Aquifer Case titled Pediatrics 02: Infant female well-child visits (2, 6, and 9 months)

Apply information from the Aquifer Case Study to answer the following questions:

  • 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.
  • Describe the developmental tool to be used for Asia, its reliability and validity and how Asia scored developmentally on this tool. Is she developmentally appropriate for her age?
  • What immunizations will Asia be given at this visit; what is the patient education and follow-up?

When you lay the response out, please answer the questions in the order that they are listed. Cite all references using APA format. Sources should be no older than 5 years (2013-2018). Incorporate peer reviewed journal articles for references and be sure to document DOI or weblink in reference citation. Also, be sure to include in-text citations within the response. Be mindful of grammatical, punctuation, and spelling errors.

I have attached the case summary after I completed the case and I also copied attached another helpful document that kind of follows along with the case summary.

Expert Solution Preview

During a well-child visit, it is essential to gather a complete history of the child’s growth and development. It is also crucial to assess the child’s physical, cognitive, behavioral, and emotional functions to identify any potential developmental delays. Additionally, it is essential to administer appropriate immunizations to safeguard the child’s health against preventable illnesses. Here, we will answer the questions raised in the Aquifer Case Study regarding a child’s well-child visit.

Question 1:
To prepare for Asia’s well-child visit, the history I would take includes her complete medical history, including any existing medical conditions and a record of surgeries or hospitalizations. As Asia is a four-year-old, I will inquire about her developmental milestones. I will ask her guardians or parents about her physical, cognitive, and social milestones when she started walking and talking, and her current communication and social skills. Pertinent questions concerning her growth and development would include the following:
– Did Asia begin crawling or sitting up on her own?
– How old was Asia when she took her first steps, and did she walk with assistance?
– Can Asia dress herself or perform other activities of daily living independently?
– Can Asia follow simple instructions, such as “jump” or “wave”?
– Does she engage in sociable behavior with both peers and adults?
Assessing Asia’s growth and developmental milestones will help determine her overall health status and develop appropriate interventions in case of any potential issues.

Question 2:
During a well-child visit, I will administer a developmental screening test to evaluate Asia’s cognitive and behavioral functions. Age-appropriate developmental tools, such as the Ages and Stages Questionnaire or the Denver Developmental Screening Test (DDST-II), screen for developmental delays and can be performed by healthcare providers or other trained staff. The DDST-II has good psychometric properties with age-appropriate norms that were derived statistically using a large, diverse sample. According to the case study, Asia scored developmentally appropriate for her age and falls within the age-appropriate norms of the DDST-II.

Question 3:
At the visit, Asia should receive age-appropriate vaccinations, including the MMR (measles, mumps, rubella) vaccine, DTaP (diphtheria, tetanus, acellular pertussis) vaccine, IPV (inactivated poliovirus) vaccine, and Hib (Haemophilus influenzae type b) vaccine. The patient education and follow-up should include detailed information about the vaccines, their benefits, and potential side effects. It is vital to stress the importance of complete immunization and schedule the next immunization visits when necessary. Additionally, to encourage future compliance, the healthcare provider should give appropriate handouts to the parents or guardians regarding the child’s immunization history, the next scheduled vaccine appointments, and what to do in case of any adverse events after the vaccination.

In conclusion, to best prepare for a well-child visit, it is essential to gather complete growth and developmental history and administer appropriate developmental tools and immunizations. By doing so, healthcare providers can develop appropriate interventions, address concerns, and provide appropriate care for the child’s holistic growth and development.

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