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ECOS 4 > Assessment of Pediatric Patient > Flashcards

Assessment of Pediatric Patient Flashcards

1
Q

What are 2 basic reasons for well child visits?

A
  1. Prevention - immunizations, safety, nutrition

2. Tracking growth and development

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2
Q

Well child visits also give the parents the opportunity to?

A

Express concerns and ask questions

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3
Q

When should you get a CBC from a child?

A

1 year old

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4
Q

Besides prevention, tracking growth/development, and parental concerns, what else can a well child visit do?

A

Establish a medical home

Screen for SDOH

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5
Q

What website has the recommendations for pediatric patients?

A

Bright Futures

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6
Q

What should you search if you want to know immunization schedules?

A

CDC immunization schedules

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7
Q

How often does the CDC immunization schedule change?

A

Every year

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8
Q

If you are seeing a new baby, what is important to ask?

A

How MOM is doing - postpartum depression?

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9
Q

What are 3 basic items to ask about in a new baby?

A

Diet
Elimination
Sleep

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10
Q

What is different about obtaining the HPI with a pediatric patient?

A

Most of the information comes from the parent

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11
Q

What specific history is also important to obtain with a pediatric patient?

A

Pregnancy history

- prenatal/postnatal, delivery, complications, meds, etc.

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12
Q

What is an APGAR score?

A

Numerical value assigned within 5 mins of birth that guides care just after delivery

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13
Q

What does the APGAR score evaluate?

A 
Activity
Pulse
Grimace
Appearance
Respiration
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14
Q

What does an Oxygen Saturation Test evaluate for?

A

Critical Congenital Heart Defect

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15
Q

In what 3 scenarios is a pregnancy history very important?

A
  • Child is < 5 yo
  • Child has developmental delays
  • Child has dysmorphic features/chronic illnesses
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16
Q

The Developmental History for a child is usually obtained by watching child and talking to parent. What is a screen you can use for age-appropriate milestones?

A

DDST-2

17
Q

When assessing age-appropriate developmental milestones, how should you approach it?

A

Ask about basic skills first -> work up to asking about advanced skills

18
Q

What type of PE should be done at a well child visit? What stats should be documented?

A

Note vital signs

= Perform head to toe physical exam

19
Q

What are 4 thing that are longitudinally documented with a well child visit?

A

Height (plot on growth curve)
Weight (plot on growth curve)
BP
Sexual maturity

20
Q

What are 4 things that are longitudinally documented with a well child visit?

A

Height (plot on growth curve)
Weight (plot on growth curve)
BP
Sexual maturity

ECOS 4 (13 decks)

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