Pediatric – Week 3 Discussion 2nd REPLY
Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.
JO Discussion:
Discuss the history that you would take on this child in preparation for the well-child visit. Include questions regarding her growth and development that are appropriate for her age.
In preparation for this patient’s well-child check, it is imperative to review the patient’s perinatal history (any complications during pregnancy), birth history (term/preterm, vaginal or c-section delivery), medical history, immunizations, hospitalizations, growth chart, vital signs, lab work (if applicable), family history, if any illnesses have occurred since birth. Important questions pertinent to growth and development include: does the infant’s diet consist of breast milk, formula, or both? If breastfed only, do you supplement with vitamin D? How many ounces and how often is the baby eating? How many wet diapers and bowel movements has the baby had in the last 24 hours? How is the baby sleeping? Does the baby respond to your voice? Does the baby coo or smile? Is the baby able to lift and hold head while on her stomach? Is the baby able to move all four extremities? Can she bring her hands to her mouth? I would also like to ask the parent if they have any concerns about the baby’s development.
Describe the developmental tool to be used for Asia, its reliability and validity and how Asia scored developmentally on this tool.
The developmental tool used to monitor children from birth to age 8, is the Parents’ Evaluation of Developmental Status PEDS test. This test is completed by the parents and is used as a reference for primary care providers to assess for autism and to analyze the patient’s behavior, development, and social-emotional/mental health (Bright Futures, 2021). The PEDS test and retest reliability studies were conducted on 193 pediatric patients over a 0–32-day span, revealed a 94% agreeance in PEDS Paths and parental concerns (PEDS Test, 2018). Asia’s PEDS test score of zero and her overall physical exam, she is developing appropriately.
Is she developmentally appropriate for her age? What immunizations will Asia be given at this visit; what is the patient education and follow-up?
As mentioned previously, given the PEDS results, reviewing trends in growth chart, and per the physical exam, Asia is developmentally appropriate for her age. According to the CDC immunization schedule, Asia should receive DTap, Hep B (second dose, as she received 1st Hep B after birth), Hib, IPV, PCV13, RotaV (CDC, 2021). Asia’s mother should obtain a handout about the immunizations Asia will receive at the visit and possible side effects the patient may experience after the immunizations have been given. Common side effects after vaccine administration include: tenderness and/or redness at injection site, low grade fever, fussiness, decreased appetite, and vomiting (CDC, 2021). Asia’s mother should be educated on the need to encourage Asia to drink plenty of fluids, and to administer Tylenol and Ibuprofen as needed for discomfort. The patient may experience redness at the injection site. Asia’s immunization card/record should be updated, and her mother should receive the 2-month Bright Futures informational handout.
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Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
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