NUR 306 Lecture Notes - Lecture 14: Abdominal Wall, Superficial Temporal Artery, Human Musculoskeletal System
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Unstructured play can reveal abnormalities in physical, cognitive, and social development. Tips for examination of a young child. Parents of younger than 11 should stay with child. Spend time at beginning of interview to calm down and connect with children and parent. Pulse: 1-2 years (70-150, 2-6 years (68-138, 6-10 years (65-125) After first year of life, techniques of examination are same as for an adult. Tailor e(cid:454)a(cid:373)i(cid:374)atio(cid:374) to child"s stage of gro(cid:449)th a(cid:374)d de(cid:448)elop(cid:373)e(cid:374)t. Until 3 years of age, the external auditory canal is directed downward. After 3 years of age, the external auditory canal assumes an adult like slope. Use the bet angle of the otoscope. Do(cid:374)"t appl(cid:455) too (cid:373)uch pressure, child (cid:373)a(cid:455) cr(cid:455) Note whether the tympanic membrane is abnormal. Insert speculum to inch into canal. Inspect anterior portion with large speculum on otoscope. If child is anxious, perform at end of exam. As children age, the thorax and lungs become similar to adults.
