Podcast
Questions and Answers
What is one possible site of birth?
What is one possible site of birth?
How can labor be categorized?
How can labor be categorized?
Which of the following describes a type of birth?
Which of the following describes a type of birth?
What aspect of labor can vary among individuals?
What aspect of labor can vary among individuals?
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Which of the following is NOT a recognized site of birth?
Which of the following is NOT a recognized site of birth?
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What is an example of a symptom that is NOT listed?
What is an example of a symptom that is NOT listed?
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Which term describes the duration of symptoms that occur at intervals?
Which term describes the duration of symptoms that occur at intervals?
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In the context of symptoms, what does 'localized' refer to?
In the context of symptoms, what does 'localized' refer to?
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Which of the following might indicate the nature of a symptom's duration?
Which of the following might indicate the nature of a symptom's duration?
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Which of the following symptoms is associated with a digestive issue?
Which of the following symptoms is associated with a digestive issue?
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Which of the following is considered a specific behavioral problem often observed in children?
Which of the following is considered a specific behavioral problem often observed in children?
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Which behavior is NOT typically categorized as a behavioral issue in children?
Which behavior is NOT typically categorized as a behavioral issue in children?
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What term describes the behavior of consuming non-food items in children?
What term describes the behavior of consuming non-food items in children?
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Which factor is important to consider when evaluating a child's school-present grade?
Which factor is important to consider when evaluating a child's school-present grade?
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Which of the following behaviors might indicate an emotional issue rather than a developmental concern?
Which of the following behaviors might indicate an emotional issue rather than a developmental concern?
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What should be reviewed regarding immunizations?
What should be reviewed regarding immunizations?
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Which aspect of physical activity should be assessed?
Which aspect of physical activity should be assessed?
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What is an important factor to consider when evaluating exercise?
What is an important factor to consider when evaluating exercise?
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Why is it important to record unexpected reactions to immunizations?
Why is it important to record unexpected reactions to immunizations?
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Which of the following is not a component of activities and exercise evaluation?
Which of the following is not a component of activities and exercise evaluation?
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What is one source of past evaluation for a problem?
What is one source of past evaluation for a problem?
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Which of the following is NOT a typical setting for past evaluations?
Which of the following is NOT a typical setting for past evaluations?
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Which of these might provide necessary results for past examinations?
Which of these might provide necessary results for past examinations?
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What type of investigation is considered a past evaluation method?
What type of investigation is considered a past evaluation method?
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In what context are past evaluations generally conducted?
In what context are past evaluations generally conducted?
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What factor related to the mother can influence prenatal conditions?
What factor related to the mother can influence prenatal conditions?
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Which of the following is essential for ensuring a healthy pregnancy?
Which of the following is essential for ensuring a healthy pregnancy?
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Which of these factors can contribute to complications during pregnancy?
Which of these factors can contribute to complications during pregnancy?
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What is a key consideration in managing a healthy pregnancy diet?
What is a key consideration in managing a healthy pregnancy diet?
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Which of the following could be considered a complication during pregnancy?
Which of the following could be considered a complication during pregnancy?
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Study Notes
Pediatric Assessment - History Taking
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Child's Information: Obtain birth date, age, religion, address, parental education, phone number, and admission date. Source of information should be noted.
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Chief Complaint: Identify the primary problem using the child's or parent's words. Use open-ended questions like "Why did you come here today?" Avoid leading questions.
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History of Present Illness/Injury: Detail the current health problem, including:
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Onset: Sudden or gradual, previous episodes, and the date and time it began.
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Type of Symptom: Pain, itching, cough, vomiting, diarrhea, rash, etc., described precisely.
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Location: Generalized or localized, anatomically precise.
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Duration: Continuous or episodic, describing the length of episodes.
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Severity: Effect on daily activities (e.g., sleep, appetite, ability to perform tasks).
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Influencing Factors: What relieves or aggravates symptoms? Trigger or precipitating events? Recent exposure to infections or allergens?
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Past Evaluation: Any prior testing or visits related to the current problem, including dates, locations, and results.
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Past/Current Treatment: Medication (prescription and over-the-counter), therapies, tried treatments, and responses to those treatments (e.g., heat, ice, rest).
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Past History:
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Prenatal: Maternal age, health, care, pregnancy complications, weight gain, expected date of birth.Detailed description of any illness/complications during pregnancy, medications, hospitalizations.
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Intrapartum: Birth site (hospital, home, birth center), type of birth (vaginal, Cesarean), labor duration, complications during labor, and condition of baby at birth (weight, Apgar score, immediate need for intervention, etc).
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Postnatal: Any abnormalities (meconium staining, etc.), and postnatal condition.
Additional Topics
- Previous Illnesses: Common communicable diseases (measles, chickenpox, mumps, etc); operations; hospitalizations; blood transfusions.
- Allergies: To food, medication, animals, insects, or other exposures; and the reaction (e.g., respiratory difficulty, rash).
- Immunization: Dates and any reactions to immunizations given.
- Activities and Exercise: Physical mobility, limitations, adaptive equipment, and play/sports activities.
- Nutrition: Feeding method (breast or formula), intake details, foods introduced, and eating habits.
- Sleep: Sleep patterns and duration, nightmares, night terrors, sleep disturbances.
- Social History: Living circumstances; economic conditions; parental occupations and marital status; exposure to toxins (e.g., cigarette smoke); pets. Household pets
- Developmental History: Milestones achieved, current abilities, school performance, behavior (e.g., temper tantrums).
- Review of Systems: Detailed assessment of each body system (general, skin, hair, head, eyes, ears, nose, throat, mouth, cardiac, etc.). This includes symptoms like fever, rashes, headaches, vision problems, etc.
- Family History: Significant familial and hereditary diseases in three generations (parents, grandparents, aunts, uncles, siblings).
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Description
Test your knowledge on the vital aspects of pediatric assessment with a focus on effective history taking. This quiz covers key areas such as gathering the child's information, identifying chief complaints, and understanding the history of present illness or injury. Perfect for students and professionals in pediatric healthcare.