Physical Examination of Pediatric Client

• Newborn 


  Birth to 1 month
• infants


  1 month to 12 months
• toddler 


  1-3 years old
• preschooler 


  3-6 years old
• school age 


  6-12 years old
• adolescence 


  12-20 years old
• Last 


  in newborns and infants, when should you perform manipulative procedures such as throat and ears
• heart and respiratory 


  examine ____ and ____ first before infant cries then follow head to toe procedure
• school age and adolescent

  for ___ and ___ ask the child if they want the parent present or not
• neonatal period 


  from birth to 28 days of life
• vital statistics 


  weight, length, head circumference and chest circumference
• 2.5 to 3.4 


  kg of newborn
• 53 cm or 20.9 in


  length of female newborn
• 54 cm or 21.3 in


  length of male newborn
• 34 to 35 cm


  normal head circumference for newborns
• hydrocephalus 


  large head
• 37.2


  newborn temperature at birth
• 36.5 to 37.5 


  Axillary temperature of newborn
• 120 to 160


  pulse rate of newborns
• 80


  respiration rate of newborn at birth
• 30 to 60


  respiration rate of newborns
• 80/46


  bp of newborns at birth
• 100/50


  bp of newborns
• 4.5 to 5


  cm of kidney in a full term newborn
• ortolani Barlow maneuver 


  used for examining hips
• myelomeningocele


  most serious type of spina bifida. a sac of fluid comes through an opening in the baby’s back
• meningocele


  sac of fluid comes through an opening in the baby’s back but the spinal cord is not in this sac
• occulta 


  hidden spina bifida there is a small gap in the spine but mo opening or sac
• meconium 


  1st stool passed within 24 hours after birth. sticky, tar like, blackish-green, odorless
• transitional stool


  2nd to 3rd day. green and loose, resembles diarrhea
• breast fed babies


  light yellow stools and sweet smelling. passes at least 3-4 stools per day
• bright green 


  color of stool for babies receiving phototherapy
• gray 


  color of stool with babies wit bile duct obstruction
• blood flecked 


  indicates anal fissure
• black or tarry 


  intestinal bleeding
• mucus


  finsing ___ in stool may indicate milk allergy or lactose intolerance
• 15 ml


  how many ml of urine in single voiding
• hepatitis b vaccine 


  should be administered within the 1st 12 hours of birth
• physiologic jaundice 


  type of jaundice that occurs during the 2nd or 3rd day of life
• pathological jaundice 


  Type of jaundice that occurs within the first 24 hours of life