To determine the respiratory history of the infant, the pediatrician will interview the mother. If the mother is concerned about whether or not her baby was crying shortly after she gave birth, and if any other factors contributed to her having to give information regarding fetal discomfort. Infants born at different gestations may have respiratory issues. If the baby has had any previous hospitalizations or chest traumas, it will be confirmed by his mother. A pediatrician will verify the child’s breathing models (Duderstadt 2017, 2017). If the child has an allergy or other respiratory condition (e.g., persistent cough or wheezing), then questions will be asked of his mother. Finally, the pediatrician may ask the mother about her child’s symptoms, such as tonsillitis, or adenoiditis.
At the wellness clinic, the youngster will receive the fifth dose of diphtheria and tetanus. According to CDC guidelines, the youngster will receive the fourth doses of polio and the second doses of MMR as well as the second dose of varicella. The lung function capability is measured by a spirometry test (Wodi and colleagues, 2021).
A pediatrician will conduct a focus respiratory system exam using the four procedures of a physical exam. The pediatrician will assess the patient’s breathing, patterns and rhythm. Any anomalies will be confirmed by palpation. All swelling, deformations, lymph node enlargements, and position of the trachea shall be noted. Inhalation and exhalation will be assessed by the pediatrician who will examine the position of the fingers on the ribcage. The physician will use auscultation to assess the basic and incidental sounds of the lungs, such as wheezes or rhonchi. The pediatrician will use the percussion method to gently tap the chest cavity using the middle finger. This is done in order to determine hyper resonance or resonance.
Expect problems from the four-year old, as he or she is likely to become anxious and hysterical. Although the toddler is alert and lively, he will need to be reminded. The pediatrician can perform all procedures with ease by using either a short narrative or a distracting toy.