NSG-434 Topic 1 PEDS Health
Assessment
- Communicate through transition objects
- Get to their eye level
- Allow them to express their concerns and feel comfortable
- Use simple and short words/sentences - answer What are some guidelines when
communication with children?
Anticipatory guidance - answer Term to describe informing families or patients what is
going to occur before it happening, such as explaining an assessment the nurse is
going to perform or how the child will likely develop in the next few weeks
Crying - answer How do infants mainly communicate?
- In relation to their personal POV (egocentric)
- Touching things, how it will feel to them, etc
- Don't care about how it makes others feel
- Literal meaning - answer How do early childhood patients like to communicate?
- Want to understand the how and why
- Focus on what they know, rather than what they see
- Nurses can teach medical terms and concepts
- Begin to be concerned with body integrity - answerHow do school age children like to
communicate?
False. It depends on the situation. Some would rather have the parents there to get an
idea of the family dynamic, but having just the adolescent increases rapport -
answerTrue or False
Adolescent clients should always be spoken to with the parents in the room.
Direct - Asking questions
Indirect - Filling out questionnaires - answerWhat are the two types of ways to take a
client history and what are they?
- Personal information
- Chief complaint
- History of present illness
- Birth history
- PMH
- Allergies
, - Medications
- Immunizations
- Growth and developmental milestones
- Habits
- Sexual history
- Family assessment
- Nutritional assessment (Recall is poor) - answerWhat are key parts of a pediatric
health history?
Can you describe the reaction? - answerIf a client states that they have an allergy, what
is your next question?
Anthropometry - answerMeasurement of the human body
Height and head circumference - answerWhat measurements relate to nutrition over
long periods of time?
Skinfold test - answerWhat measurements relate to the body's fat content? (or current
nutrition)
Upper arm circumference - answerWhat measurements relate to the bodies total
muscle mass?
Paper doll technique - answerStrategy used to demonstrate an activity being performed
on a child by tracing their body on a paper and performing the assessment to the paper
(with preschoolers)
- Auscultate
- HR and RR
- Palpate and percuss
- Head to toe
- Traumatic last
- Completely undress
- Use distraction
- Have parents help hold or position client (If able to sit have them sit in patient's lap, if
unable to sit have them lay supine or prone on parent) - answer(Table 29.2) What is the
sequence for infant examination and what are some preparation key points?
- Inspect body area through play
- Slowly introduce physical contact and equipment
- Auscultate, percuss, palpate
- Traumatic last
- Remove outer clothing
- Allow them to examine tools
Assessment
- Communicate through transition objects
- Get to their eye level
- Allow them to express their concerns and feel comfortable
- Use simple and short words/sentences - answer What are some guidelines when
communication with children?
Anticipatory guidance - answer Term to describe informing families or patients what is
going to occur before it happening, such as explaining an assessment the nurse is
going to perform or how the child will likely develop in the next few weeks
Crying - answer How do infants mainly communicate?
- In relation to their personal POV (egocentric)
- Touching things, how it will feel to them, etc
- Don't care about how it makes others feel
- Literal meaning - answer How do early childhood patients like to communicate?
- Want to understand the how and why
- Focus on what they know, rather than what they see
- Nurses can teach medical terms and concepts
- Begin to be concerned with body integrity - answerHow do school age children like to
communicate?
False. It depends on the situation. Some would rather have the parents there to get an
idea of the family dynamic, but having just the adolescent increases rapport -
answerTrue or False
Adolescent clients should always be spoken to with the parents in the room.
Direct - Asking questions
Indirect - Filling out questionnaires - answerWhat are the two types of ways to take a
client history and what are they?
- Personal information
- Chief complaint
- History of present illness
- Birth history
- PMH
- Allergies
, - Medications
- Immunizations
- Growth and developmental milestones
- Habits
- Sexual history
- Family assessment
- Nutritional assessment (Recall is poor) - answerWhat are key parts of a pediatric
health history?
Can you describe the reaction? - answerIf a client states that they have an allergy, what
is your next question?
Anthropometry - answerMeasurement of the human body
Height and head circumference - answerWhat measurements relate to nutrition over
long periods of time?
Skinfold test - answerWhat measurements relate to the body's fat content? (or current
nutrition)
Upper arm circumference - answerWhat measurements relate to the bodies total
muscle mass?
Paper doll technique - answerStrategy used to demonstrate an activity being performed
on a child by tracing their body on a paper and performing the assessment to the paper
(with preschoolers)
- Auscultate
- HR and RR
- Palpate and percuss
- Head to toe
- Traumatic last
- Completely undress
- Use distraction
- Have parents help hold or position client (If able to sit have them sit in patient's lap, if
unable to sit have them lay supine or prone on parent) - answer(Table 29.2) What is the
sequence for infant examination and what are some preparation key points?
- Inspect body area through play
- Slowly introduce physical contact and equipment
- Auscultate, percuss, palpate
- Traumatic last
- Remove outer clothing
- Allow them to examine tools
