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Pediatrics
Well Child Checks and Development Questions
| Question | Answer |
|---|---|
| What is pediatrics? | Branch of medicine that cares for newborns, infants, children, and adolescents. |
| What are the main skills the Medical Assistant must have to be successful in Pediatrics? | *Developmental patterns and anatomy of pediatric patients *Have the ability to gain child's confidence and trust and caregiver's cooperation *Knowledge of diseases and disorders affecting pediatric patients *How to properly education patients and their ca |
| At birth what tests/examinations are given? | APGAR test, newborn screening |
| What does APGAR stand for? | Appearance, Pulse, Grimace, Activity, Respiration |
| When are APGAR scores assessed? | 1,5,and 15 minutes |
| What scale does APGAR use?What is high/low? | 0-100=very bad 10=great |
| What does a newborn screening consist of? | Blood Tests for PKU (phenylketonuria), lead poisoning, hypothyroidism, iron deficiency anemiapossibly hearing or visual acuity if necessary |
| When do babies need to come in for Well Baby Checks? | birth, 1,2,4,6,9,12,15,18,24 months |
| Why are immunizations important? | They protect and help the child's body build antibodies (blocks) to many deadly or serious childhood diseases |
| If on schedule, when will most of a child's immunizations be complete? | by 15-18 mos |
| When are children most succeptible to serious diseases especially Haemophilus Influenzae B? | 2 years and under |
| What information is important about immunizations before they are given? | The temperature and storage manner are appropriate with the manufacturers instructions. Also check with the patient's parents to verify there are no allergies or other contraindications as to why a particular immunization cannot be given |
| If your patient is due for a vaccination, but you cannot give it, or they receive an immunization and the parents report a severe reaction, what must you do? | Report the contraindication or the reaction to VAERS. |
| What does VAERS stand for? | Vaccine Adverse Event Reporting System |
| What must the Medical Assistant document when administering vaccinations? | Type of vaccine given, Lot number, manufacturer, expiration date, VIS given and revision date, dosage, route of administration, side effects reported, administration site, date of administration, date next dose due |
| What is another name for a Newborn? | Neonate |
| What is the age range for Newborns? | Birth to 1 month |
| What is the average HR, and RR for Newborns? | HR 100-150 bpmResp 30-60 breaths per min |
| How do you count a Newborn's respiratory rate? | Watch for the rise and fall of the abdomen.1 rise and 1 fall= one breath |
| How many urinary voidings should a Newborn have daily on average? | 2-6 urinary voidings |
| What is the visual ability of a Newborn? | 20/150 |
| How do you know a Newborn is visualizing properly? | They will squint or shut their eyes tightly when bright light is seen. |
| How do you know a Newborn is hearing properly? | They will startle at loud noises. |
| What does the Medical Assistant check at every Newborn/Infant Check (well-baby)? | Weight, Length, Head circumference, Temperature, Heart rate, Respiratory rate, physical development (milestones), give immunizations if necessary |
| What can a temperature be indicative of? | Ear infection or other undetected illness |
| What is the age range of the Infant group? | 1-12 months |
| If you need to obtain an infant BP, what do you need? | An infant (pediatric) cuff and stethoscope |
| What technique do you use if you cannot obtain an infant's BP with instruments? | obtain the palpated systolic blood pressure |
| What changes should a baby's weight have made from birth to 12 months old? | By 6 months old the baby's birth weight should have doubled. By 12 months the weight should have tripled. |
| What are the main 4 methods for obtaining a body temperature reading? | Oral temperature, Aural Temperature, Rectal temperature, and Axillary temperature |
| What is an oral temperature, what age group is it appropriate for and why? | Oral temperature is taken by mouth.It is recommended for children older than 5 years.Younger children may bite the thermometer, or not be still enough to obtain an accurate reading. |
| What is an aural temperature, what age group is it appropriate for and why? | Aural temperature, is taken via the ear.It is recommended for children older than two years because it is considered inaccurate for children younger than that due to ear infections, impacted cerumen, or small eustachian tubes. |
| What is a rectal temperature, what age group is it appropriate for and why? | Rectal temperature is taken in either suppine or prone position via the patient's anus. It is recommended (with caution) for infants and toddlers when other methods or routes are not advised. This is the most accurate gauge of temperature. |
| What is Axillary temperature, what age group is it appropriate for and why? | Axillary temperature is taken in the armpit (axilla), it is advised for toddlers and preschoolers because it is safe and nonintrusive. |
| What age group would the Snellen vision test be given? | Toddlers |
| What is blood tested on Preschoolers for when healthy otherwise? | Lead poisoning |
| What social issues should be discussed during the Preschool stage? | private parts |
| What are the average vitals for an Infant? | 100-160 HR20-40 RR |
| What are the average vitals for a toddler? | 70-120 HR20-30 RR80-112/50-80 BP |
| What is the age range for toddlers? | 1-3 years or 12-36 months |
| What is the age range for preschoolers? | 3-6 years |
| What are the average vitals for preschoolers? | 70-120 HR16-22 RR82-110/50-78 BP |
| What is the age range for school aged children? | 6-12 years |
| What are the average vitals for school aged children? | 70-110 HR16-20 RR84-119/54-80 BP |
| What is the age range for adolescents? | 11-21 years(physician may prefer to cut off adolescents around 18, the social age of adulthood) |
| What are the average vitals for adolescents? | 60-100 HR12-20 RR94-119/62-88 BP |
| What social issues would be addressed at a WCC for a School Aged Child that had not been previously? | Prepuberty, Body Image and Weight, Effects of Drug use, maybe sex and STD/pregnancy prevention on case by case basis |
| What social issues would be addressed for Adolescents at a WCC that had not been previously? | illegal drug, tobacco, alcohol abuse, mental health, prescription drug abuse, domestic violence, sexual activity, contraception, STD prevention |
Created by:
caramel_cutie_no_1
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