Term
| 5 aspects of general appearance? |
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Definition
Facial Expression
Posture
Hygiene
Behavior
Development (is p/t doing what they should be at their developmental stage) |
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Term
| What to assess on head? (8 things) |
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Definition
| neck, lymph nodes, fontanelles, eyes, nose, throat, palate, teeth |
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Term
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Definition
| asculate for breath sounds and adventitous sounds, heart |
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Term
| What to assess with anus? |
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Definition
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Term
| What to check with musculoskeletal assessment (three things? |
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Definition
gait
range of motion
curvature of back? |
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Term
| When does rooting reflex disappear |
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Definition
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Term
| when does sucking reflex disappear? |
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Definition
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Term
| When does palmar grasp disappear |
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Definition
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Term
| When does plantar grasp disappear? |
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Definition
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Term
| When does tonic neck disappear |
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Definition
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Term
| When does moro reflex disappear |
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Definition
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Term
| When does babinski reflex disappear |
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Definition
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Term
| When does stepping reflex disappear? |
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Definition
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Term
| What to start with on infant exam? (2 places) |
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Definition
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Term
| What do you do last with infant exam (2 places) |
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Definition
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Term
| What to do for infant exam? |
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Definition
| leave on parents lap, leave on diaper, put them with bottle or pacifier, talk softly |
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Term
| What to do for toddler exam? |
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Definition
examine on parents lap
use play
distract with stories
let them play with equipment
call by name
praise frequently |
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Term
| What to do with preschool exam |
|
Definition
Allow parent to be within eye contact
explain what you are doing
let them feel equipment |
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Term
| What to do with school aged children |
|
Definition
teach about nutition and safety
ask if they have questiosn or concerns
ask about school
ask about group of friends
ask about what they do in free time
Allow modesty and privacy
explain procedures and equipment
Interact wtih child during exam |
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Term
| What do to during adolescent exam? |
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Definition
ask about if they want the parent in the room
allow private interview time away from parents
ask about HEADSS (home life, education, alcohol, drugs, sexual activity, suicide) |
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Term
| Vital signs of pediatric patients |
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Definition
Pulse: do apical on all children under 2
Respirations:
blood pressure
Height
weight
head circumference for 2 years and younger |
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Term
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Definition
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Term
| Sequence for vital sign measurements |
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Definition
1. count respirations for one minutes
2. Count apical pulse for one minute
3. Measure BP
4. Take temp last. |
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Term
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Definition
| crying, anxiety, fever, pain |
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Term
| normal pulse rate in infants |
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Definition
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|
Term
| normal pulse for infants 1 week to 3 months |
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Definition
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|
Term
| Normal pulse for 3 months to 2 years |
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Definition
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Term
| Normal pulse for children 2 years to 10 years old |
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Definition
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|
Term
| Normal pulse for children 10 years to adult |
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Definition
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|
Term
| When do you start doing vitals on p/t? |
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Definition
| at 8 am provides you a good baseline. |
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Term
| How to assess non verbal children for pain level |
|
Definition
use FLACC scale
Face
legs
activity
cry
consolability |
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Term
| How long do you count respirations? |
|
Definition
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Term
| Normal and average Resp rate for newborns |
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Definition
normal =34-60
average = 34-36 |
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Term
| Normal and average respiratory rate for infants |
|
Definition
normal 30-40
average 24-26 |
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Term
| Normal and average respiratory rate for toddlers |
|
Definition
normal =24-40
average 20-24 |
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Term
| normal and average respiratory rate for preschoolers |
|
Definition
normal- 20-30
average-20-24 |
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Term
