Pediatric2

Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.

KBY Discussion:

Why is developmental assessment essential in the provision of primary care for infants, children, and adolescents, and what are the essential components of this assessment on the basis of this child’s age?

Development assessments are important especially to primary care providers as they guide parents, guardians and caregivers into stages of development of their infant’s children and adolescents. It allows parents and guardians to adjust their expectations at each stage of development and to know their role when providing care during each stage. The assessment is o ensure that they are developing normally at each stage and to identify developmental red flags and recommend appropriate care and guidance if such was to be observed (Burns, et al., 2019). The child in the case study is a newborn and is established as small for gestational age as he fell below the 10th percentile for age (Tinguely, 2021). A complete head to toe assessment is needed to ascertain normality and to rule out any birth defects. Initial assessment include APGAR Score (Appearance, Pulse, Grimace, Activity, and Respiration ) which should be evaluated 1 to 5 minutes of birth.

BUY A PLAGIARISM-FREE ESSAY HERE

A healthy baby should score between 8 and 10. Evaluate body temperature, evaluate lungs to ensure full expulsion of amniotic fluids and ensure the infant is breathing properly. Assess the umbilical cord. The normal umbilical cord contains two thick-walled arteries and a single thin-walled vein. A single umbilical artery is usually associated with congenital anomalies e.g., cardiac, renal (Burns, et al., 2019).

Which tools will you use to assess specific components of development (such as speech, motor skills, social skills, etc.)? Which tools do you think are the most accurate in assessing the developmental components and why?

Tools I would use to assess specific components for development such as speech, motor skills, social skills, etc are the Ages and Stages Questionaires ASQ:SE-2 and ASQ-3. The ASQ:SE-2 which is a social-emotional screening tool that screens for social emotional development, self regulation, compliance, social communication, adaptive functioning, autonomy, affect and interaction with people. This assessment is conducted at 1month-72 months old. Another tool the ASQ-3 which is a developmental screening tool that assess for developmental communication, gross and fine motor skills , problem solving and social and personal development. This assessment is conducted at 1-5.5years of age (Hay, et al., 2020). Another comprehensive screening tool that assess both developmental and social developmental is the Battelle Developmental Inventory, edition 2 (BDI-2). This tool assesses children from birth-8 years of age and screens for early childhood developmental milestones, measures personal-social, adaptive, motor, communication, and cognitive ability (Burns, et al., 2019).