QUESTIONS AND CORRECT ANSWERS
GRADED A+
◉ General Infant Health Assessment (0-1 yr)
-components of assessment
-"Doorway exam"
-Assessment principles. Answer: components to assessment:
Health History : APGAR score + Family hx
Developmental History: Milestones met?
Safety Exam/Health Promotion
Physical Exam
Doorway exam = 1st 5 seconds assessment when entering room:
who's in the room? any safety concerns? (crib rail down +/or baby
unattended)
-note pt-parent interaction quality
Asessment principles:
Atraumatic approach (least invasive to most)
-you may assess while a child is sleeping (especially lungs)
-you may assess child on caregivers lap
,◉ Infant Physical Exam (0-1 year). Answer: Head (Fontanelles):
Anterior fontanelle: larger, closes between 12-18 months
Posterior fontanelle: smaller (finger sized), closes between 2-3 months
-sunken fontanelle = dehydrated ; bulging = increased intracranial
pressure/inflammation
Eyes:
Strabismus common up to 6 months
Ears:
Top of ears should align with outer corner of eye
-low set ears may indicate genetic disorders
Nose:
Infants are obligatory nose breathers (especially under 6 months)
-small amounts of congestion can cause significant breathing difficulty
Mouth/Throat:
Tongue extrusion reflex present until 6 months
-assess for cleft palate (affects feeding)
1st teeth appear 4-6 months!
, Pain Asessment = FLACC scale (newborns) + FACES scale (1yr+,
points to face showing pain level)
◉ Infants Physical Growth / Growth charts. Answer: Length : rapid first
6 months! (+ 0.5- 1in / per month)
Weight: normal to lose up to 10% body weight 1st week, regain by week
2
Newborn Weight Growth Guidelines!
1oz (30gms) per day for the 1st 3 months
doubles by 6 months
triples by 12 months!
Head circumference: rapid first 6 months!
Track on growth charts, its concerning when a child falls off of their
growth curve determined at birth
◉ Newborn Developmental Theory. Answer: Psychosocial - Eriksons =
Trust vs Mistrust
Cognitive - Piaget = Sensorimotor