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  1. QUESTION

     

     

    Create a child health history template for your personal use.

     

     

 

Subject Nursing Pages 4 Style APA

Answer

Child Health History Template

Name:­­­­­­­­­­­­­­­_________________ Age: ______________ Gender: _________________

First Visit:__________ Subsequent Visit: ________________

Date of Last Visit:_______________

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Current Health Concerns: __________________________________________________________________________________________________________________________________________________

Update on Previous Health Concerns: __________________________________________________________________________________________________________________________________________________

Prenatal and Birth History: __________________________________________________________________________________________________________________________________________________

List Childhood Illnesses or Injuries: __________________________________________________________________________________________________________________________________________________

Hospitalization History: __________________________________________________________________________________________________________________________________________________

Surgical History: __________________________________________________________________________________________________________________________________________________

List of Allergies: __________________________________________________________________________________________________________________________________________________

Missing Immunizations: __________________________________________________________________________________________________________________________________________________

Current Medications: ­­­­­­­__________________________________________________________________________________________________________________________________________________

Prior Screening: _________________________________________________________________________

Invasive Procedures: _________________________________________________________________________

Lab Tests: _________________________________________________________________________

Results from above procedures: __________________________________________________________________________________________________________________________________________________

Sleep, nutrition, and exercise habits: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________

Developmental Milestones Achieved: __________________________________________________________________________________________________________________________________________________

Genetic Illnesses in Family: _________________________________________________________________________

Cultural Practices of Family: _________________________________________________________________________

Are Parents using drugs?: ___________ List them: _____________________________

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Any Signs of child neglect: _________________________________________________________________________

Any signs of child abuse: _________________________________________________________________________

Any Lack of basic needs: _________________________________________________________________________

 

 

 

 

References

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