Communication and Physical Assessment of the Child

Card Set Information

Author:
NurseFaith
ID:
296800
Filename:
Communication and Physical Assessment of the Child
Updated:
2015-02-24 22:20:51
Tags:
Communication Physical Assessment Child
Folders:

Description:
Communication and Physical Assessment of Child
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user NurseFaith on FreezingBlue Flashcards. What would you like to do?


  1. Ways to Communicate with Children
    Make communication developmentally appropriate

    Get on child's eye level

    Approach child gently and quietly

    Always be truthful

    Give child choices as appropriate

    Avoid analogies/metaphors

    Give instructions clearly/in positive manner

    Avoid long sentences, medical jargon, "scary words" (little stick in the arm; cough your head off; cut, tubes, etc...)

    Give older child opportunity to talk without parent present
  2. Developmentally appropriate communication of infant:
    • Nonverbal
    • Crying-- type known to caregiver

    (**Parents are source of hx/observation/exam)
  3. Developmentally appropriate communication of Early Childhood
    Focus on child in your communication!!

    Explain what, how, why

    Use words he/she will understand

    Be consistent (don't smile when doing painful procedures)
  4. Developmentally appropriate communication of adolescent
    • Be honest with them-- helps gain trust
    • Be aware of privacy needs
    • Think about developmental regression
    • Importance of peers
    • Have confidential time
  5. Goals of Pediatric Assessment
    Minimize stress and anxiety associated with assessment of various body parts

    Foster trusting nurse-child-parent relationships

    Allow for maximum preparation of child

    Preserve security of parent-child relationship

    Maximize accuracy of assessment findings
  6. General approaches toward examining child
    Head-to-Toe sequence for assessing adult clients

    Sequence for pediatric assessments generally altered to accommodate child's developmental needs
  7. Physical Assessment of INFANT
    • Try not to wake baby
    • Examine on parent lap if possible
    • Leave diaper on
    • Comfort measures such as pacifier or bottle
    • Talk softly
    • Start with heart/lung sounds
    • Ear/Throat exam last
  8. Physical Assessment on TODDLER
    • Examine on parent lap if uncooperative
    • Use play therapy
    • Distract with stories
    • Let toddler play with equipment/BP
    • Call by name
    • Praise frequently 
    • Quickly do exam
  9. Physical Assessment on PRESCHOOL
    • Allow parent to be within eye contact
    • Explain what you are doing
    • Let them feel the equipment
    • Use simple explanations
    • Offer available choices to the child
    • Use games to get the child to cooperate
  10. Physical Assessment on School Age
    • Allow choice of having parent present
    • Privacy/Modesty
    • Ask if child has any questions or concerns
    • Explain procedures/equipment
    • Interact with child during the exam
    • Be matter of fact about examining genital area
  11. Physical Assessment of Adolescent
    Ask about parent in the room

    Should have some private interview time: time to ask difficult questions

    Provide privacy

    Provide info about physical changes in matter-of-fact manner
  12. V/S measurement of Infant/Toddlers
    • Count Respirations FIRST
    • Count apical heart rate SECOND
    • Measure BP 3rd
    • Measure temp LAST
  13. Count the apical pulse for children <2 for
    1 full minute
  14. Panic Levels for respiratory assessment on infant/toddler
    • <10
    • >60
  15. Respiratory assessment:
    Count for 1 full minute (usually before infant wakes...rates are elevated with crying/fever)

    ...if under 1 year count abdominal movements!
  16. Places to take BP
    • Brachial artery
    • Radial
    • Popliteal
    • Dorsalis Peds
    • Posterior tibial
  17. Normal VS ranges for infant
    • R= 30-60
    • P= 100-160
    • SBP= >60
  18. Normal VS for Toddler
    • R= 24-40
    • P= 90-150
    • SBP= >70
  19. Normal VS for Preschooler
    • R= 22-34
    • P= 80-140
    • SBP = >75
  20. Normal VS for School Age
    • R= 18-30
    • P= 70-120
    • SBP= >80
  21. Normal VS for adolescent
    • R= 12-20
    • P= 60-100
    • SBP= >90
  22. Head assessment (measured until 3 years)
    • Check fontanels
    • -anterior (12-18 months)
    • -posterior (closes by 2 months)

    Shape- flat headed babies are due to back-to-back sleep position
  23. Neck Assessment
    • Symmetry
    • Palpate for masses and lymph nodes
  24. Eye Assessment
    • External Structures
    • Internal Structures
    • Vision (parent role)

    *Infants should be able to focus on one object referred to binocularity by the age of 3-4 months of age
  25. Pinna is pulled _____ to straighten ear canal in children < 3 years old
    Down and Back
  26. Respiratory Red Flags
    Grunting or Nasal Flaring or Retractions

What would you like to do?

Home > Flashcards > Print Preview