Vital Signs and Measurements

The growth and development of a child is very specific per age.  The measures can tell you so much and change so rapidly from the neonatal time period through adolescence.  Please make sure to familiarize yourself with all age appropriate measures.

 

Vital Signs, Height, Weight

Temperatures

Verbalizes degree in C or F.

Pulse

Verbalizes rate and rhythm

Interpret normal values by age.

Respiration

Verbalizes rate and rhythm.

Interpret normal values by age.

Blood Pressure

Interpret normal values by age.

Interpret normal values by age/gender/height using pediatric blood pressure chart.

Verbalizes how to do orthostatic blood pressure.

Height & Weight

Can identify normal and abnormal growth patterns.

Ensures all points are plotted for height and weight.

Understands the difference in measuring height/weight versus BMI and age differences.

BMI

Calculate BMI and plot appropriately

Interpret BMI.

Head

Plots and interprets head circumference when appropriate.

Immunizations

Verifies status, knows schedule by age and can interpret CDC recommendations.

Can verbalize contraindications.

Check your knowledge!
Answers
The parent of a 11 mo old asks you when she should take her child to the dentist? She has two teeth. What should you advise her?
You are seeing a 4 yo female. Below are her vital signs: Temp: 37.1C, RR: 35,  HR: 90,  BP: 93/50,  Height: 40in,  Weight:62lbs,  O2: 98%

List the abnormal vital signs for this patient, if any. Also calculate BMI.

What are the expected immunizations you would give to a 4 year old at her annual well check. She is up to date on all previous immunizations and following the CDC schedule?
What are some developmental milestones you would see in a 6 month old?
What is the most likely weight of a one year old child whose weight at birth was 6.5lbs?
When examining a toddler, which of the following body parts should you examine last? Heart and lungs, abdomen and genitals, ears and throat, or hips and extremities?