Pediatric Health Assessment PowerPoint Flashcards
How do you communicate with a child in a healthcare setting?
Professional Demeanor
Remain Warm & Friendly
Good Eye Contact
Call the child by name
Non-threatening contact at first
Allow the child to control the pace
What are some health history things that you’d need to know about a kid?
Family Health History
Developmental History
Functional History
Family Composition
Resources
Home Environment
How do you prepare for a physical exam preparation for a child?
Gather all of the needed supplies before approaching the child
What are some developmental considerations for when you perform the physical examination for a Newborn?
May lie on an examination table or in caregiver’s lap.
Keep a running dialog with the caregiver, explaining each step as you do it.
What are some developmental considerations for when you perform the physical examination for an Infant?
May lie in caregiver’s lap or an exam table with the caregiver right beside the infant.
Continue to explain each step to the caregiver.
Address the child by name.
Perform most invasive parts of the physical assessment last.
What are some developmental considerations for when you perform the physical examination for a Toddler?
Allow some freedom of movement where possible, child may stand between the sitting caregiver’s legs or on their lap.
Introduce yourself to the child and caregiver.
Explain most steps to the child and all steps to the caregiver.
Allow the child to handle the instruments.
Perform the most invasive parts last.
What are some developmental considerations for when you perform the physical examination for a Preschooler?
Some may be willing to sit on the exam table with the caregiver standing close by with their hand on the leg of the child.
Allow the child to decide the order of the examination. Explain what the instruments do and let the child try them. Speak to the caregiver before and after the examination.
What are some developmental considerations for when you perform the physical examination for a School-Age Child?
Sitting on examination table where they still have eye contact with caregiver.
Include the child in all parts of the examination, use head to toe approach with genital exam last.
Speak to the caregiver before and after the examination
What are some developmental considerations for when you perform the physical examination for an Early Teen?
Some may be willing to have their caregiver wait outside the exam room.
Speak to the child using mature language.
Appeal to their desire for self-care.
Use a head-to-toe approach, with genital exam last.
What are some developmental considerations for when you perform the physical examination for a Late Teen?
Explain to the caregiver that the teen needs privacy and that he or she should wait outside the exam room.
Explain confidentiality to care-giver and teen.
Allow time talking with them together and separately.
Use a head-to-toe approach, with genital exam last.
What is the recommended age for the Faces Pain Scale Rating?
3 Years Old
The FLACC Behavioral Scale stands for-
What is it used to assess?
Face, Legs, Activity, Cry, Consolability
A child’s behavior.
FLACC Assessment (Face):
No particular expression or smile = How many points?
Occasional grimace or frown, withdrawn, disinterested = How many points?
Frequent to constant frown, quivering chin, clenched jaw = How many points?
No particular expression or smile = 0
Occasional grimace or frown, withdrawn, disinterested = 1
Frequent to constant frown, quivering chin, clenched jaw = 2
FLACC Assessment (Legs):
Normal position or relaxed = How many points?
Uneasy, restless, tense = How many points?
Kicking or legs drawn up = How many points?
Normal position or relaxed = 0
Uneasy, restless, tense = 1
Kicking or legs drawn up = 2
FLACC Assessment (Activity):
Lying quietly, normal position, moves easily = How many points?
Squirming, shifting back and forth, tense = How many points?
Arched, rigid, or jerking = How many points?
Lying quietly, normal position, moves easily = 0
Squirming, shifting back and forth, tense = 1
Arched, rigid, or jerking = 2
