Q9 Prevost Exam 2 2023 with complect solution

What are the 4 Communication Skills listed for the doctor? 1 Make office child friendly 2 Have lots of photographs 3 Make fun for kids to get adj. 4 Case of week (ped's lit) When asking the parents about the history of their young child should you involve the child in the discussion? Yes, speak to the child on his/her level and be playful, maybe give him/her something to hold or use (stethoscope or instruments) Why do you need to reassure the parents of a child patient that they are doing the right thing bringing their child to a chiropractor? b/c a lifetime of bias may need to be overcome (dispel anxiety about adj. children and peer intimidation regarding chiro in general) When talking to a child during their first few visits how do you deal with their fear of being in your office? 1 Talk to the child directly & friendly on a child's level 2 Ask about school or kindergarten 3 Use toy animal for demo and discussion of prob 4 Ask the child about his perception of prob 5 Be natural and be you to est. rapport 6 Listen to 1st & last statements as they often convey what the pt. wants you to know. When it comes to rewarding a child for their behavior at your office what is a major Taboo? Never allow a child to be rewarded for being sick or uncooperative, ask the parents to give the reward when they recover instead or after receiving adj. What are the general information topics to ask about during the history regarding a newborn as a patient? 1 Mother's health pre-concep. 2 Prego Hx (all testing) 3 Birth Hx (details of L&D) 4 Neonatal assess post birth 5 Childhood illnesses and vaccinations, Nutrition 6 Growth & Dev. (milestones) 7 Prego duration, incidents, birth presentation, type of birth, difficulty of labor, place of birth, APGAR score, life support assistance if needed, physiological or pathological jaundice, circumcision (anesthetic or not) 8 Vaccinations, other meds given (including eyes), types of feeding, habits and difficulties 9 Sleep habits (head, neck posture, colic) 10 Fevers/ Traumas What are the general information topics to ask about during the history taking as the child grows older? 1 Birth - 2 years: milestones, growth patterns, Ht. & wt., Teething, spine, gross/fine motor skills, social & language skills, self-help skills 2 Pre and School-age child: What does their day consist of? Activities and time per activity, Tv/Video/Computer games, outside time (activities involved in, sports (organized or rec) When do you conclude the history taking and start the examination of the child? 1 When the info indicates a Dx or demands an examination for clarity 2 When indicating to the child/parent you need to perform an exam based on information obtained 3 Listen for last minute throw-out lines that may represent the real reason the pt. is there What are the terms used for percentage of time a symptom is present or how often a symptom occurs when taking a history, especially the terms Frequently, Often & Occassionally? 1 Always - 100% 2 Almost always - 75% 3 Usually- 35-100% 4 Frequently- 42-93% 5 Often - 28-92% 6 Occasionally- 0-42% 7Infrequently- 0-28% 8 Rarely - 0-17% 9 Never - 0% What are the terms used to refer to chronological age, especially Neonatal, Infant, Toddler, Adolescent? 1 Neonatal - 0-4 wks 2 Infancy - 0-1 yr. 3 Toddler- 1-2 yrs 4 Childhood- 1-15 yrs. 5 Preschool- 2-5 yrs. 6 School 5-15 yrs. 7 Adolescent - 13-19 yrs. When is considered the period of highest mortality in life of the infant? 1st month of life Why is it important to ask about medications given at birth and in early life? knowing any meds. Given at birth will aid in determining likely problems encountered in the neonatal period A What health conditions is early use of antibiotics linked to? Inc. incidence of allergies, digestive disturbances What are the listed Minor Symptoms that may go un-noticed or ignored? RED FLAGS!!! - Irritability, Lethargy, Poor Feeding, Restlessness - REFER! List the risk factors for KISS syndrome as described by Biedermann. 1 Intrauterine Misalignment/Constraint 2 Use of extraction aids during the birth process 3 Prolonged labor 4 Multiple fetuses What is considered the "normal" amount of crying time of daily crying in an infant? Around 2 hours (excessive = 3 hours) What percentage was given regarding newborn subluxation of the suboccipital region according to Biedermann? 114 (19%) found to have VSC in suboccipital region.....hmm..... Regarding Feeding Habits History explain how long should a child go between feedings, and when is it common for the frequency of feedings increase due to growth spurts? 1 As infant grows, period between feedings should increase 2 Common times: First few days @ home, 7-10 days, 2-3 wks, 4-6 wks (stressful time most moms go back to work), 3, 4, 6, 9 months ...