Paeds Cases · preventive-and-community-paediatrics
4-month health supervision OSCE
OSCE on structured 4-month visit including sleep counselling, growth, development and maternal mood.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
4-month-old for routine review; mother reports flat head and low mood.
Objectives
- Run a structured 3–6 month health-supervision agenda. [5]
- Counsel safe sleep and tummy time without unsafe compromises. [1] [7]
- Include maternal mood screening and next steps. [3]
- Plot growth and perform age-adapted developmental surveillance. [4] [5]
- Safety-net and plan follow-up. [15]
References7ShowHide
- [1]Moon RY Evidence Base for 2022 Updated Recommendations for a Safe Infant Sleeping Environment to Reduce the Risk of Sleep-Related Infant Deaths. Pediatrics, 2022.PMID 35921639
- [2]Wagner CL Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics, 2008.PMID 18977996
- [3]Earls MF Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice. Pediatrics, 2019.PMID 30559120
- [4]Zubler JM Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics, 2022.PMID 35132439
- [5]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
- [7]Laughlin J Prevention and management of positional skull deformities in infants. Pediatrics, 2011.PMID 22123884
- [15]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis. The British journal of general practice : the journal of the Royal College of General Practitioners, 2025.PMID 39117428