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The Importance of Infant Screening Produced as a class project at WKU for CFS 294 - Fall, 2009 By Thelma Newsom
What is the importance of Infant Screening?  There are many reasons for infant screenings!
What is Infant screening? Relatively quick preliminary evaluation  Used to determine if a child should be referred for more in-depth assessment practice of testing every newborn for certain harmful or potentially fatal disorders that aren't otherwise apparent at birth
Efficiency is the Drawback of Infant Screenings Full evaluations are costly in terms of time and money Screening tools are less accurate than follow-up assessment Overlooks many children who might benefit from special services
Reasons you may be concerned about your baby’s growth or development ,[object Object]
No attempts to lift the head when laying facedown
Extreme floppiness
Lack of response to sounds or visual cues, such as loud noises or bright lights
Inability to focus on a caregiver’s eyes
Poor weight gainEvery baby is different but your instincts can be right!!
Why do we use a trained professional to screen infants? Trained observation of strengths and weaknesses of each child!!
A Trained professional………. Will offer several types of screening for your infant at their well baby routine visits. They can screen for problems with health, vision, hearing, and development.
What types of screenings are there 1.) Developmental Screenings 2.) Hearing and Vision Screenings 3.) Health Screenings
At What age is your child screened Age for well baby check-ups Age for hearing screenings ,[object Object]
2 months
4 months
6 months
12 months
15 months
18 months
18 months
or earlier if child has ear infections,[object Object]
Galactosemia
Sickle-cell anemia
Thyroid defiency or Neonatal Hypothyroidism
APGAR
Cystic fibrosis
Glucose – 6 phosphate dehydrogenase deficiency
Congenital adrenal hyperplasia
Human immunodefiency disease (HIV)Blood is collected from a heel stick and repeated in two weeks for some of these tests babies are given a clean bill of health, early diagnosis and proper treatment can make the difference between lifelong impairment and healthy development.
What are Developmental Screenings?
Developmental Screening? Early recognition of any developmental concerns will help an infant grow up in the most superlative growing experience possible.
Developmental Screenings……… Use of growth charts and national guidelines to compare how the infant ranks in comparison to other infants their age group Social/Emotional evaluations Language evaluations Fine motor skills Gross motor skills
Social Emotional evaluations…. ,[object Object]
Can take care of his or her own needs
Regulates his or her emotions and behaviors,[object Object]
How well a child responds to language
How well they use vocabulary and grammar
shows interest in books, prints, music and his or her surroundings,[object Object]
Startle upon hearing loud sounds

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Thelma Newsom, The Importance Of Infant Screening, Final Project Due 12 10 09 For Cfs 294 At Wku

  • 1. The Importance of Infant Screening Produced as a class project at WKU for CFS 294 - Fall, 2009 By Thelma Newsom
  • 2.
  • 3. What is the importance of Infant Screening? There are many reasons for infant screenings!
  • 4. What is Infant screening? Relatively quick preliminary evaluation Used to determine if a child should be referred for more in-depth assessment practice of testing every newborn for certain harmful or potentially fatal disorders that aren't otherwise apparent at birth
  • 5. Efficiency is the Drawback of Infant Screenings Full evaluations are costly in terms of time and money Screening tools are less accurate than follow-up assessment Overlooks many children who might benefit from special services
  • 6.
  • 7. No attempts to lift the head when laying facedown
  • 9. Lack of response to sounds or visual cues, such as loud noises or bright lights
  • 10. Inability to focus on a caregiver’s eyes
  • 11. Poor weight gainEvery baby is different but your instincts can be right!!
  • 12. Why do we use a trained professional to screen infants? Trained observation of strengths and weaknesses of each child!!
  • 13. A Trained professional………. Will offer several types of screening for your infant at their well baby routine visits. They can screen for problems with health, vision, hearing, and development.
  • 14. What types of screenings are there 1.) Developmental Screenings 2.) Hearing and Vision Screenings 3.) Health Screenings
  • 15.
  • 23.
  • 26. Thyroid defiency or Neonatal Hypothyroidism
  • 27. APGAR
  • 29. Glucose – 6 phosphate dehydrogenase deficiency
  • 31. Human immunodefiency disease (HIV)Blood is collected from a heel stick and repeated in two weeks for some of these tests babies are given a clean bill of health, early diagnosis and proper treatment can make the difference between lifelong impairment and healthy development.
  • 32. What are Developmental Screenings?
  • 33. Developmental Screening? Early recognition of any developmental concerns will help an infant grow up in the most superlative growing experience possible.
  • 34. Developmental Screenings……… Use of growth charts and national guidelines to compare how the infant ranks in comparison to other infants their age group Social/Emotional evaluations Language evaluations Fine motor skills Gross motor skills
  • 35.
  • 36. Can take care of his or her own needs
  • 37.
  • 38. How well a child responds to language
  • 39. How well they use vocabulary and grammar
  • 40.
  • 41. Startle upon hearing loud sounds
  • 43. Quiet or smile when spoken to
  • 44. Seem to recognize your voice
  • 45.
  • 46. Babble repetitive syllables, such as “ba,ba,ba”
  • 47. Use his or her voice to express pleasure and displeasure
  • 48. Move his or her eyes in the direction of sounds
  • 49. Respond to changes in the tone of your voice
  • 50. Notice that some toys make sounds
  • 51.
