1. Chapter 27
Pediatrics

2. Pediatrics
Special needs of newborns, infants, children, and adolescents
The medical assistant/child relationship >>

3. Pediatrics First physical examination for newborn
Newborn APGAR scoring
PKU and other testing
“Well-child” versus “sick-child” visits

4. Pediatrics and the TPMS
In a total practice management system, all the necessary data are documented at the time of clinical care

5. Immunizations Immunizations
Stimulates the immune system to create antibodies against pathogens
Given by mouth, injection, and intranasal spray
Preparing vaccines for administration
Recommended schedules
Considerations for vaccine administration

6. Immunizations
Giving multiple vaccines at the same time

7. Giving Injections to Pediatric Patients
Injection sites
Vastus lateralis
Deltoid
Injection routes
Intramuscular
Subcutaneous

8. Growth and Development
Newborns
Infants
Toddlers
Preschoolers
School-Aged Children
Adolescents

9. Growth Patterns Infant/child failure to thrive
Causes
Growth hormone production
Measuring the infant or child
Consistency
Accuracy

10. Height and Weight Physical growth percentile chart
How to chart growth
Normal range of growth
Determining percentile
National Center for Health Statistics (NCHS) growth charts
Aid in diagnosis of growth abnormalities and nutritional disorders and disease
(see Procedure 27-3 in the text)

11. Infant Holds and Positions

12. Height and Weight
Height and weight measuring devices

13. Height and Weight
Watch the video

14. Head and Chest Circumference
Measuring head circumference
Equipment used
Growth percentile chart
Average head circumference of newborns
Measuring chest circumference
Converting measurements
(see Procedure 27-3 in the text)

15. Pediatric Vital Signs Temperature Oral Aural (tympanic) Rectal
Axillary
Temporal artery
(see Procedure 27-4 in the text)

16. Pediatric Vital Signs Pulse Apical pulse Use of stethoscope
Normal heart rate ranges for children
Heart rhythm, rate
Normal, bounding, or thready
(see Procedure 27-5 in the text)

17. Pediatric Vital Signs Respirations
In children younger than 6, observed by the rise and fall of the abdomen
Older children are measured the same way as adults
Often irregular, and should be counted for a full minute
Normal respiratory rate ranges for children
(see Procedure 27-6 in the text)

18. Pediatric Vital Signs Blood Pressure
Taken on infant at physician’s request
Taken annually in children 3 years of age and older
Determining size of cuff
Auscultating pulse
Palpating systolic blood pressure

19. Collecting Urine Specimens
Pediatric urine collection bag >>
Direct urethral bladder catheterization
(see Procedure 27-7 in the text)

20. Pediatric Screenings Screening infants for hearing impairment
Automated system used (tympanogram)
Screening infant and child visual acuity
Kindergarten chart
Snellen E chart >>

21. Common Disorders and Diseases
Otitis media
The common cold
Tonsillitis
Pediculosis
Asthma

22. Common Disorders and Diseases
Croup
Pertussis
Respiratory syncytial virus
Attention deficit hyperactivity disorder
Child abuse

23. Male Circumcision Surgical removal of the foreskin of the penis
Proponents and opponents of circumcision