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Pediatric Assessment Tool: Infancy 0-1 Year Old: I. Nursing History
Pediatric Assessment Tool: Infancy 0-1 Year Old: I. Nursing History
Pediatric Assessment Tool: Infancy 0-1 Year Old: I. Nursing History
I. Nursing History
A. Birth History: Length: ______ Weight: ______
Apgar Score: _______ Gestational Age: ________
B. Immunization Schedule: __________________________________________
C. Previous Illness, Accidents, Injuries: _________________________________
D. Established Routines:
Feeding Schedules: ______________________________
Sleep Schedules: ________________________________
B. Behavioral Characteristics
I. History
A. Previous Hospitalizations: November 24, 2020
B. Common Childhood Illness: Fever and colds
C. Allergies or Allergic Responses: No allergies
D. Immunization: Complete: DTaP, HepB, HepA, IPV
Incomplete: ______________________
E. Special Name/Nickname: Mikmik
B. Behavioral Characteristics
B. Behavioral Characteristics
B. Behavioral Characteristics
Gross/Fine Motor
Age Intellectual Psychosocial
Skills
6 years old ● is very active in ●declines objects by use ●is “bossy” tense
constant motion ●follows triple commands ●is emotionally stable
●prints, paints, ●plays simple board games ●has separation anxiety when starting --school
colors ●plays with peers often fights, cheats to win
7 years old ●uses knife to cut ●enjoys reading ●enjoys family life, helping
food ●tells time, knows calendar ●spends time alone happily
●practices skills ●can recognize other point ●is quiet, reflective
for mastery of views ●is eager to please
●uses telephone ●sets high standards for self
8 years old ●perfects skills in ●enjoys learning about ●is exuberate, expansive, self confident
games requiring science, nature ●is very curious
large/fine muscle ●classifies objects, starts ●has difficulty completing tasks
coordination collection ●has same sex peer group
●understands concept of ●plays in gang
death ●is proud of success, fears failure
●seeks potential approval
9 years old ●has good hand- ●understands explanations ●is quiet introspective
eye coordination ●follows teacher’s ●importance of same sex peer increases
●perfect skills in directions ●is self motivates
sports with ●describes characteristics of ●finishes tasks
improved timing objects ●begins to rebel against authority
and muscle ●starts meaningful ●has heroes
control collections
●develops
individual skills
10 years ●enjoys all ●understands casual ●is happy, confident, serene
old physical activity relationships ●behavior is predictable, consisted, controlled
●practices fine ●interested in world ●expands peer relationships in cliques, teams,
motor skills for problems scouts
extended periods ●manipulates fractions ●hero worship intensifies
●writes well, fast ●enjoys memorizing
11 years ●is active, agile, ●is interested in religion ●begins preadolescence
old enjoys sports, ●describes abstractions ●is moody, unsettles, ambivalent
may be clumsy ●enjoys learning, resists ●resents adult authority
homework ●begins interest in money, allowance
●seeks challenges ●worries about anything
Patient’s
Characteristics Male Female
Characteristics
Weight gain 7-30kg (15-65lb) 7-25kg (15-55lb)
Growth 10-30cm(4-12in) 5-20cm ( 2-8in)
Growth pattern Spurt begins about 13 years Spurt begins 10-12 yrs
Growth rate varies before onset of menses
Early mature – rapid, Sharp decreases in rate after
Early growth – early cessation menses occurs
Late Mature – steady prolonged growth
– late cessation
Growth Cessation At 18-20 years 1-2 years after menses
Sexual Masturbation 1. Enlargement of testes, scrotum 1. breasts changes
2. Appearance of pubic hair enlargement
3. Appearance of axillary hair 2. increase in size oof
4. Hair in upper lip pelvis
5. Appearance of facial, body hair 3. appearance of pubic
6. Penis grows enlarges hair
7. Nocturnal emissions 4. menstruation
8. spermatogenesis 5. ovulation
B. Vital Signs