Pediatric Assessment 3 Flashcards Preview

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Flashcards in Pediatric Assessment 3 Deck (24):
1

with premature infant growth measurements

have to adjust measurements, cannot say there is a delay until there is a trend

2

Growth measurements

Recumbent length for infants up to age 36 months + weight and head circumference; Standing height + weight after age 37 months

3

Plot on growth chart

By gender and prematurity if appropriate; Less than 5th or greater than 95th percentile considered outside expected parameters for height, weight, head circumference

4

if decrease in size then

soft spot fuzed too soon, internal infection, chromosome disorder, drugs or alcohol

5

head circumference should grow at

same time

6

increase size

increase fluid in brain

7

measuring

head should grow w/ same rate as rest of the body

8

chest measurement

in beginning head greater than chest, then after 1 year chest should be bigger

9

abdominal measuring

done to look at if distended or not

10

measures for length from

crown of head to feet

11

Ethnic differences for growth

gives genetic background

12

Expected growth rates at various ages

tell how well the child is nourished

13

Use of skinfold thickness and arm circumference for

evaluation of body composition of muscle and adipose tissue

14

Physiologic Measurements

Importance of physiologic measurements in overall pediatric assessment; Comparison with normal values for each age group

15

First Vital Sign for Infant **

Count respirations FIRST (before disturbing the child)

16

Second Vital Sign for Infant **

Count apical heart rate SECOND

17

Third Vital Sign for Infant **

Measure blood pressure (if applicable) THIRD

18

Last Vital Sign for Infant **

Measure temperature LAST

19

temperature measurement

axillary is recommended; have temperature changes because they cannot regulate heart as well as adults

20

can measure pediatric bp where

brachial artery, radial artery, popliteal artery, dorsalis pedis artery, posterior tibial artery

21

because it make be difficult to palpate infant pulse use

brachial or popliteal

22

physical assessment on skin

skin should be smooth, temperature may be cooler, skin turgor correlates with weight loss; good indicator if infant is hydrated

23

palpate head for

soft spot

24

test head and neck for

strength