Pediatric Considerations Flashcards
When does stranger anxiety typically start and diminish in pediatrics?
starts between 6-9 months and diminishes between 2-3 years
length vs stature?
length - pt is supine (birth to 3 yrs)
stature - pt is standing (2 yrs to 20 yrs)
True or false, heart rate is faster In younger patients?
True; count for at least 30 seconds and multiply by 2 (if extremely fast listen a full minute)
Explain the “from the door assessment triangle”
Appearance
Work of breathing
Circulation
What are the 4 main domains of child development?
Cognitive
Language
Physical
Social-emotional
The importance of the Redbook and the ACIP/CDC Pediatric Immunization schedules
the rebook is the pediatric infections BIBLE - provides evidence-based guidance on pediatric infections and vaccinations
When does the AAP recommend surveillance for risk factors associated with social determinants of health?
during ALL patient encounters
FRAYED
mnemonic used to list the most common symptoms of trauma exposure
What are the three “R’s” of trauma informed care?
Realize, Recognize, and Respond
Explain the “Realize” in the three “R’s” of trauma informed care
Realize the widespread impact of trauma, especially in childhood, and its effects on lifelong health
Explain the “Recognize” in the three “R’s” of trauma informed care
Recognizes the signs and symptoms of trauma through screening and observation. This pertains to patients/clients AND others involved in the system
Explain the “Respond” in the three “R’s” of trauma informed care
Respond by modifying practice, policies, and procedures to lessen post-trauma stress and to avoid re-traumatization
Which PE should you start with first on pediatrics?
heart and lungs
the Denver II
used to assess the development of a child; developmental milestones
Poor social determinants of health are linked to what in the pediatric population?
chronic health problems
mental illness
substance misuse
educational challenges
underemployment