What information should guide a pediatric assessment?
Consider the child’s report, caregiver observations, objective findings, and developmental stage together.
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What information should guide a pediatric assessment?
Consider the child’s report, caregiver observations, objective findings, and developmental stage together.
What should an infant’s history include?
Ask about pregnancy and birth, feeding, sleep, wet and soiled diapers, jaundice, and caregiver concerns; observe the infant’s behavior and interaction.
Which measurements are core pediatric vital signs?
Temperature, heart rate, respiratory rate, and blood pressure are core vital signs; measure oxygen saturation when clinically indicated.
At what ages is standardized developmental screening recommended?
Standardized developmental screening is recommended at 9, 18, and 30 months.
What fever threshold requires prompt evaluation in an infant aged 3 months or younger?
A rectal temperature of at least 100.4∘F \(38^\circ\text{C}) in an infant aged 3 months or younger requires prompt medical evaluation.
How should clinicians address privacy with adolescents?
Offer private time, explain confidentiality and its limits, and follow applicable law and clinical policy.
Which growth charts are used by age in the United States?
Use WHO growth standards from birth to age 2 and CDC growth charts from age 2 onward in the United States. Interpret the pattern over time in context.
How can an examination be made more comfortable for a young child?
Use developmentally appropriate techniques, such as examining young children on a caregiver’s lap, using play, and doing less distressing steps first.
What should you do with an unexpected vital-sign reading in a stable child?
Measure when the child is as calm as possible. If the child is stable, repeat unexpected readings before acting.
When is pediatric blood pressure measurement recommended?
Measure blood pressure annually from age 3. At every encounter from age 3, measure it for children with specified risk factors, such as obesity, kidney disease, or diabetes.
What does FLACC assess?
FLACC stands for Face, Legs, Activity, Cry, and Consolability; it can help assess pain in young or nonverbal children.
At what ages is autism-specific screening recommended?
Autism-specific screening is recommended at 18 and 24 months.