  • 52. Say a few words, such as “dada,” “mama” and “uh-oh”
  • 53. Understand simple instructions, such as “Please drink your milk”
  • 55.
  • 56. Recognize names of familiar people, objects and body parts
  • 57. Follow simple directions accompanied by gestures
  • 58.
  • 59. Use simple phrases, such as “more milk”
  • 60. Begin to use pronouns, such as ‘mine”
  • 61. Ask one to- to two-word questions, such as “go bye-bye?”
  • 62. Follow simple commands without the help of gestures
  • 63. Say more words every month
  • 64. Speak 50 words and understand more
  • 65.
  • 68. Reflexes absent or incomplete
  • 69.
  • 70. Ability to use hand eye coordination movements
  • 71.
  • 72. How you cAn support developmental screenings? Sharing information with your child’s health care professional Asking about any concerns you may have Following recommendations you may have Scheduling additional evaluations
  • 73. Hearing and vision screenings… Identify hearing and vision deficits that may interfere with development and learning Must be detected and treated very early
  • 74. Eyes Expected findings Slate gray or blue eye colorNo tearsFixation at times - with ability to follow objects to midlineRed reflexBlink reflexDistinct eyebrowsCornea bright and shinyPupils equal and reactive to light
  • 75. Should I Request Additional Tests? Why Should I Request Additional Tests? If you have a family history of an inherited disorder? Have you previously given birth to a child who's affected by a disorder? Did an infant in your family die because of a suspected metabolic disorder? Do you have another reason to believe that your child may be at risk for a certain condition?
  • 76. Health screenings………. Usually take place as a well child check-up Child care professional weighs and measure your child (length weight and head circumference) Head to toe exam Asks about illnesses and healthy habits Ensures child’s immunizations are up to date Administer vaccinations
  • 77.
  • 78. Ears
  • 79. Eyes
  • 80. Mouth
  • 81. Skin
  • 85.
  • 86. Vital Signs Heart rate - range 120 to 160 beats per minute Common variations Heart rate range to 100 when sleeping to 180 when cryingColor pink with acrocyanosisHeart rate may be irregular with crying Signs of potential distress or deviations from expected findings Although murmurs may be due to transitional circulation-all murmursshould be followed-up and referred for medical evaluationDeviation from rangeFaint sound
  • 87. Vital signs con’t…… Respiration - range 30 to 60 breaths per minute Common variations Bilateral bronchial breath soundsMoist breath sounds may be present shortly after birth Signs of potential distress or deviations from expected findings
  • 88. Vital signs con’t…… Asymmetrical chest movementsApnea >15 secondsDiminished breath soundsSeesaw respirationsGruntingNasal flaringRetractionsDeep sighingTachypnea - respirations > 60Persistent irregular breathingExcessive mucusPersistant fine cracklesStridor
  • 89. General growth guidelines for your baby: a baby may grow 1/2 to 1 inch a month and gain 5 to 7 ounces a week. Expect your baby to double his or her birth weight by ages 5 to 6 months. Birth to 6 months
  • 90. General growth guidelines for your baby: a baby may grow 3/8 inch a month gain 3 to 5 ounces a week. Expect your baby to double his or her birth height and triple his or her birth weight by age 1. 6 to 12 months
  • 91. A list of Childhood vaccinations AGE Vaccine Birth-2 months 1-4 months 2 months 4 months 6 months 6-18 months 12-15 months 15-18 months 24 months-18 years Hepatitis B Hepatitis B DTaP, Hib, IPV, PCV DTaP, Hib, IPV, PCV DTaP, Hib, PCV Hepatitis B, IPV Hib, MMR, PCV DTaP Hepatitis A (in select areas)
  • 92.
  • 95. -schedule resting periods within your daily routine
  • 96.
  • 97. The Importance of Infant Screenings!!!!! Produced as a class project at WKU for CFS 294 - Fall, 2009 By Thelma Newsom
  • 98. Bibliography Angela Perry, M. (2001). American Medical Association Guide to Talking to Your Doctor. New York, Chichester, Weinheim, Brisbane, Singapore, Toronto: John Wiley & Sons, Inc. .   Daniel Rauch, M. F. (2009, May 11). MedLine Plus. Retrieved December 2009, from www.medlineplus.gov: http://www.nlm.nih.gov/medlineplus/ency/article/007257.htm   Driscoll, A., & Nagel, N. G. (2008). Early Childhood Education, Birth-8 (4th edition ed.). Boston, New York, San Francisco: Pearson and AB.   Howard, V. F., Williams, B. F., & Lepper, C. (2005). Very Young Children with Special Needs (3rd edition ed.). Upper Saddle River, New Jersey; Columbus, Ohio: Pearson, Merrill Prentice Hall.   Jay L. Hoecker, M. (n.d.). mayoclinic.com. Retrieved December 2009, from Mayo Clinic: http://www.mayoclinic.com   KidsHealth.com. (2009). Retrieved December 2009, from The Nemours Foundation. National Center on Birth defects and Developmental Disabilities. (2005, September 20). Retrieved December 2009, from National Center on Birth defects and Developmental Disabilities: http://www.cdc.gov/ncbddd/child/devtool.htm   Resick, L. K. (1996). CCIT staff, Duquesne University. Retrieved December 2009, from http://www.nursing.duq.edu/newborn/