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Well Child Checks and Development Questions

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
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