PAS 251F Introduction to Pediatrics exam questions and verified answers

Anatomic and Physiologic Differences between Child and Adult see picture Exam Pearls for Infants and Toddlers - Examine in caregiver's lap while also sitting down - Build rapport by examining stuffy or adult first - Let child play with and touch exam equipment - Do parts of the exam with them - Start with heart and lung exam while child is quiet Exam Pearls for School Age Children - Ask history questions - May assess development by asking to draw - For oropharynx - "breathe like a doggie" - For respiratory exam - "blow out candles" Exam Pearls for Adolescents - Confidentiality is key - Always allow 1:1 time w provider - Model consent Pulse - Assess for quality of rate, rhythm, and volume - 0 to 2 years - apical pulse - 2+ - radial pulse - Count for a full minute - Compare upper and lower extremity pulses - Palpate femoral pulses - absent or weak pulse is diagnostic of coarctation of the aorta