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Physical Examination of Infants and Children:
children are anatomically and physiologicallyunique
when assessing an infant/ a child – consider orcorrelate with growth and development
in general, methods used to examine adultscan be applied in the examination of infantsand children, however, the sequence of examination is different in that potentiallypainful or distressing maneuvers should beperformed last
 
 
- the key to success in the performance of complete PE (infants) is
distraction
 - not necessary to withdraw parentalpresence(much of the examination can beperformed with the infant lying orsitting onthe parent’s lap or held in an uprightposition against the parent’s chest
 
 
observation of the parent-infantinteraction is important:Parent’s affect in talking about theinfantmanner of holding, moving anddressing the baby> may indicate maladaptivenurturing patterns in the parentspart (important in assessing malnutritionand parental deprivation)
of 00

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