Peds Assessment

Question 1

double birth weight by when?

Answer 1

4-6mo

Question 2

triple birth weight by when?

Answer 2

12mo

Question 3

gain 6-8 lbs by when?

Answer 3

Second year of life

Question 4

nutritional hx

Answer 4

weight, types of foods eaten, activities

Question 5

developmental hx

Answer 5

baseline development (their nml), walking, talking, feeding themselves, toilet trained
puberty

Question 6

growth chart for <2yo

Answer 6

world health organization (WHO) growth chart

Question 7

growth chart for >2yo

Answer 7

center for disease control (CDC) growth chart

Question 8

growth measurements up to 36mo (3yo)

Answer 8

recumbent length (“length” laying down), weight, head circumference up to 2yo

Question 9

growth measurements after 37mo (3yo)

Answer 9

standing height, standing weight

Question 10

head circumference

Answer 10

measured up to 2yo
around forehead in cm
typically equivalent to chest circumference

Question 11

chest circumference

Answer 11

nipple level in cm

typically equivalent to head circumference

Question 12

abdominal circumference

Answer 12

above belly button in cm

NOT measured below umbilicus d/t possible bladder distention

Question 13

infant weight measurement

Answer 13

either weigh naked or weigh dry diaper, zero scale, and weight baby w/new dry diaper

Question 14

infant/toddler vital signs measured in what order?

Answer 14

1. count respiration before disturbing child
2. count apical HR
3. BP
4. temperature

Question 15

sites for BP measurement in children

Answer 15

brachial - common
radial
popliteal
tibial - common

Question 16

temperature measurement

Answer 16

oral - best for older kids if they haven’t had fluids/food recently
axillary - 1 degree difference in accuracy
rectal - very accurate but also uncomfortable (only inserted 1/2-1in w/lubricant)

Question 17

fever in a child?

Answer 17

100.4 F

Question 18

palmar creases

Answer 18

may signal abnormality (down syndrome)

Question 19

observe for cranial assymmetry

Answer 19

fused coronal sutures, deviated nose, flattened head

Question 20

fontanels

Answer 20

anterior closes b/w 12-24mo
posterior closes b/w 6-8wks

bulging? may be fluid overload/head bleed
sunken? may be dehydrated

Question 21

oral assessment

Answer 21

number of teeth

color of teeth and gums

Question 22

hernias?

Answer 22

internal inguinal appears as “outie” umbilicus

external inguinal and femoral appear near groin

Question 23

“bowleg” genu varum

Answer 23

nml finding under the age of 2yo

Question 24

“knock-knee” genu valgum

Answer 24

needs to be assessed regardless of age