Paediatric History

Question 1

Traffic Light System

Answer 1

Colour- do they look more pale to parent/carer
Activity- playing and interacting as usual or more tired
Resp- any difficulty with breathing
Hydration/circulation- drinking enough, are they having as many wet nappies as usual
Other- hot, recorder temp, any rashes

Question 2

Pregnancy and birth history

Answer 2

Prenatal

• maternal illness eg. DM, pre-eclampsia, infections
• did mother smoke, take alcohol, drugs etc.
• complications of pregnancy and labour

Natal

• normal delivery vs ceasean
• did pregnancy reach term
• birth weight

Postnatal

• Was child well
• Did they require admission

Question 3

Feeding history (infants and toddlers)

Answer 3

Bottle/breast- which one and details
Weaning- at age were solids introduced, any difficulty weaning
Feeding pattern- what do they eat, any trouble with certain foods eg. dairy

Question 4

Developmental history

Answer 4

Concerns about development

Milestones- have they met them yet

NB- ask for red book/are community midwives happy

Question 5

Immunisation history

Answer 5

Up to date
When was the last one/ what for

NB- adapt the paediatric history for the age and circumstances of the child eg. feeding and postnatal history not required for adolescent with new cough