Make sure you introduce yourself to the kid first (make relationship) → slowly get a little bit closer and interact with the kid more as you talk with the parents

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Unique for Ped: BINDS (5)

• Birth, Immunization, Nutrition, Development, Social </aside>

ID

name, age, major chronic medical concerns

CC, HPI

• Of both Child and Caregiver
• OPORSTU
• Recent travel, Sick contacts (if fever suspected)

Brith History

1) Maternal & Pregnancy

• History of previous pregnancies (GTPAL System ) /mother’s health
• Maternal systemic illness during pregnancy (e.g., HTN, DM)
• Additional Screening

2) Labor History

(in general, ask if child is younger than 5-7 yr, unless you are concerned about something that might be due to birth insult, e.g. ADHD, Autism)

• Complication in pregnancy/delivery
  • meconium, prolonged rupture of membranes, maternal fever and need for antibiotics, fetal tachycardia
  • C-section or Vaginal?
  • Additional Screening
• Genetic Abnormalities or Teratogenicity (Minor, major deformities)
  • Additional Screening

3) Post-natal

• Birth Weight (2.5 - 4.5)
• APGAR (9/10) (1 and 5 min), and if points lost, for what?
• WasNeonatal Resuscitation necessary? If yes, what and for how long?
  • Hospitalization > 72 hours -- Why?
  • Jaundice, cardiorespiratory, etc…
  • NICU stay?
    • duration, treatment, complications

Vaccination

• ON Mandatory Vaccine Schedule
• including contraindications, such as previous anaphylaxis, or immunosuppression

Developmental

• Growth and Development Milestones
• behavioural concerns

Nutrition

• Breast-feeding specific:
  • Lactation (Breast Feeding)
  • Neonate Nutrition Assessment