week 3 content Flashcards
AAP periocity table of timing of well child visits
- 3-5 days of age (when home from hospital)
- 1 month
- 2,4,6,9,12,15,18,24, and 30 months
- annually beginning age 3
start the visit: 3 things
- review VS and anthropometrics before you enter the room
- greet the family and patient
- ask about concerns
first step of the data collection
history
when does the head to toe PE start?
preschool
interval history
allergies, ER visits, illnesses, injuries, hospitlaizations
other components of the history
- medications
- nutritional history
- physical activity hisotry
- elimination
- safety
- sleep
- social history
- developmental history
- mental health assessment
temp taking regulations
- no axillary temps (except for newborn)
- no typmanic temps less than 6 mo
- oral temp at age 4-5 years
apicle pulse should be taken when
ages 6 years and younger
bp should be taken when
ages 3 years and older
length measured until when
2 years, then the height is started
when switching over, there can be a change in length becuase when they are laying down they can be “stretched” a bit
head circ is measured when
3 years and younger
BMI calculated at age
2 and older
notes about wt measuring
- infant weighed naked, no diaper
- toddlers weighed in diaper only
- preschool and older weight with no shoes or jacket
absent red reflex
indicative of a retinoblastoma
weak or absent femoral pulses
coarc of the aorta
undecended testes
need to have happened and if not, should be refered to urology by 6 mo of age
hip click
look for it in every exam for the first whole YOL (ortolani and barlow)
strabismus
- intermittment si normal for first 4 mo
- finding can be cover uncover test OR unequal light reflexes
- if not fixed, what can happen: amblyopia
umbilical hernia
can resolve on own
scoliosis
assessed via forward bending beginning at age 9-10 for girls and 11-12 for boys. refer if >25 degrees
aap recommendations for PPD screening
1,2,4,6 mo visits
use Edinburg of PHQ9
if depression is found, sent to therapy, provider or ER if self harm is evident