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Child Assessment
Test#1
| Question | Answer |
|---|---|
| Systolic BP 1-7 yrs | age in years + 90 |
| Systolic BP 8-18 yrs | 2 x age in years + 83 |
| Dyastolic BP 1-5 years | 56 |
| Dyastolic BP 6-18 yrs | age in years + 52 |
| Axillary temp | 1 degree less than oral |
| Rectal temp | 1 degree higher than oral |
| Normal temp | 98.6 degrees orally |
| Tympanic temp | most accurate |
| Growth chart | should stay steady between the 5th to 95th percentile |
| How long is head circumference performed | til the age of 3 |
| When checking the 6 cardinal fields | look for nastagmus |
| Cranial Nerve III | Oculomotor |
| Cranial Nerve IV | Trochlear |
| Cranial Never VI | Abducens |
| Testing extra occular muscles | Cranial Nerve III,IV,VI tested together |
| Cranial Nerve II | optic |
| vision before three months | they say they see double |
| Vision for 3-4 yrs | 20/40 (start screening for eye problems) |
| Vision by age 5 | 20/30 |
| Cranial Nerve III | Acoustic |
| Cranial Nerve I | Olfactory |
| By what age should a child have all of his teeth | 3yrs |
| Cranial Nerve X | Vagus ( say aaahhhh and observe uvula) |
| Cranial Nerve XII | Hypoglossal |
| Cranial Nerve IX | Glossopharyngeal (gag reflex) |
| Cranial Nerve VII | Facial (taste and facial movements) |
| Cranial Nerve XI | Spinal accessory ( turn head against resistance) |
| Chest diameter at birth | 1:1 |
| Chest diameter for 1yr | 1:1.25 |
| Chest diameter for 6yr | 1:1.35 |
| Chest diameter for adolescent | 1:2 |
| S1 heart sounds | closing of the tricuspid & mitral valve |
| S2 heart sounds | closing of the aortic & pulmonic valve |
| Apical pulse for <7yrs | 4th intercostal space |
| Apical pulse >7 years | 5th intercostal space |
| Apical pulse < 4yrs | left MCL |
| Apical pulse >4yrs | medial to MCL |
| Grade I Heart Murmur | Very faint (hardly able to hear) |
| Grade II Heart Murmur | Quiet but heard easily (quieter than heart sounds) |
| Grade III Heart Murmur | moderately loud (as loud as cardiac sounds) |
| Grade IV Heart Murmur | loud palpable thrill |
| Grade V Heart Murmur | very loud, maybe heard with stethoscope partly off chest |
| Grade VI Heart Murmur | Very loud, can be heard with stethoscope entirely of the chest |
| 0 pulse | no pulse |
| +1 pulse | difficult to palpate, thready and week |
| +2 pulse | obliterated easy with pressure |
| +3 pulse | Normal |
| +4 pulse | bounding |
| 0 Reflex | no response |
| +1 reflex | hyporeflexive |
| +2 relfex | normal |
| +3 reflex | hyperreflexive |
| Bicep reflex | place thumb on bicep tendon (located in the antecubital fossa)-strike with pointed end of hammer hear-forearm may move and your thumb should feel the jerk |
| Triceps tendon reflex | hold arm abducted and bent at elbow-strike tendon directly with pointed end-the forearm should move slightly |
| Quadriceps Reflex | strike tendon just below the patella |
| Achilles reflex | support foot in dorsiflexion position-tap achilles tendon and you should feel the foot move downward in your hand |
| Clonus reflex | support the knee in a partially flexed position-with your hand -sharply dorsiflex the foot and maintain it in dorsiflexion-look and feel for rythmic oscillation between dorsiflexion and plantarflexion |
| Denver II | a screening test that is used to detect children that might be slow in development-four parts- personal/social, fine motor adaptive, language, gross motor |
Created by:
jas067
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