physical assessment Part II

8/4/2019 physical assessment Part II

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Growth Chart

International Center for AIDS Care and Treatment Programs, Columbia University


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Measure with paperor steel tap at thegreatestcircumference abovethe supra-orbitalridge , laterally

Around the partialbones and posteriorlyover the mostprominent part of theoccipit.


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Remove infants clothes ofupper half.

Place on a flat table insupine position.


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Place tape across the nipple

line.

Measure mid way between

inspiration and expiration.

Record.


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With the childs right arm flexed 90degree at elbow, mark midpointbetween acromion and oclecranonprocess aspect of arm.


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Warp the measuring tape aroundupper arm at midpoint

Plot on percentile chart .

Record.


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Remove the childs shoes and socks

Stand as tall and straight as possiblewith head in midline and the line ofvision parallel to the floor.


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The childs back should

be to the vertical flatsurface with heels,buttocks and back of the

shoulder touching thesurface.


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Any flexion of the knees, lumping ofthe shoulders or raising of heels of thefeet is checked and corrected.

Move the board on the top of the head.

Read and record.


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Height using measuring tape Attach a measuring tape to the wall.

Place the child adjacent to the tape.

Place a three dimensional object, suchas thick book or box on the tape of the

head.


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The side of the book must rest firmly

against the wall to form a right angle.

Length or stature is measure to thenearest 1 ml.

Record.


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Place the towel on the board.

Remove the infant clothing.

Place infant on center of board firmlyin supine position.


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Hold the head against

head board firmly.Grasp the knees togethergently

Push down in knees untilthe legs are fully extended

&hold the legs firmly.


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Bring the headboardagainst the soles of healsfirmly.

Read and record.


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Length using measuring tape Place the infant on a proper covered

hard surface.

Push down the knees and head againsta firm surface.


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Make points of the top of the head and

heel of the feet by a point.

Remove infant from his place.

Measure between these two points.

Record.


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Place the scale horizontally.

Check to see that scale is balanced bysitting it to the zero, and noting if thebalance registers exactly in the middle ofthe mark.

Make the patient room warm.


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Wipe the scale with cotton withalcohol.

Remove the infant clothing.

Put a scale paper on the scale.

Gently lift the infant from the bed andplace him in the scale basket.


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For safety, hold hand over the bodyof the infant.

Adjust the weight to balance thescale by right hand

Read the scale when infant is lyingstill.

Remove and dispose the scale

paper. Record the weight.


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Weight for older childrenBalance the scale.

Place a paper towel on thescale for the child to standon.


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Keep child privacy.

Child usually weighed while wearingtheir underpants or light gown.

Remove shoes of the child.

Read and record.


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physical assessment Part II

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