History and examination

Question 1

Paediatric history

Answer 1

Presenting complaint
History of presenting complaint
Birth history
Feeding history
Immunisation history
Developmental history
Past medical history
Drug history
Allergies
Social history
Family history

Question 2

Questions to ask in a birth history

Answer 2

Full term? - if not, why?
NVD? If not, how were they delivered and why?
Birth weight?
Did they need medical attention at birth?

Question 3

Questions to ask in a feeding history

Answer 3

Breast/bottle?
How much and how often?
When were they weaned?
What do they eat now?

Question 4

Normal amount for a breast fed baby

Answer 4

Feeding every 2-3 hours

Question 5

Normal amount for a bottle fed baby

Answer 5

Every 3-4 hours

150ml/kg/day

Question 6

When should a baby be weaned

Answer 6

6 months

Question 7

How much weight should a baby be gaining per day

Answer 7

30g

Except in 1st week of life, baby will lose 10% max of body weight

Question 8

What vaccines should a child have by age 5

Answer 8

DPT
IPV
HIB
Pneumococcus
Men C
MMR
Preschool booster

Question 9

When should the DTP, IPV and HIB vaccine be given

Answer 9

2 months
3 months
4 months
12 months (HIB only)

Question 10

When should the pneumococcus vaccine be given

Answer 10

2 months
4 months
13 months

Question 11

When should the Men C vaccine be given

Answer 11

3 months

12 months

Question 12

When should the MMR vaccine be given

Answer 12

13 months

Question 13

Questions to ask in a development history

Answer 13

Any concerns about their development?
Does the HV or teacher have any concerns about their development?
Ask about milestones for their age

Question 14

Additional parts of a CVS examination

Answer 14

Palpate liver

Palpate femoral pulses