Overview of Pediatric Physical Assessment Overview of Pediatric ...

4/5/2011AgeHeart RateRange of RateBirth 70-1900-6 months 1306-12 months 1151-2 years 1102-6 years 80-1306-10 years 75-11510-14 years 70-11014 and above 65-100Focus Points for theNeonatal Examination• Fontanels• Skin color• Facies• Tone• Symmetry– Movement, respiratory effort,abdomen• ReflexesNeonatal Reflexes andWhen They Disappear• Stepping: 2 months• Moro: 3 months• Rooting: 3-4 months• Palmar grasp: 3-4 monthsNeonatal Reflexes andWhen They Disappear• Tonic neck: 4-6 months• Plantar grasp: 8-10• Sucking: 10-12 12 months• Babinski: 2 yearsSome Information on Weight• Newborns may lose up to 10% oftheir birth weight in the first 3-4 days• Newborns gain ½ to 1 ounce per dayafter that time• Excessive or poor weight gain needsto be addressedSome Information on Weight• Infants generally double their birthweight by 5 months and triple it byone year5