NURS 3444 Lecture Notes - Lecture 2: Physical Examination, Birth Weight, Palpation
Document Summary
Immunizations: safety, unanticipated injury leading cause of death, mva, growth and development, follow-up & referral. Prenatal history: maternal rubella, coxsackie, lithium therapy, regular nsaid or aspirin use during pregnancy, maternal diabetes mellitus, weight gain, maternal systemic lupus erythematosus. If not properly, directly impacts survival: note sweating with feeding. If you know they have pneumonia in right, do left first: blood clots, normal first to compare, good to read history and get baseline for day before to compare to what you see, observe for symmetry. Iris: eye color isn"t definite until 6-12 months, normal presentation test, red reflex. Pediatric assessment: chest, respiratory, cardiac: < 2 years is rounded chest ap diameter equal to lateral diameter then transverse diameter to ap diameter is 2:1. Inspection: appearance, note unusual features that may be associated with congenital anomalies, observe for surgical scars on the sternum or lateral thorax, note color (pallor, cyanosis, observe for clubbing, movement.
