L1: History Taking in Pediatric Rehabilitation Flashcards
TRUE OR FALSE: In a 6y/o child, a PT must indicate the fraction of the month depending on what month the pt is in
True
Note: a PT must do so if a child is >1y/o
What is the age of viability?
more than or equal to 20 wks
What will be written in the subjective examination when a grandfather, who brought a child into the PT clinic, does not know the prenatal or natal history of the child and mother?
GP FPAL unrecalled/ unknown
Total number of pregnancies including the current
pregnancy
Gravida
This refers to the number of birth after 20 wks
Parity
Fill in the blanks.
The following is considered as abortion if at least 1 out of 3 conditions is met:
■ If the fetus or embryo is removed at (1)____ or less (spontaneous or intentional abortion)
■ If the fetus or embryo is less than or equal to (≤) (2)_____ of weight
■ If the fetus or embryo is less than (3)____ of length
- 20 weeks
- 500 grams
- 25 cm
What does APGAR stand for?
activity
pulse
grimace
appearance
respiration
How immediate should an APGAR score be given after birth?
It must be given on the 1st and 5th minute
What is the normal hours of labour
16 hours
Before proceeding to the child’s birth history, what must be first asked to the guardian?
Clue: This is part of the general information
Precautions instructed by MDs or possibly alerting s/sx observed by guardians
This pertains to the characteristics of the child when he/she
was born.
Age of Gestation
Based from the Age of Gestation, which category will 27-week baby be categorized at?
pre-term
Based from the Age of Gestation, which category will 36-week baby be categorized at?
pre-term
NOTE: pre-term = 20-36 weeks
Based from the Age of Gestation, which category will 42-week baby be categorized at?
post-term
NOTE: post term = >40 weeks
Based from the Age of Gestation, which category will 37-week baby be categorized at?
full term
NOTE: Full term = 37-40 weeks
Enumerate the 3 natures of delivery
- Natural spontaneous delivery (NSVD)
- Caesarean section (CS)
- Forceps extraction/assisted
Complication during delivery: a sign of fetal distress wherein babies
defecate inside the mother’s womb during prolonged
labor
Meconium staining
Complication during delivery: is when the cord is coiled around the child’s neck
Cord coil
Complication during delivery: pelvic of the mother is small relative to
the child;
Feto-pelvic disproportion
Complication during delivery: placenta comes out first before the
baby and cause oxygen deprivation to the brain, leading to developmental delay
Placenta previa
Complication during delivery: baby turns bluish in color
cyanotic
What is the range of a normal APGAR score?
7-10
What part of the brain is involved with cognition delays?
Frontal Lobe
When your patient is a little kid, how do you communicate in their level?
sound or act silly
NOTE: PT must get the trust of the child before any rehabilitation may efficiently proceed
When your patient is a teenager or young adult, how do you communicate in their level?
communicate with the same respect as you would use to talking to a grown up
When you patient is a school aged kid, how do you communicate in their level?
Find common ground like talking about disney characters
(1) _____ is referred to as the normal age of the child, while (2)_____ is dependent on the highest skill that the patient can do.
- Chronological age
- Developmental age
TRUE OR FALSE: The chief complaint is written first in every documentation format
False.
NOTE: In pediatrics, it is written in the last part of the subjective together with the caregiver’s/parent’s goal
TRUE OR FALSE: Labor is just one phase of the whole parturition process. It is the second phase.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
C. Only the 1st statement is true
labour is the 3rd phase
Labor dystocia arises from 3 distinct abnormalities. Enumerate all these.
power, passages, passenger
What is the expected weight gain of the mother with normal weight and is expecting a single baby?
25-35 pounds
This is a condition where there is a sudden spike in blood pressure common at 20 wks of gestation or 6 wks after delivery
preeclampsia
TRUE OR FALSE: A PT may play with the pediatric patient during
examination or while interviewing the parent
True
In the Philippines, for every ___ PWD, 1 of them is a child with disability or 5.1 M (UNICEF, 2017)
7
Determine in which part of the subjective heading will the following be seen.
- GPFPAL
- APGAR Score
- age of the mother
A. Maternal history
B. Birth history
C. Prenatal history
D. Perinatal history
E. Postnatal history
F. Developmental Milestones
- B
- D
- B
Determine in which part of the subjective heading will the following be seen.
- (+) smoker c hx of 2 pack years
- age of gestation
- turns head to side when in prone
A. Maternal history
B. Birth history
C. Prenatal history
D. Perinatal history
E. Postnatal history
F. Developmental Milestones
- A
- B
- F
When a baby is born on the 35th week of gestation, he is considered what?
pre-term baby
NOTE: Pre-mature babies range from 20-36 weeks
A mother got pregnant 5 times. The eldest were twins and were born full term. The next two pregnancies were unsuccessful – one only reached 12 weeks while the
other only reached 24 weeks. The 4th pregnancy was successful though the child was born at 7 months. The youngest was born healthy and at 41 weeks. How do you document the GPFPAL?
G5P4 (2,2,1,4)
NOTE: GP FPA = twins and triplets are considered as one. L = each person is counted individually.
This term refers to the normal childbirth when the head comes first.
Cephalic delivery
When the head doesn’t appear first in a child delivery, it’s called _____
“breech position.”
TRUE OR FALSE: Twins are counted as one in parity
True
TRUE OR FALSE: A PT does not need to consider the births after your patient. Only the mother’s GPFPAL when your patient was born is required to be asked.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
A. Both statements are true
Identify 2 incorrect documentation formatting or writing from the sample below:
This is the case of Lia Lu, a 2 y/o, F, born @ 32 weeks to a 17-y/o G1P1(0,1,0,1) in breech presentation @ USTH assisted by MD
- Name must be written using initials only
- Age must be in fraction if more than one year old to correspond the months
- Missing nature of delivery (NSVD or spontaneous)
TRUE OR FALSE: A hx of being diabetic, hypertensive, smoker, alcoholic beverage drinker is written under “lifestyle” subheading.
False, it is under maternal hx.
- intake of folic acid
- exposure to X-Ray
- Mother’s ankle sprain on (L)
A. Maternal history
B. Birth history
C. Prenatal history
D. Perinatal history
E. Postnatal history
F. Developmental Milestones
1-3. C
- placenta previa
- medical interventions done
- OB visits
A. Maternal history
B. Birth history
C. Prenatal history
D. Perinatal history
E. Postnatal history
F. Developmental Milestones
- D
- E
- C
TRUE OR FALSE: There is no way to ask whether a child was unwanted. Therefore, a PT must just ask directly.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
B. Both statements are false
Determine the Apgar Score and answer whether the pt needs immediate resuscitative measures.
● pulse: <100
● Flexed at arms & legs
● Weak, irregular, gasp
● No Grimace
● Blue all over
4
No, it is not needed
Score Correspondent: 1 + 2 + 1 + 0 + 0
Determine the Apgar Score and answer whether the pt needs immediate resuscitative measures.
● Strong cry
● No cyanosis
● Some flexion
● Feebly cry when stimulated
● >100
8
No, it is not needed
Score Correspondent: 2 + 2 + 1 + 1+ 2
Determine the Apgar Score and answer whether the pt needs immediate resuscitative measures.
● No muscle tone
● No reflex irritability
● < 100
● Blue extremities
● Weak, irregular, gasp
3
Yes, the baby needs immediate resuscitative measures.
Score Correspondent: 0 + 0 + 1 + 1 + 1
