Pedia Hx Taking Flashcards
how should you document age in pedia
indicate fraction of months if > 1yo
5 yo and 5/12 months
discuss the different AOGs
pre-term: 20-36 wks
full term: 37-40 wks
post-term: 41-41 wks
what is gravida
it refers to the total number of pregnancies
what is parity
number of pregnancies that are viable
at least 20 wks whether born alive or not
discuss FPAL
full term: 37-40 wks
premature: 20-36 wks
aborted: < 20 wks
live births: number of children alive
criteria for abortion
if 1/3 is met:
- less than 20 wks
- less than or equal to 500g
- less than 25 cm length
what are the different natures of delivery
NSVD - indicate presentation if breech or cephalic
CS
forceps extraction or assisted
what is written under maternal hx
if mother is DM, HTN, smoker, alcoholic beverage drinker
mga lifestyle
discuss prenatal hx
during pregnancy
drugs, illness, trauma, radiation, wanted vs unwanted, prenatal care
usual infections in prenatal period
TORCHS
toxoplasmosis, rubella, cytomegalovirus, herpes, syphilis
usual drugs that are dangerous in prenatal period
isotretinoin - for acne
2 yr washout period
discuss perinatal hx
during birth
deliver precautions, hours of labor, complications and APGAR score
normal hours of labor
16 hrs
if more than CS na
usual complications of delivery
cord coil
cyanotic
meconium staining
placenta previa
feto-pelvic disproportion
discuss APGAR score
done at 1st, 5th, 10th, 15th and 20th minutes
normal: 7-10
may require some resuscitative: 4-7
require immediate resuscitative: < 3
discuss post-natal hx
illness, hospitalisations, trauma, meds, labs of child after birth
what is the difference between chronological age and developmental stage
can be the same or not
chrono: bday
dev: depends on motor, speech, cognitive and emotional milestones
usual skills assessed in postnatal hx
holds head: 4 mo
rolls over: 5-6 mo
transfer object: 6 mo.
sits alone: 6-7 mo
stands alone: 10-11 mo
walks alone: 15 mo
how is c/c written in pedia
last c caregiver/parent goal
una yung mga history shit
