Well Child Exam Flashcards Preview

Pediatrics > Well Child Exam > Flashcards

Flashcards in Well Child Exam Deck (88)
Loading flashcards...
1

Beneficial Things About Well-Child Care

Form relationship with parents & child
Vaccinations
Pick up odd things in a child

2

Approach to a Well Child Visit

Laid-back Attitude
Speak directly to child
Complement the child in some way
Smile
Be non-threatening

3

What Should be Assessed in a Well-Child Visit?

Growth measurements
Interval History
PE abnormalities
Developmental assessment
Anticipatory Guidance
Immunizations
Answer questions

4

What types of measurements should we measure?

Height
Weight
Head circumfrence

5

Interval History Questions

How you feeling?
Baby/child doing?
How things going since last visit?
Appropriate follow-up questions
Devote entire time to situation

6

Areas to be Assessed for a Developmental Assessment

Gross motor
Fine motor
Language
Personal-social
Vision
Hearing

7

Developmental Delays

Motor delays- 1st year
Language delays- toddler-preschool years
Learning disabilities- school years

8

Reasons for a Motor Delay

Neuromuscular
Genetic/Metabolic
Infectious

9

Reasons for Language Delay

Hearing loss
Mental retardation

10

Importance of Early Detection of Developmental Programs

Live independently
Graduate from HS
Contribute to society
Save society $30,000-$100,000 per child

11

Types of Standardized Instruments for Developmental Assessment

Denver II
Ages & Stages Questionnaire (ASQ)
Brigance Screening
Parents' Evaluation of Developmental Status (PEDS)

12

Denver II Developmental Assessment Scale

Children 0-6 years
Four areas included: gross motor, fine motor, personal-social, and language

13

Denver II Advanced

Child passes item that falls completely to the right of the age line

14

Denver II Normal

Child passes, fails, or refuses item on which the age line falls between the 25th and 75th percentile

15

Denver II Caution

Child fails or refuses item on which the age line falls between the 75th and 90th percentile

16

Denver II Delayed

Child fails or refuses item that falls completely to the left of the age line

17

Denver II Pass

No delays and a maximum of one caution

18

Denver II Failure

Two or more delays noted

19

Denver II Re-evaluate in 3 months

1 Delay and/or 2 or more cautions

20

Denver II Untestable

Significant number of refusal or no opportunity test items

21

Denver II Criticisms

Takes time
Norms established not representative of whole population
Some items difficult to test
Requires a number of items to administer test thoroughly
High over-referral rate

22

Ages & Stages Questionaire (ASQ)

Info from parents
Developmental problems
10-15 minutes to complete
4 months-5 years
Separate form for each visit
Available in English, Spanish, Korean, & French
Standardized scoring
Photocopied

23

Brigance Screening

Observation & elicitation of skills
Newborn- 8 years
Based on age
10-15 minutes

24

Parents' Evaluation of Developmental Status (PEDS)

Info from parents
Newborn- 8 years
10 questions
English, Spanish, & Vietnamese
2 minutes
Standardized scoring

25

What is one advantage of the ASQ?

Gets parents involved in child's care
More aware of child's abilities/limitations
Saves time

26

High Impact Anticipatory Guidance

No smoking
Reading to the child

27

Newborn Anticipatory Guidance

Review feeding method
Sleep position & environment
Care of skin, cord, circumcision
Breast engorgement, vaginal discharge
Jaundice
Injury Prevention
When/why to call Dr.
Individuality of infant

28

Newborn Injury Prevention

Microwave safety (bottles)
Car seat safety
Crib safety
Siblings
Pets
Smoke detectors
Hot water heater temp setting (120)
UV protection
Smoke free home

29

Two-week Anticipatory Guidance

Answer questions about breast or formula feeding
Sleep patterns
Social Interaction with family
Injury prevention

30

Two-week Injury Prevention

Car seat safety
Smoke detectors
Hot water temp
"Back to sleep"
Violence prevention
Education about colic
Educate on shaken baby syndrome
UV protection
Smoke free home