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pediatric PE
physical assessment of the peds pt
| Question | Answer |
|---|---|
| Assessed at time of PE | Health history, immunization status, pysical findings, G&D |
| priciples of communication used with the pedatric patient | get on child's level, approach child gently/quietly, always be truthful |
| use of a transtional object | toddlers and preschool |
| Play | "work", stress reliever, pain reliever, barometer of illness |
| concerns on growth charts | <5th or >95th |
| first vital sign | respirations for full minute |
| second vital sign | apical pulse for full minute radial pulse if child over age 2 |
| denver developmental test | identifies children whose developmental levels are below normal for chronoligical age for early intervention |
| Child abuse | can occur in all socio-economic population |
| PE concern | history of injury does not match physical findings |
| school age child | likes explanations likes to know "why" |
| adolescent | likes privacy. |
| infant | use least invasive to most invasive. warm hands. use soft voice. |
| toddler | introduce equipment slowly. may need transitional object |
| tympanic membrane temperature | ear back and down if child under 3 |
| abdominal breathing | breathing pattern seen in infant |
| blood pressure screenings | done on children 3 yrs and older annually |
| pain scales | flacc scale, faces scale |
| obligatory nose breathers | infants up to age 3-6 months |
| grades sexual maturation | Tanner stages |
| first sign of male puberty | testicular enlargement |
| first sign of female puberty | breast buds |
| infant nutrition | breast feeding or iron fortified formula |
| vitamin D | recommended for breast fed infants age 2 months and older |
| introduction of solid foods | 4-6 months of age. infant's intake is >32 oz of formula or is waking up at night due to hunger to breast feed |
| nutritional evaluation | infant with 6-8 wet diapers/24 hrs. Infant continues on same growth curve. |
| food jags | child will only want to eat the same food for all meals. |
| Characteritics of puberty | adult-like VS, increase sebaceous glands |
| Physical exam findings of school age child | thoraic breathing, pulse rate decrease,blood pressure more adult like. |
| rationale for immunzations of pediatric patients | pediatric patients are especially susceptible to disease |
| influenza | recommended yearly |
| basic assessment tool for nutritional evaluation | 24 hour food recall |
| expectation in vital sign values as pediatric patient ages | the values become more adult like in value. (decrease in heart rate, increase in blood pressure, decrease in respiratoy rate) |
| location of heart in infant in comparision to adult | the heart lies more in the center of the chest wall and higher up |
Created by:
NURS390
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