Bhagyoday tirth nursing college sugar( M.

P)
Subject -Child healt nursing topic-nutritional Assessment.
Prepared by-name Uma Sahu Physical
Examination

Physical assessment Strength\ good Nutrition Weakness \poor

area Nutrition
Height Within normal range for Above or below normal
age expected increase range
Weight Within normal range for Above or below normal
age expected gain range excessive gain or
loss
Skin Healthy Dry, scaly, rough, flaky,
appearance :uniform swollen
color, clear, firm, elastic,
moist
Mucous membrane Pinkish-red (dark in some Bruising, poor wound
races healing :dermatitis poor
turgor
Hair Adequate Comes out easily; brittle,
amount ;lustrous, dull, dry
smooth ;Healthy scalp
Nails Pink(darker in some Ridged ;clubbed
races); firm
Neck Normal in size Enlarged thyroid or
parotid gland
Eyes Moist, clear, bright Increased vascularity,
pale membranes Dull
with dark circles, light
sensitivity
Mouth Lips Moist, smooth, pink Swollen, cracking at
corners of mouth
Gums Teeth Straight, no cavities or Cavities ,mottled,
crowding adequate appearance, missing,
number for age defective, tooth enamel
Tongue Surface papillae present, Smooth fissures, swollen,
 dark red red, lesions
Heart Normal size and sound Enlargement and rapid
pulse rate
Abdomen Flat (may protrude Enlarged, protruding
normally during early
years)
Musculoskeletal Good posture (depends Poor posture, winged
on age) shoulder blades scapulae cranial bossing,
flat ,no malformation or Harrison groove, beading
tenderness of ribs
Extremities Straight Bowed legs, knock knees;
enlargement of
epiphyses of wrists
Muscles Well developed, good Weakness, poor tone;
Neurologic Tony’s ,firm alert; small, flabby
Normal reflexes Apathetic ;decrease in
OR loss of knee and
ankle reflexes;
headache; motor
weakness ;Sensory loss
Book reference -Text book of pediatric nursing Dorothy R. Marlow Barbara A.
Reading Sixth edition