these symptoms within 3 days of getting your needle. Hives, crying for more than 3 hours, swelling of face/mouth, trouble breathing, very pale colour and tiredness, high fever (over 39 C/102.2F), convulsions/seizures, severe stomach pain, blood in stools, persistent vomiting, swollen belly, intussusception.
A physical examination. A doctor or nurse-practitioner will examine and assess all or most of the following, although some evaluations will be carried out by the experienced eye or hand, without comment. head to toe assessment looking for abnormalities or lack of motion.
Describe the signs and symptoms of teething. Drooling, chin/face rash, a little cough, biting, pain, irritability, refusal to feed, diarrhea, low-grade fever, wakefulness, ear pulling/cheek rubbing, something to chew on/rub against.
What can you do to ease teething pain? Something cold to drink, eat or relieve pain (acetaminophen)
How do you prevent SIDS? You can't.
How can we be of assistance to a parent who suspects their child may have ADHD? First FAMILY physician/pediatrician to do physical exam, developmental history and necessary medical test. CHILD PSYCHOLOGIST- intellectual/social assessment to determine if the troublesome behavior is abnormal. Symptoms minimum 6 months.
What does the acronym APGAR stand for? A-appearance, P-pulse, G-grimace, A-activity, R-respiration
Created by: Barbara Ross
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