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16 Cards in this Set

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best way to get boy to co operate
distraction by play or role play
distraction helps decrease anxiety / fear


best to assess what first?
heart
lungs
bowel sounds
exam seq head to toe on everybody, AND document ...
as head to toe even if completed out of order
INFANT PA
start w/ all your stuff you need quiet while they sleep then move to stuff when ...
they wake and noisy you can do pacify w/ a bottle breast to quiet them
perform the worst stuff on infants last ie...
eyes ears mouth reflexes
moro reflex is sucking reflex do it ...
last don not wake to do this
use a soft voice w/ infant and smile alot
what else
have parent restain for traumatic things
TODDLERS do PA head to toe
introduce equipment slowly and let them ...
play w/ stuff & try it out mom
move quickly w/ toddlers and least traumatic as ...
possible
Praise them when your done, such as
such a big boy such a big girl
PRESCHOOLSER GETTING A PA

IF NOT COOPERATING TREAT LIKE A TODDLER

HAVE THEM UNDRESS THEMSELVES, NEED TO BE IN CONTROL
UNDRESS ONLY ...
WHAT NEEDS TO BE SEEN SO KEEP THEM WARM

OFFER EQUIP FOR INSPECTION IF NEEDED

MAKE UP STORIES TO SEE STRONG MUSCLES FOR BP
GIVE CHOICES OF WHAT TO DO NEXT

EXPECT COOPERATION BY MAKING POSITIVE REMARKS SUCH AS LOOK IN BACK OF THROAT, OPEN UP...
LET ME LOOK IN YOUR THROAT
SCHOOL AGED BOY
HEAD TO TOE BUT LOOK AT GENTALIA LAST
COULD BE TRAUMATIZING LET dR FEEL AROUND.
TEACH ABOUT BODY FUNCTION CARE ESP IF UNCIRCUMCISED; PULL FORESKIN BACK, CLEAN, ...
GIRLS SHOULD WIPE FROM FRONT TO BACK
ADOLESCENTS PA GOES LIKE THIS
HEAD TO TOE
PRIVACY IS VERY IMPORTANT
VERY MATTER OF FACT IN SEXUAL
DEVELOPLMENT , YOU ARE NORMAL
PA AND GROWTH DEVELOPMENT
LENGTH (CROWN TO HEEL RECUMBENT LENGTH FOR CHILDREN UNDER 2, W/ KNEES FLAT)
WHAT ABOUT HEIGHT...
HEELS SHOULDER BOTTOM HEAD TOUCH WALL OVER 2
WEIGHT ZERO OUT 1ST, LAY NAKED, OLDER CHILD DO IN UNDERWEAR OR GOWN
WHAT ABOUT HEAD CIRCUMFRANCE?
UP TO 36 MONTHS SLIGHTLY ABOUVE EYES BROWS ABOVE EARS WIDEST PART OF HEAD OCCIPITET LOOK FOR FONTANELS POST AND ANT SINK IN IF DEHYDRATED, BULDGED W / WATER ON THE BRAIN