Assesment

Question 1

What is a complete physical assessment?

Answer 1

Initial detailed assessment completed on admission or at annual check ups

Physical exam

Health history
- if infant, birth information

Demographic data

Current health problems

Question 2

What is a focused shift assessment?

Answer 2

Completed on successive shifts

Physical exam directed at current health problems

Information pertinent to daily care

Quick

Question 3

What are some systematic approaches for assessing a child?

Answer 3

• Examine least intrusive areas first like hands, arms, feet and then painful and sensitive assessments last like the ears nose and mouth
• Determine what parts of the exam is to be completed before possible, crying, or lack of cooperations i.e. heart, lungs, and abdomen
• Where possible, assessments should be clustered with other care at a time when the child is relaxed and compliant

Question 4

How many spots can you listen to when assessing the lungs in children?

Answer 4

8, 4 in the front, 2 on the sides and 2 on the back

Question 5

What is the main difference between adults and children regarding a lack of perfusion

Answer 5

Adults BP will drop

Children will maintain BP until the last minute

Question 6

How do you assess a change in perfusion in children?

Answer 6

CPETC

Color
Pulse
Edema
Temperature (skin temp not body)
Capillary refill

Question 7

What is a sign of hip dislocation in infants?

Answer 7

Different knee height when hips and knees are flexed. This needs to be further assessed

Question 8

What is the safety difference for side rails between adults and children?

Answer 8

In adults, all 4 safety rails are not up because that is considered a restriction but for children all four safety rails have to be up

Question 9

What are some general appearances you should observe when assessing a child?

Answer 9

Lethargic or active

Agitated or calm

Compliant or combative

Question 10

What are some extra general appearances you should observe when assessing an infant or a young child/adolescent?

Answer 10

Infants:
Parent - infant interaction
Strong cry

Young child/adolescent:
Mood and affect
Personal hygiene
Communication

Question 11

Where do you check skin turgor on an infant?

Answer 11

Abdomen or groin

Question 12

How do you assess respiration in infants and school age kids?

Answer 12

Count respirations for 1 full minute

Count respirations by watching abdominal movement

Question 13

When are respirations abnormal?

Answer 13

Respirations are irregular and includes cessation up to 20 seconds in infants

Unable to increase depth of respirations