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pediatric PE

physical assessment of the peds pt

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