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Pediatric Physical Assessment
Questions and Correct Answers the
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Infant Assessment
✓ -Infants <6M can lay on exam table, <6M sit on parents lap
✓ -As much as poss, conduct so that infant can see parent or be held by parent
✓ -Allow security object
✓ -High-pitched, soft voice and smile help
Toddler Assessment
✓ -Use short, concrete terms
✓ -Explainations and descriptions need to be repeated several times
✓ -Visual aids, such as puppets/dolls help
✓ -Allow to handle any medical equipment you will use
✓ -Allow comfort object
✓ -Allow access to parent
Pre-schooler Assessment
✓ -Allow to handle equipment and answer questions about equipment
✓ -Very modest, expose minimally
✓ -Allow them to undress themselves
✓ -Allow opportunities for questions
✓ -Parental proximity is still important
School Age Assessment
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✓ -May fear injury or embarrassment
✓ -Allow time for composure and privacy
✓ -Simple medical diagrams, teaching dolls useful to explain assessment process
✓ -They are curious about function/usefulness of equipment
Adolescent Assessment
✓ -May respond to verbal approaches with monosyllables, anger or other behaviors,
may require more talking at beginning
✓ -Ask what he/she knows about health contact and explain rationale for health
assessment
✓ -Privacy/confidentiality, option to perform away from parent
✓ -Preoccupied with image/function; give feedback from assessment
✓ -Diagrams and models enhance feedback
✓ -Avoid becoming too abstract, detailed and technical
Parents During Assessment
✓ -Broad questions
✓ -Save focused/closed questions for later in assessment
✓ -Listen without interrupting
✓ -Involve the parent
✓ -Avoid overwhelming parent with too much info
✓ -Provide recognition, praise and reassurance for strengths
Health History should include
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