Pediatric Physcial Assessment

Front 1

Physical Assessment
Infant

Back 1

Examine in parents lap if possible
Start with heart and lungs sound
Ear and throat last

Front 2

Physical Assessment
Toddler

Back 2

Use play therapy
Distract with stories
Let child play with equipment

Front 3

Physical Assessment
Preschool

Back 3

Explain everything
Let child play with equipment
Offer choices when possible
Use games to gain cooperation

Front 4

Physical Assessment
School-Age

Back 4

Recognize need for privacy and modesty
Explain everything
Allow child to verbalize concerns, fears

Front 5

Physical Assessment
Adolescent

Back 5

Provide privacy
Be factual and matter-of-fact

Front 6

Vital Sign measurement
Infant & Toddler

Back 6

FIRST - count respiration
SECOND - Count apical heart rate
THIRD - Measure blood pressure if required
LAST - Measure temperature

Front 7

Where should I assessment heart rate?

Back 7

< 2 years-of-age always count apical pulse

>2 years-of-age OK to count radial pulse

Front 8

Pediatric Vital Signs Normal ranges
Infant (&lt; 1 year)

Back 8

RR 30-60
HR 100-160
B/P 85/37 (50th %)

Front 9

Pediatric Vital Signs Normal ranges
Toddler (1-3 years)

Back 9

RR 24-40
HR 90-150
B/P 50/45 (50th %)

Front 10

Pediatric Vital Signs Normal ranges
Pre-Schooler (4-5 years)

Back 10

RR 22-34
HR 80-140
B/P 95/53 (50th %)

Front 11

Pediatric Vital Signs Normal ranges
School-Age (6-12 years)

Back 11

RR 18-30
HR 70-120
B/P 100/60 (50th %)

Front 12

Pediatric Vital Signs Normal ranges
Adolescent (13-18 years)

Back 12

RR 12-20
HR 60-100
B/P 110-115/65

Front 13

Fontanels

Back 13

Anterior: closes by 12 to 18 months
Posterior: closes by 2 months

Front 14

Binocularity

Back 14

Ability to focus on one object with both eyes
Occurs around 3 to 4 months

Front 15

Otoscopic exam

Back 15

In children < 3 years-of-age pull Pinna down and back to straighten the ear canal in childre