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Pediatric Immunization Schedule

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she2fine's version from 2016-08-24 23:43

Immunization Schedule

Question Answer
birthHep B (+ HBIG if mother HBsAg +), repeat at 2 and 6 months
2/4/6 month seriesDTaP, HiB, IPV (polio), PCV13, rotavirus
one yearMMR, Varicella, HepA (2 dose series, 6 mos apart), HiB, PCV13
4-6 yearsMMR, Varicella, IPV, DTaP boosters
teenHPV, MCV, DTaP
live virus vaccinesOPV, MMR
Flu vaccineyearly after 6 mos.
Tdq10 years, q5 with dirty wound
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APGAR Score

Question Answer
A = ? Appearance. blue = 0, trunk pink = 1, all pink = 2
P = ?Pulse. none = 0, <100/min = 1, >100/min = 2
G = ?Grimace. none = 0, grimace = 1, grimace + cough = 2
A = ?Activity. limp = 0, some = 1, active = 2
R = ?Respiration. none = 0, irregular = 1, regular = 2
When is APGAR score measured?1 min and 5 min
What is the scoring scale?0-10. 7-10 is normal, 4-6 is low, <3 is critically low.
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Developmental Milestones

AgeMotorCognitive/Social
0-3 morooting reflexorients to voice
3 moholds head up, Moro reflex disappearssocial smile
7-9 mosits, crawlsstranger anxiety
15 mowalks, Babinski disappearsfew words, separation anxiety
12-24 moclimbs stairs, stacks 3 blocks @ 1yr, 6 blocks @ 2 yr blocks=agex3object permanence, 200 words, 2-word sentences @ 2 yr
24-36 mocore gender identity, parallel play
30-36 mostacks 9 blockstoilet training (pee @ 3)
3 yrsrides tricycle (3 wheels @ 3), copies line or circle900 words, complete sentences
4 yrsstick figures, hops on 1 footcooperative play, imaginary friends, grooms self, buttons/zips
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Developmental Milestones (alternate version)

Question Answer
social smile2 mo
head up 2 mo
laugh4 mo
roll over 1 direction4 mo
sits6 mo
babbles6 mo
pincer grasp9 mo
crawl9 mo
cruise 9 mo
mama/dad9 mo
stands1 yr
walks1 yr
1-3 words1 yr
1 step commands1 yr
stairs 2 yrs
2-3 word sentences2 yrs
runs2 yrs
parallel play2 yrs
pronouns2 yrs
copy circle 3 yo
tricycle3 yrs
group play3yrs
simple games3 yrs
one foot hop4 yrs
speech completely understood4 yrs
past tense4 yrs
overhand throw4 yrs
skips5 yrs
coop games5 yrs
ball catch 5 yrs
ties shoes6 yrs
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Piaget's stages of Cognitive Development

StageAge RangeDescription
Sensorimotor stage(0-2yrs)egocentric exploration with 5 senses, use objects for goal, object permanence
Preoperational stage(2-7yrs)motor skills, magical thinking, no logical thinking
Concrete operational stage(7-12 yrs)start logical thinking (concrete), no longer egocentric
Formal operational stage(12+yrs)abstract reasoning
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Tanner stages of Sexual Development

Question Answer
childhoodStage 1
pubic hair appears (adrenarche) Stage 2
breasts enlarge Stage 2
pubic hair darkens Stage 3
pubic hair becomes curly Stage 3
penis size/length increase Stage 3
penis width increase Stage 4
darker scrotal skin Stage 4
development of glans Stage 4
raised areolae Stage 4
adult Stage 5
areolae no longer raised Stage 5
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