The Pediatric Client

Question 1

0 to 12 months old

Answer 1

Infants

Question 2

1 to 3 years old

Answer 2

Toddlers

Question 3

3 to 6 years old

Answer 3

Preschoolers

Question 4

6 to 12 years old

Answer 4

Schoolagers

Question 5

12 to 18 years old

Answer 5

Adolescents

Question 6

• Provide a pacifier
• Encourage parent or caregiver to ask questions during P.E.
• Speak softly
• Child may need to be placed on restraints

Answer 6

Infants

Question 7

• Allow toddler to sit on parent’s lap
• Enlist parent’s aid
• Use play
• Focus on a favorite toy or unique characteristic about the child
• Praise cooperation

Answer 7

Toddlers

Question 8

• Use story telling
• Use doll & puppet play
• Give choices when able
• Allow child to manipulate
equip

Answer 8

Preschoolers

Question 9

• Maintain privacy
• Use gown
• Explain procedures & equipment
• Teach about their bodies

Answer 9

Schoolagers

Question 10

• Ensure privacy and confidentiality
• Provide option of having parent present or not
• Emphasize normality
• Provide health teaching

Answer 10

Adolescents

Question 11

PHYSICAL ASSESSMENT
1. General Measurements
2. Physiologic Measurements
3. Head-to-Toe Assessment
4. Current Development Assessment

Question 12

What tool used to measure tha height of the infant?

Answer 12

measuring board

Question 13

Measuring the height for < 2 years old

Answer 13

Positioning:
- fully extend the body, holding head midline, & pushing knees downward to extend legs

Technique:
- Measure from vertex of head to heel of foot

Question 14

Measuring the height for > 2 years

Answer 14

Technique:
- remove shoes
- stand straight w/ head midline & vision parallel bet. ceiling & floor
- back, buttocks, & back of heels against the wall

Question 15

Birth Length increases

Answer 15

50% at 1 year

Question 16

Measuring weight for smaller infant

Answer 16

• weigh naked, lying on a scale

Question 17

Measuring Weight for older child

Answer 17

• barefoot; in underpants or light gown
• standing on platform scale

Question 18

N° Birth Weight infant

Answer 18

2.5 - 4 kg

Question 19

Child’s N° Birth Weight______at age 4 to 6 months

Answer 19

doubles

Question 20

Child’s N° Birth Weight_______at 1 year.

Answer 20

triples

Question 21

Landmarks of measuring the head circumference for children < 2 years

Answer 21

landmarks:
- slightly above eyebrows
- pinna of ears
- skull: occipital prominence
- nipple line

Question 22

Normal values of Head circumference

Answer 22

33-35 cm

Question 23

Normal Value of Chest circumference

Answer 23

HC – 2 cm

Question 24

Abdominal grith mesurement landmark

Answer 24

landmark:
- slightly above the umbilicus

Question 25

Mid-arm circumference measurement landmark

Answer 25

landmark:
- midway between shoulder & elbow

Question 26

Anterior frontanelle closes at ________

Answer 26

12 to 18 mos

Question 27

Shape of anterior frontanelle

Answer 27

diamond-shaped

Question 28

Fontanelles normally bulge when child is _______

Answer 28

crying.

Question 29

Bulging fontanelles at rest is AbN°; noted in infants with____________

Answer 29

increased intracranial pressure (ICP)

Question 30

Depressed fontanelles noted in __________

Answer 30

dehydration

Question 31

Physiological measurement of temperature in infant:

Answer 31

Axillary route
Rectal route
Tympanic route
Oral route

Question 32

lubricated thermometer inserted no more than 2 cm into rectum

Answer 32

Rectal route

Question 33

may be used in children > 4 yrs of age

Answer 33

Oral route