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Health Assessment > Module 11 Part 2 > Flashcards

Module 11 Part 2 Flashcards

1
Q

how do you do weight measurement for little kids

A

Balance beam scale (infant or standing)
Nude for 0-36 months
Remove bulk

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2
Q

how to measure head circumference

A

Use tape measure
Measure from slightly above eyebrows & pinna of ears around occipital prominence at back of skull
Plot on graph for up to age 36 months
Equal to chest at 1-2 years

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3
Q

how to check physiological measurements

A

Prepare child
Consider order of vital signs from least to most invasive
Compare to normal values for age

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4
Q

Until age 2 years
Irregular heart rate or known heart disease
Before digoxin

A

apical pulse

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5
Q

what should you measure before other vital signs

A

pulse

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6
Q

where is the apical pulse in children less than 7

A

lateral to MCL and fourth ICS

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7
Q

where is apical pulse in children older than 7

A

lateral to MCL and fifth ICS

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8
Q

how to observe respiratory

A

observe 1 full min and stay quiet

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9
Q

signs of respiratory distress

A

Nasal flaring, grunting, stridor, retractions, cyanosis,
increased work in breathing, or apnea (no respiration for 20 seconds)

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10
Q

what type of movement should you look for

A

Abdominal in infants & young children

Thoracic in older children & adolescents

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11
Q

gathers infrared energy emitted from TM (eardrum & hypothalamus are perfused by same circulation)

A

tympanic membrane sensor

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12
Q

temp. instrument for infants and small children

A

rectal route

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13
Q

what type of children have higher BP

A

larger children

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14
Q

when do you verify BP manually

A

if hyper / hypotension noted

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15
Q

The work of children

A

play

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16
Q

Aids in fine & gross motor activity

A

physical play

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17
Q

Learning a general concept & applying to other situations
Learn size, shape, & texture
Increase vocabulary

A

cognitive play

18
Q

Way of coping

Increases self-esteem

A

emotional play

19
Q

Infants differentiate self from others

Learn sharing, teamwork, competition

A

social play

20
Q

Learn which behaviors are acceptable

A

moral play

21
Q

Independent play with different toys

A

solitary play

22
Q

Play side by side with similar toys but no interaction

A

parallel play

23
Q

Group play without group goals

A

associative play

24
Q

Organized with group goals

A

cooperative play

25
Q

Child observes others playing

A

onlooker play

26
Q

Discussing developmental stages with parents does what

A

helps them to understand the patterns of their child’s development

27
Q

(6 weeks through 12 months)

A

infant

28
Q

developmental milestones between 3-9 mos

A 
Lifts head & chest while on belly and rolls on side – 3 months
Rolls over - 5 months
Safety
Doubles birth weight – 5-6 months
Language uttering words – 6-9 months
29
Q

developmental milestones between 9-12 mos

A 
Crawls, pulls up – 9 months
Pincer grasp – 9 months
Finger foods
Walks alone – 12 – 15 months
Triples birth weight – 12 months
30
Q

12 months through 36 months

A

toddler

31
Q

developmental milestones of toddler

A

discovery
Curiosity
Language important – usually about 200-300 words
Walks independently; runs with wide stance
Learns by repetition – ritualism

32
Q

developmental milestones of preschooler

A

Rides tricycle by age 3
Throws and catches ball
Language 1500 to 2000 words

33
Q

developmental milestones of school-aged child

A

Climbs, bikes, skips, jumps rope, swings, swims
Language 8000 to 15,000 words; prints/writes
Pubertal changes occur earlier in girls than boys

34
Q

developmental milestones of adolescents

A

Speed and coordination

Develops adult preferences bases on senses

35
Q

what do developmental screening tools not do

A

Not IQ exams
NOT designed to diagnose learning disabilities, language disorders, or emotional disturbances
NOT designed to substitute for diagnostic or physical evaluation NOT predictive of future ability

36
Q

why are developmental screening tools useful

A

Useful in identifying potential developmental delays

37
Q

Birth to 6 years

Consists of 125 items (“tasks”) arranged in 4 subsections

A

Denver developmental screening test

38
Q

four sections of Denver developmental screening test

A

Personal-Social: Getting along with people and caring for personal needs
Fine Motor-Adaptive: Eye-hand coordination, problem solving
Language: Hearing, understanding, and using language
Gross Motor: Sitting, walking, jumping, large muscle movement

39
Q

Screening system composed of 19 questionnaires designed to be completed by parents or primary caregivers

A

Ages and stages questionnaire (ASQ)

40
Q

what do ASQ do

A

identify accurately infants or young children who need further evaluation to determine whether they are eligible for early intervention services

41
Q

five sections of ASQ

A

communication, gross motor, fine motor, problem solving, and personal-social.

42
Q

advantages of ASQ

A

assessments are done on a regular basis, inexpensive, relies on the parent to observe the child and complete simple questionnaires on child’s abilities, and is flexible

Health Assessment (28 decks)

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