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PEDIATRIC ASSESSMENT

Stack #119748

PEDIATRIC ASSESSMENTPEDIATRICT ASSESSMENT
GULIDLINES FOR COMMUNICATIONS ARE.. OBSERVE BEHAVIOR AND READINESS, DETERMINE DEVELOPMENTAL LEVEL, EXPLAIN IN CHILD TERMS THE PROCESS TO CHILD, BE HONEST, KEEP IT SIMPLE
CEPHALOCAUDAL MEANS TO... EXAMINE HEAD TO TOE
PROXIMODISTAL MEANS TO... EXAMINE INNER TO OUTER
STAGES OF DEV: FETUS IS A FETUS UNTIL.. BIRTH
AN INFANT IS AN INFANT FOR HOW LONG? FOUR WEEKS TO ONE YEAR
A TODDLER IS BETWEEN THE AGES OF ONE - THREE YEARS OLD
A PRESCHOOLER IS BETWEEN THE AGES OF.. THREE - FIVE YEARS OLD
A SCHOOL AGE CHILD IS BETWEEN THE AGES FIVE - SIX YEARS OLD
AN ADOLESCENCE IS THIS WHEN THEY REACH? PUBERTY
THE BABY IS CONSIDERED THIS WHEN HE IS JUST 4 WEEKS OLD TO BE. A NEONATE
GUIDELINES FOR A PHYSICAL ASSESSMENT INCLUDE ... APPROPRIATE EXAM AREA, EXAMINE PAINFUL AREAS LAST, INVOLVE CHILD, OFFER PRAISE & REASURANCE, DONT HAVE ALOT OF PEOPLE IN ROOM
AGE SPECIFIC APPROACHES TO AN EXAM INCLUDE.. INFANT QUIET AND GENTLY. TODDLER: MIN. PHYSICAL CONTACT INITIALLY, PRESCHOOLER: IF COOPERATIVE DO HEAD TO TOE, PARENT CLOSE BY; SCHOOLAGE/ADOLESCENT: VERY MODEST, RESPECT PRIVACY
WHAT IS THE PEROID WHEN RAPID GROWTH OCCURS? INFANCY/PUBERTY
THE AVERAGE NEWBORN WEIGHTS_____@BIRTH;UP TO __%OF WT. LOSS IS NORMAL DURING FIRST FEW DAYS OF LIFE;WEIGHT LOSS IS USUALLY REGAINED BY THE__wk OF LIFE; WEIGHT DBLS BY _-_MTHS AND ___ BY ONE YEAR. 6-9LBS, 10%, 2nd WK, 5-6M, TRIPLES
THE AVERAGE BIRTH LENGTH IS__-__inches. BIRTH LENGTH INCREASES BY__% BY THE END OF THE FIRST YEAR. BIRTH LENGTH___BY AGE 4. BIRTH LENGHT TRIPLES BY AGE__ 18-22, 50%, DOUBLES, 13
FACTORS THAT INFLUENCE GROWTH AND DEV. HEREDITY, GENDER, NATIONALITY, RACE, ENVIRONMENT
RESP RATES: NEWBORNS:__RATE? AGE 1-3__RATE? SCHOOL AGE__RATE? NB= 30-60, 1-3 = 20-30, S.A.= 18-22(HIGH END OF ADULT NORM.
