Health History / Physical Assesment Infants + Adolscents Flashcards
” Has your baby started crawling? “
“ Can she/he understand what you are saying?”
“ Do she/he give you eye contact when speaking”
“ Do they respond to noises, or other voices”
Are all examples of __________.
Growth and Devlopment Questions
” Have you had any x-rays during this pregnancy?”
“ Have you had 3 or more miscarriges before this preganancy?”
“ What age will you be when the baby is due?”
Are all examples of ______ history.
Perinatal
Behavioral Status is done at what health history?
Infant
The nurse should observe interaction bewteen the infant and who?
The parent
During a adolscent health history the nurse should give the young adult the right to speak ______
With or Without Parent
The nurse can ask the adolscent if it is ok if the parent is present in the room BEFORE Health Assesment/ HIstory. T/F
True
The mothers health during the course of the preganancy is considered what type of history?
Past health history
Family History should be documented atleast how many gerneations?
3
The recording of chronic illnesses such as diabetes, cardiovasulcar diseases, mental health disorders are all what kinds of history?
Family History
What is the assesment of social relationships that can consist of family and friends in infant health history?
Family compoisition
Asking about indivdual who live in the home is…
Family composition
Asking about family activities is considered _______
Family Life
Asking questions to parents about occupation and employment is considered ________
Family Socioeconomic c Stat.
” What does she/he typical eat daily?”
“ Do you breastfeed, if so how often?”
“ Does she/ he take formula… what kind?”
“Do you all follow any diet restrictions, if so could you tell me some of them?”
“ How frequently does she/he consume “ junk” foods and/ or sweet drinks?”
Are all examples of questions concerning_______
Diet & Nutrition
” How much sleep does she/he get daily?”
“ Does she/ he take naps… if so how long?”
“Does she/ he have diffculty falling or staying asleep?”
Are all examples of questions about _________
Sleep
The pediatric symptom Checklist can be used to identify parental concerns about behavioral and emotional issues in children ages 4 to 18. T/F
True
Pubertal changes occur eariler in girls or boys?
Girls
” What age did your period/ menstrual cycle begin?”
“When was your last menstrual cycle?”
“How long would you say that your menstrual cycles last?”
Are all questions for what indidvual?”
Girls
Making sure that when dicussing sexality nurses MUST be ____
Sensitive
Newborns and Infant need to completely undress for the examination, INCLUDING DIAPER UNTIL BUTTLOCKS & GENTIALS ARE EXAMINED. T/F
False, diaper should stay on UNTIL buttlock and gential examination.
Keeping the room warm and cover areas to prevent chilling are aspects for newborn and infant examinations. T/F
True
Examinations of newborns and infants require nurses to conduct a least _______ portions.
Invasive
What are the RECOMMENDED areas to measure temp in children up to 5 years of age?
Temperature should be _____
Axillary, Temporal, and tympanic
96.8 F or 37.0C
Oral temp is usually done on _________
Older children
How to take tympanic temp on a children under 3?
Pull earlobe DOWN.
Tympanic temp on children 3+?
Pull earlobe UP
Are rectal temperature taken? If so, when?
What maximum inch?
Rectal temperatures are the LAST resort in children because children tend to fear intrusive procedures
1 inch.
Conivent Posistion for rectal temp?
Child side lying knees flexed to the abdomen.
Elevated temps mean what in infants/ young children?
Viral/ bacterila infections, enviromental exposure to heat, Dehydration
Assess resp and heart rate when infant is crying? T/F
False
What pulse is listened to for infants and how long?
Apical pulse/ Full minute
How long do nurses count for respirations?
A full minute
The nurse should observe what movement during apical and resp documentation?
Abdomen
Elevations in heart rate in infants are caused by?
Fever, crying, Resp Distress, and dehydration
Decreased heart rates are considered& indicates to be what?
Abnormal/ Serious Condition
What areas of the body can BP be taken on infants?
Arm and Leg
BP on children ages 1 to 17 are based on what?
Gender, Height, and Age
_________ is not common but can develop in childhood when assessing BP?
Hypertension
Hypertension is considered what in infants?
Average BP
Adolescents with what BP’s are considered PREhypertensive?
120/80 & 130/90
Height and Weight measures are taken EVERY visit until when?
18 to 20 yrs
How to find height in infants?
Top of head to heal with the infant SUPINE
Height is documented in what?
Inches and Cen.
The weight is measured in?
Pounds and Ounces
Head circumferences should be measured up until what age?
2 yrs
Chest circumference is ALWAYS measured no matter what age. T/F
False. Chest circumfernce is ONLY measured if there are any abnormalities to the size of head or chest.
What are the Family Educations for Newborns ( birth to 28 days)?
- Feeding
- Safety
-Second hand smoke
What are the Family Educations for Infants ( 1 to 12 months)?
- Nutrition
- Safety
- Immunization
- Well-child visits
What are the Family Educations for Toddlers ( 1- 3 yrs) ?
- Nutrition
- Safety
- Immunization
- Well-child visits
What are the Family Educations for Preschoolers (3-6 yrs) ?
- Nutrition
- Safety
- Immunization
- Well-child visits
What are the Family Educations for School- Aged Children?
- Nutrition
- Safety
- Immunization
- Well-child visits
- Promoting Psychosocial Health
What are the Family Educations for Adolescents?
- Nutrition
- Safety
- Immunization
- Well-child visits
- Depression and Sucide
- Mental Health
- Substance Use
Comunicating
Building Rapport
Assessing for Stessors
Are what?
Assessments for Infants, Newborns, Toddlers, Adolescents
