Week 6 Discussion

For this assignment, you will review the latest evidence-based guidelines in the links provided below. Please make sure you are using scholarly references and they should not be older than 5 years. The posts/references must be in APA format. 

Apply the information from the Aquifer case study to answer the following questions: 

1: Which essential questions will you ask this pediatric patient or his/her caregiver during this well-child check? Why are these questions important? What lab tests or diagnostic studies will you order and why?

2: What diagnoses would you give the patient in this case? Include the findings that support the diagnoses.

3: What is your treatment recommendation and education for the patient and family? Why? Include anticipatory guidance.

Pediatrics 03: 3-year-old male well-child visit
User: Elizabeth Hernandez
Email: elizabet[email protected]
Date: September 20, 2021 12:00AM

Learning Objectives

Upon completion of the case, the student should be able to:

Discuss the importance of identifying parent concerns in order to set priorities for a well-child visit.
Describe the components of a preschool health supervision visit, including common concerns, key elements of health promotion,
recommended screening, and immunizations.
Demonstrate ability to measure and assess growth, including height/length, weight, and body mass index using standard
growth charts.
List normal developmental milestones at 3, 4, and 5 years of age.
Identify eczema and discuss principles of management.
Describe key elements of the physical exam for a well-child visit in early childhood, including tests to identify strabismus.
Discuss strategies for modifying the elements of the well-child visit to match the child’s level of comfort and cooperation.
List common causes of injury in early childhood.
Discuss age-appropriate anticipatory guidance about safety in preschoolers, including recommendations for addressing firearms
in the home.
Summarize risk factors and screening for tuberculosis, lead poisoning, anemia.
List potential causes of anemia in a preschool aged child.
Outline an approach to the assessment of anemia in children
Describe an initial approach to the management of suspected iron deficiency anemia.
List common dietary issues in early childhood.
Discuss strategies for counseling parents on making dietary changes in preschoolers.


Vision and Hearing Screening

Hearing is initially evaluated in the newborn period.
Between birth and age 3, children are evaluated by asking the parent if they have concerns about vision or hearing.
Instrument based vision screening, with a photoscreener, should start at 1 year
Vision screening using a chart begins at age 3 years.
Hearing evaluation through audiometry begins at age 4 years.
Children who cannot cooperate with testing by age 4 are more likely to have developmental delays. (For these children, you
may need to refer for formal audiology and/or ophthalmology for screening, especially if developmental delays are

Important Review Topics for a 3-Year-Old’s Health Maintenance Visit


The social environment plays a major part in how children develop.
It is necessary to understand the family context before giving advice.
To enter this arena, ask about changes and family stressors in a non-threatening way.


Preschoolers can suffer from poor nutrition. Inadequate fruit, vegetable, and iron intake is quite common.
Calcium and vitamin D deficiencies are also common, and shou