What are age specific screening Growth parameters, developmental screenings, BP after age 3, BMI after age
procedures? Vision and hearing at key ages and behavioral and mental health screening
When should you start checking BMI? At age 2
When should you start checking BP? At age 3
1. It proceeds along a predictable path
2. Range of normal development is wide
What are the 4 principles of child
3. Various physical, social and environmental factors as well as disease can a
development?
development and health
4. The child's developmental level should affect how you conduct the H&P
Who are the major agents for health The parents
promotion in pediatric patients?
1. Age appropriate developmental achievement of the child
2. Health supervision visits
3. Integration of physical exam findings with health promotion
What are the key components to pediatric
4. Immunizations
health promotion?
5. Screening procedures
6. Anticipatory guidance
7. Partnership among health care provider, child/adolescent and family
How is the first year of life divided? The neonatal period (Day 1-28) and the Postneonatal period (Days 29 - 1 yr)
, Bates Pediatric Exam
When is the first pediatric exam Immediately after delivery
performed?
When is the first comprehensive pediatric Within the first 24hrs of birth
exam performed?
It is performed immediately after birth to classify the newborns neurological
What is the apgar score? recovery from the stress of birth and immediate adaptation to extrauterine lif
based on a 3 point scale
at 1 and 5 minutes post birth, and continue at 5 minute intervals until they rea
When is the Apgar score performed?
score of >7
How should you classify newborns? According to gestational age and birth weight
What is the ballard scoring system used Estimating gestational age in weeks
for?
What are examples of complex newborn Habituation, Attachment, state regulation and perception
behavior?
How should you order the pediatric Start with less invasive portions, such as chest and lungs, and save more inva
exam? such as ears and moth and eyes for last.
A developmental screening assessment that assesses 4 critical domains of
what is the Denver Screen? infant/child development up to age 6. It should be kept in the child's chart an
updated at each visit.