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PREPREPARATIONFOR ASSESSMENT
• - - EXAMINATION ROOM• - EQUIPMENTS• - POSITION • - NURSE PREPARATION
METHODS OF ASSESSMENT
• -INSPECTION• -PALPATION• -PERCUSSION• -AUSCULTATION
HEAD TO TOEASSESSMENT
• -VITAL PARAMETERS
• -GENERAL MARKERS OF
• DISEASE
• -DETAILED EXAMINATION
ASSESSMENT
EXAMINATION ROOM
Outpatient settings Room must be
warm ,well-lighted and comfortable.
Avoid use of yellow/blue color curtains
EQUIPMENTS• Stethoscope• Torch Light• Fiber Glass• Measuring tape(inches)• Weighing machine• Spatula• Sphygmomanometer• Clinical thermometer• Red ring & blocks(for developmental
assessment)
POSITION• Children between 3mnths – 1year should
be allowed to sit in mother’s lap• 1year-3 years should be in the standard
required position on examination table
NURSE PREPARATION• Informed Consent• Hand Washing• Warming of hands • Communication Skills• Avoid white apron • Small handy toys• Privacy• Eye to Eye contact
PERCUSSION• Tapping on surface
to determine the underlying structure.
• Done with the middle finger of one hand tapping on the middle finger of the other hand using a wrist action.
PALPATION• A method of
feeling the body part(size ,shape, firmness, consistency & location) using the hands (palm and fingers)
VITAL PARAMETERSTemperatureArterial pulseRespirationBlood pressureCapillary refill timeHydrationOxygen saturation
CraniumFaceEyesEarsNoseMouth and oral cavityNeckHands ,feet and limbsChest Abdomen Skin and nails Genitalia
NECKPosition, lymph nodes, masses, fistulas,
cleftsRange of Motion (ROM)Check clavicle in newbornHead control in infantTrachea & thyroid in midlineCarotid arteries (bruits)Meningeal irritation
EXTREMITIES UPPER & LOWER EXTREMITIES• Handedness• Size and Shape• Color• Bones and Joints• Rash• Nails• Involuntary Movements
Assess for …• Shape and Size• Abdominal movements• Umbilicus• Skin scars• Superficial veins• Visible peristalsis• Pulsations• Groins and scrotum
1.Which of the following method is used to assess the shape, size and location of body part?
a) Palpationb) Auscultationc) Percussion d) Inspection
2 In older children icterus is diagnosed when serum bilirubin level increases above…………..
a) 5mg/dlb) 3mg/dlc) 2mg/dld) None of the above
4 Splint hand and foot syndrome is termed as ………….
a) Syndactylb) Polydactylc) Ecrodactyld) Both a & b
5 Umbilical hernia-ballon shaped umbilicus commonly found in……………years of age.a) less than 4 yearsb) less than 2 yearsc) more than 2 yearsd) more than 4 years
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