Pediatric Assessment 3

Question 1

with premature infant growth measurements

Answer 1

have to adjust measurements, cannot say there is a delay until there is a trend

Question 2

Growth measurements

Answer 2

Recumbent length for infants up to age 36 months + weight and head circumference; Standing height + weight after age 37 months

Question 3

Plot on growth chart

Answer 3

By gender and prematurity if appropriate; Less than 5th or greater than 95th percentile considered outside expected parameters for height, weight, head circumference

Question 4

if decrease in size then

Answer 4

soft spot fuzed too soon, internal infection, chromosome disorder, drugs or alcohol

Question 5

head circumference should grow at

Answer 5

same time

Question 6

increase size

Answer 6

increase fluid in brain

Question 7

measuring

Answer 7

head should grow w/ same rate as rest of the body

Question 8

chest measurement

Answer 8

in beginning head greater than chest, then after 1 year chest should be bigger

Question 9

abdominal measuring

Answer 9

done to look at if distended or not

Question 10

measures for length from

Answer 10

crown of head to feet

Question 11

Ethnic differences for growth

Answer 11

gives genetic background

Question 12

Expected growth rates at various ages

Answer 12

tell how well the child is nourished

Question 13

Use of skinfold thickness and arm circumference for

Answer 13

evaluation of body composition of muscle and adipose tissue

Question 14

Physiologic Measurements

Answer 14

Importance of physiologic measurements in overall pediatric assessment; Comparison with normal values for each age group

Question 15

First Vital Sign for Infant **

Answer 15

Count respirations FIRST (before disturbing the child)

Question 16

Second Vital Sign for Infant **

Answer 16

Count apical heart rate SECOND

Question 17

Third Vital Sign for Infant **

Answer 17

Measure blood pressure (if applicable) THIRD

Question 18

Last Vital Sign for Infant **

Answer 18

Measure temperature LAST

Question 19

temperature measurement

Answer 19

axillary is recommended; have temperature changes because they cannot regulate heart as well as adults

Question 20

can measure pediatric bp where

Answer 20

brachial artery, radial artery, popliteal artery, dorsalis pedis artery, posterior tibial artery

Question 21

because it make be difficult to palpate infant pulse use

Answer 21

brachial or popliteal

Question 22

physical assessment on skin

Answer 22

skin should be smooth, temperature may be cooler, skin turgor correlates with weight loss; good indicator if infant is hydrated

Question 23

palpate head for

Answer 23

soft spot

Question 24

test head and neck for

Answer 24

strength