PediatricsPediatrics
(Part I)Pediatrics
Pediatrics
(Part I)Pediatrics
(Part
(PartI)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
First When doing the pediatric physical exam, should you should perform less invasive
maneuvers first or last?
-Child development proceeds along a predictable 4 principles of child development:
pathway
-The range of normal development is wide
-Various physical, social, and environmental factors, as
well as diseases, can affect development and health
-The child's developmental level affects your history and
physical exam
Anticipatory guidance Educating parents and caregivers about what to expect in the next phase of
development at well-child visits
This is called:
American Academy of Pediatrics Publishes guidelines for health supervision visits and the key age-appropriate
components of these visits
!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
PediatricsPediatrics
(Part I)Pediatrics
(Part I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
, PediatricsPediatrics
(Part I)Pediatrics
Pediatrics
(Part I)Pediatrics
(Part
(PartI)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
Prenatal & birth The pediatric history taken during the wellness visit should include what types of
Feeding histories? (5)
Developmental
Social
Immunization
Is child eating/drinking? Acute visit HPI questions for infants: (5)
Plenty of wet diapers?
Playing well?
Tylenol/Ibuprofen given for fevers?
Signs of ear infection?
6 Infants should have at least ___ wet diapers per day if adequately hydrated
Tugging at ears, interrupted sleep Signs of ear infection in infants: (2)
Apgar score; 1 and 5 minutes after birth Assesses 5 components of the newborn's neurologic recovery from the stress of
birth and immediate adaptation to extrauterine life. When is this score taken?
!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
PediatricsPediatrics
(Part I)Pediatrics
(Part I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
, PediatricsPediatrics
(Part I)Pediatrics
Pediatrics
(Part I)Pediatrics
(Part
(PartI)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
appearance, pulse, grimace, activity, respiration What are the 5 components of an Apgar score?
8 (8-10 is normal range) If a newborn's 5-minute Apgar score is ___ or more, you may proceed to a more
complete examination (normal score)
5-7 Apgar score of ___-___ indicates some nervous system depression
0-4 Apgar score of ___-___ indicates severe nervous system depression requiring
immediate resuscitation
Body and extremities pink = 2 points Apgar scoring for appearance:
Body pink, but extremities blue = 1 point
Body and extremities blue = 0 points
>100 bpm = 2 points Apgar scoring for pulse:
<100 bpm = 1 point
absent = 0 points
Cry on stimulation = 2 points Apgar scoring for grimace:
Grimace on suction = 1 point
Absent = 0 points
!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
PediatricsPediatrics
(Part I)Pediatrics
(Part I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)Pediatrics
Pediatrics
(Part I)Pediatrics
(Part
(PartI)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
First When doing the pediatric physical exam, should you should perform less invasive
maneuvers first or last?
-Child development proceeds along a predictable 4 principles of child development:
pathway
-The range of normal development is wide
-Various physical, social, and environmental factors, as
well as diseases, can affect development and health
-The child's developmental level affects your history and
physical exam
Anticipatory guidance Educating parents and caregivers about what to expect in the next phase of
development at well-child visits
This is called:
American Academy of Pediatrics Publishes guidelines for health supervision visits and the key age-appropriate
components of these visits
!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
PediatricsPediatrics
(Part I)Pediatrics
(Part I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
, PediatricsPediatrics
(Part I)Pediatrics
Pediatrics
(Part I)Pediatrics
(Part
(PartI)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
Prenatal & birth The pediatric history taken during the wellness visit should include what types of
Feeding histories? (5)
Developmental
Social
Immunization
Is child eating/drinking? Acute visit HPI questions for infants: (5)
Plenty of wet diapers?
Playing well?
Tylenol/Ibuprofen given for fevers?
Signs of ear infection?
6 Infants should have at least ___ wet diapers per day if adequately hydrated
Tugging at ears, interrupted sleep Signs of ear infection in infants: (2)
Apgar score; 1 and 5 minutes after birth Assesses 5 components of the newborn's neurologic recovery from the stress of
birth and immediate adaptation to extrauterine life. When is this score taken?
!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
PediatricsPediatrics
(Part I)Pediatrics
(Part I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
, PediatricsPediatrics
(Part I)Pediatrics
Pediatrics
(Part I)Pediatrics
(Part
(PartI)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
appearance, pulse, grimace, activity, respiration What are the 5 components of an Apgar score?
8 (8-10 is normal range) If a newborn's 5-minute Apgar score is ___ or more, you may proceed to a more
complete examination (normal score)
5-7 Apgar score of ___-___ indicates some nervous system depression
0-4 Apgar score of ___-___ indicates severe nervous system depression requiring
immediate resuscitation
Body and extremities pink = 2 points Apgar scoring for appearance:
Body pink, but extremities blue = 1 point
Body and extremities blue = 0 points
>100 bpm = 2 points Apgar scoring for pulse:
<100 bpm = 1 point
absent = 0 points
Cry on stimulation = 2 points Apgar scoring for grimace:
Grimace on suction = 1 point
Absent = 0 points
!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
PediatricsPediatrics
(Part I)Pediatrics
(Part I)Pediatrics
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
(Part I)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
