ACTIVE LEARNING TEMPLATE: Basic Concept Assessment Findings 2 CONCEPT ______________________________________________________________________________ REVIEW MODULE CHAPTER ___________ Related Content Underlying Principles May need a second health care professional as a chaperon during physical assessment. Consult provider if any findings are not WNL. Prepare to possibly call social work if abuse/neglect is evident. Nursing Interventions WHO? WHEN? WHY? HOW? (E.G., DELEGATION, LEVELS OF PREVENTION, ADVANCE DIRECTIVES) Growth: evaluated using weight length and height, BMI and head circumference. Growth charts are often used. Appearance: Clean, undistressed, well-kept, without odor. Skin: variations are expected, turgor is WNL. Hair: Scalp should be clean Nails: Pink over nail beds and white at the tips. Temperature, pulse rate, and respirations: see chart. Blood pressure: readings should be compared with standard measurements, age height and sex all influence blood pressure readings. Determine whether older school-age children and adolescents prefer a caregiver to remain during examination, take time to play and develop rapport prior to beginning examination, examine the child in a secure, comfortable position. keep the room warm and well lit, perform examinations in nonthreatening environments, keep medical equipment out of sight, provide privacy.