WHO CAN USE THE ORAL METHOD OF TEMP TAKING? WHO CAN USE THE RECTAL METHOD? THE AXILLARY METHOD? A COOPERATIVE 5-6 YR ALL AGE GROUPS( PERHAPS OLDER THAN 2YRS)OLD. ALL AGES, (+ 1 DEGREE)
PULSE RATES: BIRTH =__; NEWBORN =__; TODDLER = __-__;SCHOOL AGE = __-__HIGH END OF ADULT NORM BIRTH =140, NEWBORN =130, TODDLER = 105-110, S.A = 95-100
BLOOD PRESSURE: @ 1 MONTH BABIES IS ?/?...TODDLERS IS ?/?...SCHOOL AGE IS LOW END OF ADULT NORM ?/?. AN OVERLY LARGE CUFF MAY PRODUCE___READINGS 86/54, 95/65, 100/60,
V.S. SEQUENCE: RESP,APICAL/RADIAL, TEMP
CHECK SKIN TURGOR IN THE___OR ___OF BABYS. ABDOMEN, OR THIGH
LYMPH NODES: NAME THE THREE CERVICAL, AXILLARY, INGUINAL( THESE SHOULNT BE SWOLLEN NOR TENDER)
THIS TEST ASSESSES THE DEV. STATUS OF CHILDREN DURING THE FIRST 6 YEARS OF LIFE; AND CATEGORIES ASSESSED ARE..FINE,GROSS MOTOR, AND LANUAGE SKILLS, AND CANT BE FAILED DENVER DEV. SCREENING
THIS IS THE SUDDEN EXTENSION AND ABDUCTION OF THE EXTREMITIES, USUALLY OCCURS AFTER A LOUD SOUND, OR A RAPID CHANGE IN POSITION. PRIMITIVE REFLEX DISAPPEARS AFTER __-__MONTHS. MORO(STARTLE) REFLEX, 3-4 MO
THIS OCCURS WHEN THE INFANTS HEAD IS TURNED TO ONE SIDE WHILE ON HIS BACK, EXTENDS ARMS TOWARDS THE SIDE THE HEAD is TURNED & FLEXES OPPOSITE ARM. PRIMITIVE REFLEX DISAPPEARS AFTER __-__MO. TONIC NECK/FENCING REFLEX, 3-4MO
TOCHING OR STROKING THE INFANTS CHEECK OR MOUTHSTIMULATES TURNING OF THE HEAD AND SUCKING. PRIMITIVE REFLEX SHOULD DISAPPEAR @ __-__MO, AND COULD PERSIST FOR ___MO. ROOTING REFLEX, 12MTHS
PRIMITIVE REFLEXES INCLUDE: MORO, TONIC NECK, ROOTING
STROKING THE OUTER SOLE OF THE FOOT,UPWARD FROM THE HEEL AND ACROSS THE FOOT CAUSES HYPEREXTENSION OF THE TOES. THE CAUSE IS_______? AND DISAPPEARS AFTER___MTHS BABINSKI REFLEX, 12 MO
PROTECTIVE REFLEXES THAT PERSIST FOR LIFE: BLINKING, SNEEZING, COUGHING, GAGGING, YAWNING
WHICH FONTANEL IS DIAMOND SHAPE AND CLOSES @ 12-18MTHS? ANTERIOR (TOP)
WHICH FONTANEL IS TRIANGULAR AND CLOSES @ 2-3MTHS POSTERIOR
STRONG PRIMITIVE REFLEXES PRESENT, ASSUMES A FLEXED POSITION, VISION OF 20/100 AND CRIES TO EXPRESS DISPLEASURE? ONE MONTH OLD
ASSUMES A LESS FLEXED POSITION, BEGINS TO LIFT HEAD, THE POSTERIOR FONTANEL MAY BE CLOSED, SOCIAL SMILES, VOCALIZES( MORE THAN JUST CRYING) TWO MONTHS
POSTERIOR FONTANEL IS CLOSED, PRIMITIVE REFLEXES ARE FADING,LIFTS HEAD 45-90 DEGREES, BEARS WEIGHT ON FOREARMS, HOLD RATTLE BUT WONT REACH FOR IT, FINDS A SOUND BY TURNING HEAD, FOLLOWS OBJECTS WITH EYES,COOS AND BABBLES. THREE MONTHS
PRIMARY REFLEXS HAVE DISAPPEARED,HEAD BALANCING WHILE SITTING, ROLLS FROM BACK TO SIDE, DISCOVERS HANDS, LAUGHS ALOUD FOUR MONTHS
