NU552 week 8 discussion: Assessment of the Pediatric and the Pregnant Patient

Assessment of the Pediatric and the Pregnant Patient.

Advanced physical assessment of special populations require in-depth consideration specific to the health development and changes that occur in these populations. The nurse practitioner will conduct well visit clinical assessments, manage health screening and also assess complaints toward development of a diagnosis from patient records, a subjective history and the physical exam using clinical reasoning. Additionally these complaints may require diagnostic labs to be performed for an accurate diagnosis.

Complete one of the three scenarios.

Consider the chief complaint of fever in an 8-month-old.
or
Consider the chief complaint of acne in a 15-year-old.
or
Consider the chief complaint of nausea in a pregnant 17-year-old.
Demonstrate clinical judgment with regards to the chief complaint and case.

What pertinent information collected from the history would impact your assessment; consider social determinants of health for children as well as clinical aspects.
What would be pertinent positives or pertinent negatives found in the exam.
Include at least three differentials.
Include which diagnostics you would order based on your differentials and why.
How might a final diagnosis be determined?
Apply evidence-based support for your choices; including a clinical guideline for one of your differentials.
What health policy aspects might be of consideration?