HEALTH SUPERVISION

1. What advice would you give first-time parents of a two-day old infant regarding feeding, sleeping, and general care of their new baby? When should they expect to see you for “routine care”?
2. A healthy ten month old is starting to “cruise.” What advice would you give to parents to make their house safe?
3. A fifteen-month-old child is seen for “routine care”. He is due to receive his MMR. On exam he has a temperature of 99 F and a runny nose. Should he still be immunized? What are the contraindications to immunization?
4. A twelve-month-old child has been taking 2 mg/kg/day of oral prednisone for the past two weeks for asthma. He is due for his routine immunizations. Would you modify his immunization schedule and if so, why?
5. In the nursery, parents are informed that blood tests need to be drawn from their newborn for “screening tests”. Describe to the parents what these are and why they are performed.
6. A five-year old boy is seen in your clinic for a pre-kindergarten exam. Why would you perform a vision and hearing test?
7. A two-month old girl is brought to the office for a well child examination. The mother is concerned about the potential complications of immunizing her child. How would you address this issue with the mother?
8. A four-month old boy is seen for a well child examination. Following his first set of immunizations he had a temperature of 103 for a day and extreme irritability. The parents are concerned about giving the second set of immunizations. How would you address their concerns? Can he be immunized today?
9. The parents of a previously healthy nine-month-old girl want to know why a hemoglobin level was drawn on her and what will be done with that information. How would you answer their concerns?
10. The parents of a previously healthy three-year-old boy would like their son tested for tuberculosis. What are the indications for tuberculosis testing?
11. The parents of a 14-month-old girl feel that she is not developing at the same pace as her older brother. How would you evaluate her development? What tools are available for developmental screening?
12. The mother of a twelve-month old girl living in a house built four years ago wants to know why her daughter should undergo lead testing. How would your respond to her concerns?