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