Assessment of Pediatric Patient Flashcards
What are 2 basic reasons for well child visits?
- Prevention - immunizations, safety, nutrition
2. Tracking growth and development
Well child visits also give the parents the opportunity to?
Express concerns and ask questions
When should you get a CBC from a child?
1 year old
Besides prevention, tracking growth/development, and parental concerns, what else can a well child visit do?
Establish a medical home
Screen for SDOH
What website has the recommendations for pediatric patients?
Bright Futures
What should you search if you want to know immunization schedules?
CDC immunization schedules
How often does the CDC immunization schedule change?
Every year
If you are seeing a new baby, what is important to ask?
How MOM is doing - postpartum depression?
What are 3 basic items to ask about in a new baby?
Diet
Elimination
Sleep
What is different about obtaining the HPI with a pediatric patient?
Most of the information comes from the parent
What specific history is also important to obtain with a pediatric patient?
Pregnancy history
- prenatal/postnatal, delivery, complications, meds, etc.
What is an APGAR score?
Numerical value assigned within 5 mins of birth that guides care just after delivery
What does the APGAR score evaluate?
Activity Pulse Grimace Appearance Respiration
What does an Oxygen Saturation Test evaluate for?
Critical Congenital Heart Defect
In what 3 scenarios is a pregnancy history very important?
- Child is < 5 yo
- Child has developmental delays
- Child has dysmorphic features/chronic illnesses
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?
DDST-2
When assessing age-appropriate developmental milestones, how should you approach it?
Ask about basic skills first -> work up to asking about advanced skills
What type of PE should be done at a well child visit? What stats should be documented?
Note vital signs
= Perform head to toe physical exam
What are 4 thing that are longitudinally documented with a well child visit?
Height (plot on growth curve)
Weight (plot on growth curve)
BP
Sexual maturity
What are 4 things that are longitudinally documented with a well child visit?
Height (plot on growth curve)
Weight (plot on growth curve)
BP
Sexual maturity
