NR 110 (Latest 2023 / 2024 ) Assessment Exam 4
NEW Study Guide 100% Correct
Health History:
Includes specific information for the age and developmental stage of the child test
Biographic data:
Name Nickname Address Caregiver's name
Source of health history:
primary - patient themselves secondary - family member or friend
- RECORD who is giving the info and how they are related
-Are they a reliable source?
- / 4
Reason for seeking care:
Recording caregivers statement
Present health/ present illnesses:
Usual health of child Common health problems Presenting s/s of illnesses
Pain: How they react to ; associated factors
Past health:
Childhood Illnesses Accidents or Injuries Serious or Chronic Illnesses
Hospitalizations: reason, age
Operations Immunizations Last examination date Allergies Current Medications
- / 4
Developmental History: Growth:
Height/weight @ birth and @ every visit Milestones: Sitting, walking, toileting
Current Development:
- gross motor development: sitting, walking, toileting
- fine motor skills:
- language skills
- social skills
Nutritional History for infant:
Infant:
-Breast feeding
- How often?
- How long?
- How much are they taking in?
- Any issues?
-Bottle feeding
- What kind of formula?
- How often?
- How much are they takin in? 3 / 4
- Any issues?
- Solid foods
- When did they start?
- What are they tolerating?
Nutritional history for children: -
Record child's appetite
- 24 hour diet recall
- Any vitamins or supplements taken
- How much junk food eaten
- Who eats with the child?
- Food likes and dislikes?
- Parents/Caregivers perception of child's nutrition
- Consider cultural practices when taking nutrition history
Family history:
Heart disease
- High blood pressure
- Diabetes
- Blood disorders
- / 4