Assessing the Sick Child

Question 1

What is the APGAR score?

Answer 1

First test designed to assess the newborn for any medical emergency, given at 1 minute and again at 5 minutes

Question 2

What is assessed in the APGAR score?

Answer 2

Appearance (colour)
Pulse
Grimace (reflexes)
Activity (movement)
Respiration (breathing + effort)

Question 3

What does a single intramuscular dose of vitamin K help to prevent in a newborn?

Answer 3

Haemorrhagic disease

Question 4

List ways of assessing the Airway in a child

Answer 4

Inspect
Noises
Head-tilt, chin lift

Question 5

List ways of assessing Breathing in a child

Answer 5

Effort
Chest movements
Noises (stridor, wheeze)
Oximetry

Question 6

List ways of assessing Circulation in a child

Answer 6

Pulse
Capillary refill
Blood pressure
Skin perfusion
Urine output

Question 7

List signs of dehydration in a child

Answer 7

Decreased skin turgor
Sunken fontanelles
Dry skin/mouth
Reduced urine output
Low BP in late stages