| Normal respiratory rate for school aged children |
|
Definition
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|
Term
| Normal Respiratory rate for adolescents |
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Definition
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Term
| How to most ACCURATELY asses respirations in infant? |
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Definition
| wait until they are sleeping or resting quietly |
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Term
| How should cuff be placed on childs arm to take blood pressure? |
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Definition
| width of rubber bladder should cover two thirds of the circumference of the arm, and length should encircle 100% of the arm without overlap |
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Term
| What could inaccurately increase blood pressure? |
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Definition
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Term
| Who is blood pressure routinely checked on? |
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Definition
| all hospitalized patients, start monitoring at age three |
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Term
| How much height should be gained per month? |
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Definition
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Term
| How is height measured on child? |
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Definition
| measured while standing in stocking or bare feet with teh heels back and shoulders touching the wall. |
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Term
| Newborn may lose up to ___% of birth weight in 3-4 days |
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Definition
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|
Term
| How much weight do infants gain per day after 3-4 day of life |
|
Definition
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|
Term
| Infant should double birth weight by ___ months and triple birth rate by __ year |
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Definition
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|
Term
| when can infant first be given solid foods |
|
Definition
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|
Term
| When can infant switch to whole milk? |
|
Definition
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|
Term
| What to assess during nutrition assessment (3 things) |
|
Definition
What time do they eat
how much formula do they eat
how often are they being breast fed |
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|
Term
| When can children eat eggs and honey? |
|
Definition
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|
Term
| How to measure head circumference? |
|
Definition
| wrap paper tape over eyebrows and around occipital prominence |
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Term
| How many years do you need to measure head circumference? |
|
Definition
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|
Term
| What to check for when assessing fontalles? |
|
Definition
anterior: closes at 9-18 monts
Posterior: closes by 6-8 weeks or 2-3 months
(fontalles should be soft and flat not bulging) |
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|
Term
| When should head control be obtained |
|
Definition
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|
Term
| When does teeth eruption occur? |
|
Definition
| starts at age of 6 months |
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Term
| What to assess when assessing childs moth |
|
Definition
Palpate mouth
condition of teeth
number of teeth
Tonsils (should be pink)
Check tongue |
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Term
|
Definition
| When child has a lazy eye, may need surgical correction. Alignment of eye important because it shows correlation with brain development. |
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|
Term
| At what age can children have vision screening |
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Definition
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|
Term
| At what age do you begin checking eyes? |
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Definition
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|
Term
| What are you worried about if ears are low set |
|
Definition
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|
Term
| What to assess when assessing eyes |
|
Definition
check for red reflex
ask parent if infant can see |
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Term
|
Definition
| when air flows rapidly through bronchi that are narrowed nearly to the point of closure |
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|
Term
|
Definition
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|
Term
| Wheezes are lower or high airway? |
|
Definition
|
|
Term
|
Definition
| inflammation of upper airway |
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|
Term
| Where is abdominal girth measured? |
|
Definition
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|
Term
| Why are inspection and auscultation preformed before palpation and percussion when assessing the abdomen? |
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Definition
| because touching the abdomen may change the characteristics of the bowel sounds. |
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Term
| How often do bowel sounds usually occur? |
|
Definition
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|
Term
| absence of bowel sounds may indicate..... |
|
Definition
| peritonitis or paralytic ileus |
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|
Term
| Hyperactive bowel sounds may indicate.... |
|
Definition
| gastroenteritis or a bowel obstruction |
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|
Term
| What to assess when assessing genitalia of infants |
|
Definition
| assess for drainage and presence of diaper rash |
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|
Term
| What to document for menstruating females> |
|
Definition
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|
Term
| Genitalia inspection is usually deffered unless... |
|
Definition
| indicated once potty trained. but it will need to be assessed in wheel chair bound of bed ridden patients for rbeak down. |
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|
Term
| ***** DO NOT WAKE UP SLEEPING BABIES |
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Definition
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|
Term
| When to preform intrusive procedures? first or last? |
|
Definition
|
|
Term
| Where to measure chest circumference? |
|
Definition
| around the nipples and the infants entire back |
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Term
|
Definition
| inflammation of the upper airway |
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