click below
click below
Normal Size Small Size show me how
PEDIATRIC ASSESSMENT
Stack #119748
PEDIATRIC ASSESSMENT | PEDIATRICT 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 |