BIRTH WEIGHT DOUBLES, HOLDS HEAD ERECT WHILE SITTING, GOES FROM TUMMY TO BACK, GRASPS OBJECTS VOLUNTARILY FIVE MONTHS
TEETHING MAY BEGIN IN THIS MONTH ALONG WITH CHEWING / BITING, SITS STRAIGHT IN HIGH CHAIR, HOLDS BOTTLE, CAN SAY MA OR DA SIX MONTHS
SITS AND LEANS FORWARD ON HANDS IN THIS MONTH, TRANSFERS OBJECTS FROM HAND TO HAND, CAN STARE AT SMALL OBJECTS, HAS AN INCREASING FEAR OF STRANGERS SEVEN MONTHS
IN THIS MONTH BABY IS BEGINING TO SHOW REGULAR PATTERNS OF BOWEL AND BLADDER ELIMINATION & SITS UNSUPPORTED EIGHT MONTHS
CREEPS ON HANDS AND KNEES,PULLS SELF TO A STANDING POSITION, SITS ALONE FOR LONG PEROIDS NINE MONTHS
STANDS BY HOLDING ON, SITS BY FALLING, SAYS"MAMA AND DADA"WITH MEANING TEN MONTHS
WALKS AROUND HOLDING ON TO FURNITURE (CRUISES), NEAT PINCHER GRASP ELEVEN MONTHS
BIRTH WEIGHT TRIPLES,LENGTH INCRESES BY 50%, WALKS WITH ONE HAND HELD, MAY STAND ALONE OR TAKE FIRST STEPS,3-5 WORD VOCABULARY, SEARCHES FOR HIDDEN OBJECTS TWELVE MONTHS
GAINS APPROX. 5LBS PER YEAR, HEIGHT INCREASES APPROX. 3INCHES PER YEAR, ANTERIOR FONTANEL CLOSES BY 15-18 MONTHS TODDLER
WALKS ALONE WIDE BAS GAIT,CREEPS UP STAIRS, CAN THROW, BUILDS TOWER WITH 2 BLOCKS, USES A SPOON AND TURNS PAGES 15 MONTHS
WALKS ALONE, CLIMBS UP AND DOWN STAIRS, BEGINS TO RUN, PLAYS WITH PULL TOYS, BUILDS A TOWER WITH 3 BLOCKS, SCRIBBLES RANDOMLY, DRINKS FROM A CUP 18 MONTHS
WALKS STEADILY,JUMPS CRUDELY, UNDRESSES SELF, BEGINING BLADDER AND BOWEL CONTROL,DRINKS FORM A CUP WITH ONE HAND, USES SPOON W/O SPILLING, BUILDS TOWER OF 4 BLOCKS. 24 MONTHS
TRUST VS MISTRUST IS IN WHAT STAGE OF DEV? INFANCY
AUTOMONY VS SHAME AND DOUBT IS IN THIS STAGE EARLY CHILDHOOD
INITIATIVE VS GUILT LATE CHILDHOOD
INDUSTRY VS INFERIORITY SCHOOL AGE
IDENTITY VS CONFUSION ADOLESCENTS
TOYS: BIRTH - 6 MTHS MOBILES,MUSIC BOXES, RATTLES,STUFFED ANIMALS, FURRY QUILT, SWING
TOYS: 6MO - 12 MO BLOCKS, BOOKS, PUZZLES, BIG STRING BEADS,SPONGE TOYS, TEETHING RINGS, ACTIVITY BOX FOR CRIB, PUSH/PULL TOYS
FEEDING: BREAST OR BOTTLE FOR .. 6 MONTHS
INTRODUCTION OF SOLID FOODS GENERALLY OCCURS ATER THE PROTRUSION REFLEX DISAPPEARS, RICE CERAL IS THE FIRST FOOD RECOMMENDED (RICH IN IRON) 6-12 MONTHS
ADD FOODS SUCH AS FRUITS AND VEGGIES AT___MONTHS; AND ADD MEAT @ 6-8 MONTHS; 9-12 MONTHS
ORANGE JUICE,AND EGGS MAY BE ADDED TO DIET, BUT START WITH THE EGG YOLK 1st.@ 9-12 MTHS
MOST COMMON FOOD ALLERGIES ARE EGG WHITES,COWS MILK,WHEAT PRODUCTS, NUTS,SHELLFISH, FISH, STRAWBERRIES, CERTAIN SPICES
Created by: toniasday7
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