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health history additions for a pediatric client Flashcards

1
Q

The study explores the differences in medical history obtaining in pediatric patients, the impact of age on the process, the role of parents as historians, and the appropriate use of open-ended questions.

A

HEALTH HISTORY ADDITIONS FOR A PEDIATRIC CLIENT

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2
Q

○ SOB
○ Chronic cough

A

respiratory system

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3
Q

○ Croup or asthma
○ Wheezing or noisy breathing

A

respiratory system

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4
Q

Cyanosis

A

CARDIOVASCULAR SYSTEM

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5
Q

○ Congenital heart problems
○ History of murmurs
○ Limitation and tolerance of activities

A

Cardiovascular system

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6
Q

○ Dyspnea on exertion

A

Cardiovascular system

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7
Q

○ Stool color and characteristics
○ Diarrhea and constipation

A

Gastrointestinal system

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8
Q

○ Abdominal pain
○ Nausea and vomiting
○ History of ulcer
○ Bowel movement patterns

A

Gastrointestinal system

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9
Q

○ Painful urination
○ Polyuria/Oliguria
○ Narrowed stream

A

Urinary System

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10
Q

○ Urine color
○ History of UTI
○ Bedwetting

A

Urinary system

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11
Q

○ Penis or testicular pain
○ Any sores or lesions
○ Discharge

A

Male Genital System

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12
Q

○ Hernia or hydrocele
○ Changes in the penis and scrotum

A

Male Genital System

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13
Q

○ Itching
○ Rashes
○ Vaginal discharges
○ Date of menarche and preparedness

A

Female Genital system

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14
Q

Child’s attitude toward the opposite sex.

A

Sexual Health

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15
Q

advancement in sec education includes? (name atleast 1)

A

○ Masturbation
○ Relationships
○ Birth control methods
○ Sexually- transmitted diseases

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16
Q

musculoskeletal system (in _____ ___ ______)

○ Joint pain
○ Stiffness
○ Swelling
○ Limitation of movement
○ Gait strength
○ Coordination

A

bones and joints

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17
Q

musculoskeletal system (in ______)

○ Pain
○ Cramps
○ Weakness

A

muscles

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18
Q

musculoskeletal system (in ___ _____)

○ Pain
○ Posture
○ Spinal curvature
○ Any treatment

A

the back

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19
Q

○ Numbness and tingling
○ Learning disabilities and attention problems
○ Seizure occurrence
○ Motor coordination

A

NEUROLOGIC SYSTEM

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20
Q

○ Excessive bruising
○ Lymph node swelling
○ Exposure to toxic agents or radiation

A

HEMATOLOGIC SYSTEM

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21
Q

○ Allergic Rhinitis
○ Asthma
○ Eczema
○ Drugs reactions

A

Endocrine system

22
Q

○ Delayed puberty
○ Allergy
○ Urticaria

A

Endocrine system

23
Q

○ History of diabetes or thyroid diseases
○ Excessive hunger, thirst, or urinating
○ Abnormal hair distribution

A

Endocrine System

24
Q

○ Nutritional state
○ Weight gain and loss
○ Illnesses
○ Energy level
○ Behavioral changes

A

General

25
Q

○ Birthmarks
○ Pigment or color changes
○ Mottling

A

Skin, Hair, and Nails

26
Q

○ Pruritus, rashes, lesions, & acne
○ Easy bruising or petechiae
○ Easy bleeding
○ Changes in hair or nails

A

skin, hair, and nails

27
Q

○ Headache
○ Head injury
○ Dizziness

A

HEAD

28
Q

○ Strabismus
○ Diplopia
○ Pain and redness

A

eyes

29
Q

○ Discharges
○ Cataracts & vision changes ○ Reading problems

A

Eyes

30
Q

○ Earaches
○ Frequency of ear infections ○ Discharge (characteristics) ○ Cerumen
○ Ringing or crackling
○ Attention span of the child

A

Ears

31
Q

○ Discharges and characteristics
○ Frequency of colds
○ Nasal stuffiness
○ Nosebleeds
○ Allergies

A

Nose and Sinuses

32
Q

○ History of cleft lip or palate
○ Frequency of sore throats
○ Toothache, caries, sores in mouth or tongue

A

Mouth and Throat

33
Q

○ Swollen tonsils
○ Mouth breathing
○ Difficulty chewing and swallowing
○ Hoarseness or any voice changes

A

Mouth and Throat

34
Q

○ Swollen or tender glands
○ Limitation of movement
○ Stiffness

A

Neck

35
Q

● For preadolescent and adolescent girls:
○ Age of thelarche
○ Self-perception of this development
● For older adolescents:
○ Performance of BSE

A

Breast (females)

36
Q

TRUE OR FALSE: When obtaining histories for infants and children, gather all or part of the information from the child itself

A

FALSE: When obtaining histories for infants and children, gather all or part of the information from the PARENT OR GUARDIAN.

37
Q

TRUE OR FALSE: Adolescents tend to respond best when treated as adults and individuals.

A

TRUE

38
Q

● Record the mother’s and father’s occupation.
● Indicate the number of hours each parent is away
from home.

A

Economic Status

39
Q

Consider factors like living conditions, safety measures, exposure to environmental hazards, and the overall support system within the home.

A

Home Environment

40
Q

● Indicate status of the child in the family.
● Note and describe family cohesion.
● Indicate any repetitive behaviors.
● Methods of discipline used.
● Elicit information about the child’s social roles: playmates.

A

Interpersonal relationships

41
Q

Elicit data about employed home precautions and safety measures.

A

Environmental Hazards

42
Q

THESE INFORMATIONS ARE NEEDED AND PART OF THE ENVIRONMENTAL HAZARDS EXCEPT:

○ Residence
○ Neighbor
○ Safety precautions used inside the automobile

A

neighbor

it should be NEIGHBORHOOD

43
Q

Indicate a child’s ability to adapt to new situations.

A

COPING/ STRESS MANAGEMENT

44
Q

● Elicit data about child’s coping mechanisms.
● Indicate behavioral or mood changes of the child.

A

COPING/ STRESS MANAGEMENT

45
Q

● Record the child’s play activities.
● Record sleep/rest patterns and characteristics.
● Record school attendance.
● Record school performance.

A

Activity and rest

46
Q

● Elicit data about the adolescent’s vices, if there are any, including frequency.

A

HABITS

47
Q

these are all part of health promotion except:

● Record child’s primary health provider.
● Elicit data about the child’s last medical
examination.
● Include recent dental check-up visits and
subsequent schedules.
● Elicit data about employed home precautions and safety measures.
● Provide date and result of the child’s screening.

A

● Elicit data about employed home precautions and safety measures.

48
Q

Record date of introducing solid foods.

A

Nutritional History

49
Q

TRUE OR FALSE: IN Family history, we need to draw a diagram of the child’s family tree, including siblings, parents, grandparents, and great grandparents.

A

FALSE: Draw a diagram of the child’s family tree, including siblings, parents, and grandparents (GREAT GRANDPARENTS ARE NOT INCLUDED)

50
Q

MEANING OF HEADSS MODEL

A

H - Home
E - Education
A - Activities /Alcohol
D - Diet /drugs
S - self-esteem / sexuality
S - Safety Suicide

51
Q

what model can we use to take a teen’s health history?

A

HEADSS MODEL

HA (6 decks)

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