Peds H + P

Question 1

What is the importance of a well child visit?`

Answer 1

prevention - immunizations, nutrition, safety

tracking G&D - height, weight, BP, head cricumference (esp <1y/o), developmental milestones

parents can ask questions

physician does quick PE

establishment of a ‘medical home’

Question 2

Where should you look for info on child exams?

Answer 2

Bright Futures

Question 3

What should you do if you are seeing a new baby?

Answer 3

ask mom how she is doing (post partum depression)

Question 4

What is unique about getting a ped hx?

Answer 4

a lot of it comes from the parents

trust the parents, but look out for hyperviligant or neglectful parents

Question 5

What should you include in PMH for kids under 5?

Answer 5

pregnancy hx (meds, complications, prenatal care, delivery, apgar scores, postnatal)

Question 6

A lot of the development hx is gotten from..

Answer 6

observation

parent’s documentation of where the kid is at

Question 7

What do we follow longitudinally with PE?

Answer 7

height

weight

BP

sexual maturity

Question 8

Where should you get your info on vaccines from?

Answer 8

CDC

Question 9

How should you approach the PE with a ped pt?

Answer 9

open the door slowly

be gentle

ask parents how the child will be more comfortable

use parent/caregiver for help

don’t be too persistent