1. An approach to Assessing Children Flashcards
1
Q
What is Different between a Paediatric and a Normal Hospital Setting?
A
- Parent(s) will be there
- Play is Essential and Clinically Helpful
- Specialised Nursing Staff
- Different Treatments by Weight / Age
- Ask Different Questions
2
Q
- What is the Equivalent Weight of 1Kg in Pounds?
- What is the Ratio of Pounds : Ounces?
- What is the Ratio of Stone : Pounds?
A
- 1Kg = 2.2 pounds
- 1:16 - 1 Ounce is 1/16th of a Pound
- 1:14 - 1 Pound is 1/14th of a Stone
3
Q
How much Weight should a Baby gain?
A
150-200g / week for the 1st 6 Months (20-30g / day)
4
Q
- What is the Equivalent Volume of 1 Ounce in mL’s?
- What is the Ratio of Pints : Ounces?
- What is the Ratio of Stone : Pounds?
A
- 1 Ounce = 28.4mLs (about 30)
2. 1:20 - 1 Ounce is 1/20th of a Pint
5
Q
How much feed should a Baby Take?
A
140-180 ml / kg / day
Note - 100 ml / kg / day if ill
6
Q
What information about the baby’s bowel habits may be needed to be known from a history?
A
- Nappies vs Independent Toileting
- Frequency (Per Day / Week / Month)
- Size / Shape / Appearance / Consistency
- Difficulty / Pain on Passing
- Blood / Mucus seen
Note - Bristol Stool Chart
7
Q
What are the Key Stages of a Paediatric History?
A
- Introduction - Generate Rapport with Child
- (History of) Presenting Complaint - Onset / Progression
- Birth History
- Past Medical History / Immunisations / Development
- Drugs and Allergies
- Family and Social - School / Parent Social History
- Closure / I.C.E.
8
Q
In Observation of a Child (Pre-Engagement), What should you look for?
A
- General - Appearance / Play / Interaction / Obs
- Resp. - Effort / Noise / Rate / Recession / Nebs
- C.V.S. - Colour / Perfusion
- G.I. - Feeding / Vomit / Distension / Movement
- Neuro. - Alertness / Interaction / Play / Posture
- M.S.K. - Mobility / Limb Movement / Posture / Splints
- Other - Rashes / Bruises / Infections / Tubes / Lines
