Podcast
Questions and Answers
What are the two broad categories of pediatric patient office visits?
What are the two broad categories of pediatric patient office visits?
- Well-child visit (correct)
- Sick-child visit (correct)
- Emergency visits
- Regular check-up
What are the components of a well-child visit?
What are the components of a well-child visit?
Growth and development, anticipatory guidance, physical examination
What topics are commonly included in anticipatory guidance?
What topics are commonly included in anticipatory guidance?
Safety, nutrition, sleep, play, exercise, development, and discipline
What is the typical schedule for well-child visits?
What is the typical schedule for well-child visits?
What age group is referred to as toddlers?
What age group is referred to as toddlers?
What age group is referred to as preschool children?
What age group is referred to as preschool children?
What age group is referred to as school-age children?
What age group is referred to as school-age children?
What age group is referred to as adolescents?
What age group is referred to as adolescents?
What age group is referred to as infants?
What age group is referred to as infants?
What is the cradle position?
What is the cradle position?
What is the upright position for holding an infant?
What is the upright position for holding an infant?
What should be measured during each visit and plotted on a growth chart from birth to age 3?
What should be measured during each visit and plotted on a growth chart from birth to age 3?
Why is a child's weight important?
Why is a child's weight important?
How is an infant weighed?
How is an infant weighed?
When is length measured instead of height?
When is length measured instead of height?
How is the length of a child measured?
How is the length of a child measured?
Why is head circumference an important measurement?
Why is head circumference an important measurement?
What is the head circumference range of a newborn?
What is the head circumference range of a newborn?
At what age should blood pressure be measured annually?
At what age should blood pressure be measured annually?
What is the most important criterion in obtaining an accurate pediatric blood pressure measurement?
What is the most important criterion in obtaining an accurate pediatric blood pressure measurement?
What percentage of the arm should the bladder of the cuff encircle for an accurate blood pressure measurement?
What percentage of the arm should the bladder of the cuff encircle for an accurate blood pressure measurement?
Where should the child's arm circumference be assessed for a blood pressure?
Where should the child's arm circumference be assessed for a blood pressure?
What two factors are considered when giving a child intramuscular injections?
What two factors are considered when giving a child intramuscular injections?
What is the typical length and gauge of a needle used to administer intramuscular injections to a child?
What is the typical length and gauge of a needle used to administer intramuscular injections to a child?
What is the typical length and gauge of a needle used to administer subcutaneous injections to a child?
What is the typical length and gauge of a needle used to administer subcutaneous injections to a child?
What site should never be used as an injection site for infants or young children?
What site should never be used as an injection site for infants or young children?
What site is recommended for injections of infants and young children?
What site is recommended for injections of infants and young children?
Where is the vastus lateralis muscle located?
Where is the vastus lateralis muscle located?
How do you locate the vastus lateralis site of an infant and young child?
How do you locate the vastus lateralis site of an infant and young child?
At what age should the deltoid site begin to be used for injections?
At what age should the deltoid site begin to be used for injections?
Why should the deltoid site not be used in infants and children younger than 18 months?
Why should the deltoid site not be used in infants and children younger than 18 months?
How should the length of the needle be adjusted when giving an injection in the deltoid site?
How should the length of the needle be adjusted when giving an injection in the deltoid site?
Where is the recommended subcutaneous site for an infant younger than 12 months?
Where is the recommended subcutaneous site for an infant younger than 12 months?
Where is the recommended subcutaneous site for a child 12 months or older?
Where is the recommended subcutaneous site for a child 12 months or older?
What is immunity?
What is immunity?
What is active, artificial immunization?
What is active, artificial immunization?
What is a vaccine?
What is a vaccine?
What is a toxoid?
What is a toxoid?
What is the VIS (vaccine information sheet)?
What is the VIS (vaccine information sheet)?
What should a parent be supplied with at their child's first well visit?
What should a parent be supplied with at their child's first well visit?
What must the medical assistant give the parent before their child's immunizations?
What must the medical assistant give the parent before their child's immunizations?
What information must be charted in the patient's chart at each immunization?
What information must be charted in the patient's chart at each immunization?
Why is a newborn screening test performed on an infant?
Why is a newborn screening test performed on an infant?
What is tested for in a newborn screening test?
What is tested for in a newborn screening test?
What is the most important test performed for a newborn screening test?
What is the most important test performed for a newborn screening test?
What is PKU?
What is PKU?
Where is the newborn screening test performed from?
Where is the newborn screening test performed from?
Where is the capillary blood obtained from for a newborn screening test?
Where is the capillary blood obtained from for a newborn screening test?
How is the newborn screening testing done?
How is the newborn screening testing done?
Once the newborn screening test is performed, how long does it take to get results?
Once the newborn screening test is performed, how long does it take to get results?
What happens if one of the screening test results is positive?
What happens if one of the screening test results is positive?
Study Notes
Pediatric Patient Office Visits
- Two main types: well-child visits and sick-child visits
Well-Child Visit Components
- Focuses on growth and development, anticipatory guidance, and physical examination
Anticipatory Guidance Topics
- Covers safety, nutrition, sleep, play, exercise, development, and discipline
Well-Child Visit Schedule
- Recommended at: 3-5 days, 1 month, 2, 4, 6, 9, 15, 18, 24, 30 months, then yearly after 3 years
Age Groups
- Infant: birth to 12 months
- Toddler: 1 to 3 years
- Preschool: 3 to 6 years
- School-age: 6 to 12 years
- Adolescent: 12 to 18 years
Infant Holding Positions
- Cradle position: one hand supports the back, other grasps the arm
- Upright position: one hand supports head and shoulders, other under buttocks
Growth Measurements
- Requires regular recording of weight, height, and head circumference from birth to age 3
- Weight determines nutrition and medication dosages
- Infants weighed in a recumbent position
- Length measured instead of height for children under 24 months, from head to heel
Head Circumference
- Critical for assessing brain growth during infancy
- Normal range: 32 to 38 cm or 12.5 to 15 inches for newborns
Blood Pressure Measurement
- Recommended annually starting at 3 years old
- Cuff size is the most crucial factor for accurate readings
Injection Techniques
- Intramuscular injections consider medication consistency and child's size
- Typical needle size for IM: 5/8 to 1 inch length, 22 to 25 gauge
- Subcutaneous injections: 1/2 to 5/8 inch length, 23 to 25 gauge
- Avoid dorsogluteal site; use vastus lateralis for infants
- Deltoid site suitable for children 18 months and older
Immunity and Vaccination
- Immunity: body’s resistance to harmful agents
- Active, artificial immunization: inducing immunity via vaccines
- Vaccine: weakened or killed microorganisms that stimulate antibody production
- Toxoid: treated toxins from bacteria used to prevent disease
Vaccine Information and Administration
- VIS (Vaccine Information Sheet) outlines benefits and risks
- Provide immunization record card during first well-visit
- Chart details at immunization: VIS info, vaccine admin date, manufacturer, and healthcare provider's signature
Newborn Screening Tests
- Tests for metabolic and endocrine diseases in infants
- Common tests: phenylketonuria (PKU), biotinidase deficiency, congenital adrenal hyperplasia, and more
- PKU is the most critical test; results typically available within a few days
- Blood sample taken from the heel, placed on filter paper for lab analysis
Positive Screening Results
- A positive result necessitates further testing for confirmation
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on pediatric office visits with this quiz based on Chapter 24 of the pediatric examination. Learn about the crucial components such as well-child and sick-child visits, as well as anticipatory guidance topics. Perfect for future pediatricians and healthcare professionals!
