1. An approach to Assessing Children Flashcards

1
Q

What is Different between a Paediatric and a Normal Hospital Setting?

A
  1. Parent(s) will be there
  2. Play is Essential and Clinically Helpful
  3. Specialised Nursing Staff
  4. Different Treatments by Weight / Age
  5. Ask Different Questions
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2
Q
  1. What is the Equivalent Weight of 1Kg in Pounds?
  2. What is the Ratio of Pounds : Ounces?
  3. What is the Ratio of Stone : Pounds?
A
  1. 1Kg = 2.2 pounds
  2. 1:16 - 1 Ounce is 1/16th of a Pound
  3. 1:14 - 1 Pound is 1/14th of a Stone
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3
Q

How much Weight should a Baby gain?

A

150-200g / week for the 1st 6 Months (20-30g / day)

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4
Q
  1. What is the Equivalent Volume of 1 Ounce in mL’s?
  2. What is the Ratio of Pints : Ounces?
  3. What is the Ratio of Stone : Pounds?
A
  1. 1 Ounce = 28.4mLs (about 30)

2. 1:20 - 1 Ounce is 1/20th of a Pint

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5
Q

How much feed should a Baby Take?

A

140-180 ml / kg / day

Note - 100 ml / kg / day if ill

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6
Q

What information about the baby’s bowel habits may be needed to be known from a history?

A
  1. Nappies vs Independent Toileting
  2. Frequency (Per Day / Week / Month)
  3. Size / Shape / Appearance / Consistency
  4. Difficulty / Pain on Passing
  5. Blood / Mucus seen
    Note - Bristol Stool Chart
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7
Q

What are the Key Stages of a Paediatric History?

A
  1. Introduction - Generate Rapport with Child
  2. (History of) Presenting Complaint - Onset / Progression
  3. Birth History
  4. Past Medical History / Immunisations / Development
  5. Drugs and Allergies
  6. Family and Social - School / Parent Social History
  7. Closure / I.C.E.
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8
Q

In Observation of a Child (Pre-Engagement), What should you look for?

A
  1. General - Appearance / Play / Interaction / Obs
  2. Resp. - Effort / Noise / Rate / Recession / Nebs
  3. C.V.S. - Colour / Perfusion
  4. G.I. - Feeding / Vomit / Distension / Movement
  5. Neuro. - Alertness / Interaction / Play / Posture
  6. M.S.K. - Mobility / Limb Movement / Posture / Splints
  7. Other - Rashes / Bruises / Infections / Tubes / Lines
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