paeds Hx

Question 1

age periods

Answer 1

neonate - 4 wks
infant - 1 yr (early/late is the 6m)
toddler - 1-2 yrs
pre school - 2-6
school - +6
ado - 10-19

Question 2

additional sections to ask in hx of paed

Answer 2

perinatal
nutrition
gr and devel
immunisation

Question 3

qs for perinatal hx (mother)

Answer 3

-maternity age
-planned
-antenatal care
-details of prev preg
-maternal illnesses : PIH, syph, rubella, HIV, injury/stress, poly/oligohydramnios, toxins

Question 4

qs for perinatal hx (delivery)

Answer 4

where baby born
duration of labour - long = hypoxia
any problems eg meconium staining - fetal distress
weight and condition
type of delivery
gest age

Question 5

qs for perinatal hx (neonatal)

Answer 5

neonatal period - stay in thr nursery eg incubator, seizures, transfusion

all details on rthc

Question 6

qs for nutrition hx

Answer 6

feeding:
breastfeeding/formula + how bottle is prepared (infection risk)
solid - details
food allergy
patterns of weight - hx of PEM (prot energy malnut)

Question 7

red flags of devel

Answer 7

not smiling by 8 wk
not sitting unaided by 9 m