PHYSICAL ASSESSMENT

a. General Survey
b. Measurements (Height, Weight, BMI, Vital signs)
Assessment Body Part Norms Actual Findings Analysis and
Method Used (Chepalo- Interpretation
Caudal)
Inspection Height 23.03 inches or 22.44 inches or A height of
58.5 cm (male) 57 centimeters 22.44 in or 57
22.44 inches or cm is in the
57 cm (female) normal range for
a 2 month old
baby.
Inspection Weight 5. 2 kg or 11.5 5 kg or 11 lbs. A weight of 5kg
lbs. (female) or 11lbs is in the
5.7 kg or 12.6 normal range for
lbs. a 2 month old
(male) baby.

Inspection Body mass index N/A N/A Tracking BMI

(BMI) starts when your
child is 2 years
old.
inspection Respiratory rate 30 – 60 breaths 45 breaths per A normal
per minute minute respiratory rate
of Infants (birth
– 1 year) is 30 –
60 breaths per
minute.
Inspection Pulse rate 80 – 160 beats 110 beats per For resting heart
per minute minute rate: Newborns 0
to 1 month old:
70 to
190 beats per
minute.

Infants 1 to
11 months old:
80 to
160 beats per
minute.

Inspection Blood Pressure 87 – 105 93/57 mmHg Blood pressure

 (Systolic) rise as the baby
53 – 66 grows. The
(Diastolic) average blood
pressure in a
newborn baby is
64/41. The
average blood
pressure in a
child 1 month
through 2 years
old is 95/58.
Inspection Head (360 Head size and Head size and Based on the
degree shape vary, shape is normal results of the
inspection) especially in for her age. assessment, the
accord with Head is head size and
ethnicity. symmetric, shape for her age
Usually the head round, erect, and is normal.
is symmetric, in midline and
round, erect, and appropriately
in midline and related to body
appropriately size (norm
related to body cephalic). No
size (norm lesions are
cephalic). No visible.
lesions are
visible
Inspection Both ears Ears are equal in Ears are equal in Based on the
(auricle, tragus, size bilaterally size bilaterally. results of the
lobule) (normally 4–10 The auricle assessment, both
cm). The auricle aligns with the ears (auricle,
aligns with the corner of each tragus, lobule)
corner of each eye and within a were in normal
eye and within a 10-degree angle state.
10-degree angle of the vertical
of the vertical position.
position. Earlobes are
Earlobes may be attached.
free, attached, or
soldered (tightly
attached to
adjacent skin
with no apparent
lobe)
Palpation Both ears Normally the Auricle, tragus, Ears and mastoid
(auricle) and auricle, tragus, and mastoid process are
mastoid process and mastoid process are not normal because
 process are not tender. the auricle tragus
tender. and mastoid
were not tender
upon checking.
Inspection Both eyes, The upper lid The upper lid Based on the
eyelids and margin should margin is results of the
lashes be between the between the assessment, the
upper margin of upper margin of infant’s eyes and
the iris and the the iris and the lashes were
upper margin of upper margin of normal.
the pupil. The the pupil. The
lower lid margin lower lid margin
rests on the rests on the
lower border of lower border of
the iris. No the iris. No
white sclera is white sclera is
seen above or seen above or
below the iris. below the iris.
Palpebral Palpebral
fissures may be fissures may be
horizontal. horizontal.