assessment

Question 1

how do we assess normal development in children?

Answer 1

birth scores- APGAR
weight, height, head circumference 
birth checks 
guthrie test 
plunket well child checks and growth charts 
pre school checks 
immunisation schedule
midwifery and lactation consultant visits

Question 2

what equipment do we have?

Answer 2

tap measure, scales, thermometer, stethescope etc

Question 3

what is the guthrie test?

Answer 3

48-72hrs after birth
take blood from infants foot
assess for 28 genetic abnormalities

Question 4

what does APGAR stand for??

Answer 4

is an assessment tool used on newborn babies at birth and 5 minutes later, each category is marker from 0 (absent) to 2 (normal)

ACTIVITY
PULSE
GRIMMACE
APPEARANCE 
RESPIRATIONS 

a score of 7-10 is excellent condition and can go straight to mom, if lower score baby will go to NICU

Question 5

PLUNKET- what do they do?

Answer 5

book, home visits from birth, post natal depression screening, breastfeeding advice/support, education to moms, family health and wellbeing, vision and hearing checks

Question 6

babies heads?

Answer 6

soft spots,
anterior frontanelle closes at 12-18 months
posterior closes by 2 months

BULDGING= increased ICP 
SUNKEN= dehydration 

if closes earlier than normal then the brain can’t grow anymore.

Question 7

assessing skin

Answer 7

colour
temperature
turgor

Question 8

blood pressure in children formula

Answer 8

70 + (age of child x 2)

Question 9

what does FLACC stand for??

Answer 9

pain assessment used in infants and non verbal children

FACE
LEGS
ACTIVITY
CRY 
CONSOLABILITY 

each catergory is rated from 0-2

Question 10

PAEDIATRIC ASSESSMENT TRIANGLE

Answer 10

1. APPEARANCE- abnormal tone, decreased interactions
2. WORK OF BREATHING- abnormal sounds, accessory muscle use
3. CIRCULATION TO SKIN- pallor, cyanosis

Question 11

CIIAMPPEDES

Answer 11

Chief complaint 
Immunisations 
Isolation
Allergies
Medication
Past medical history
Patients condition- caregivers impression
Events surrounding illness/injury
Diet
Elimination
Symptoms

Question 12

CUSHINGS TRIAD

Answer 12

high systolic BP (hypertension)
low pulse (bradycardia)
irregular/slow breathing (bradypnoea)

Question 13

respiratory red flags (early signs)

Answer 13

tachypnoea 
retractions, trachea tug
nasal flaring 
expiratory grunting 
prolonged expiratory phase 
stridor

Question 14

ASTHMA- what is it? what should be put in place?

Answer 14

recurrent reactive airway disease associated w/ reversible obstruction.

need to complete an ASTHMA PLAN with the patient

includes WELL, WORSE, WORRIED.

Question 15

ASTHMA (FIRST AID)

Answer 15

ASSESS- mild, moderate, severe? if severe call 111
SIT- upright and stay with person, treat w/ 2 doses of inhaler(mild),
TREAT- 6 doses w/ relief inhaler
HELP-call for help
MONITOR-if improving monitor, or repeat does w/ inhaler
ALL OK!

Question 16

5 question ASTHMA CONTROL TEST (ACT)

Answer 16

1. in the past 4 weeks how much of the time did your asthma keep you from getting as much done at work/school?
2. how often have you been SOB?
3. how often did your asthma symptoms wake you up at night or earlier than usual?
4. how often have you had to use your rescue inhaler or nebuliser medication?
5. how would you rate your asthma in the past 4 weeks?

Question 17

what is an ASTHMA MANAGEMENT PLAN?

Answer 17

WELL- when im well…. reliever when…
WORSE- when my asthma is getting worse..
WORRIED- emergency- deteriorating quickly, reliever 6 puffs- call 111