Physical exam of nursing in age groups of pediatrics - Part II

Many times because of people's taboos, ignorance or simply ignorance, there are single mothers or fathers who do not know that their male child should be told about the growth of the penis and that it has a "coat" (the foreskin) and that this it must be slipped daily to avoid complications such as infections and end in a Qx intervention (surgery).

It is also important to verify the permeability of the penis, especially in the newborn (born) because there are congenital deformities (malformations) where the urinary meatus is not located at the tip of the penis, this bad formation will have a different name depending on where the urinary meatus is located, here below I will leave an illustration made by me so that you better understand the location.

Both are diseases by birth defect (congenital malformations)

It should be verified that in the scrotum is the offspring of the testicles, these have to be two and have a normal size, their average size is 4 centimeters to 8 centimeters.

The existence of the frenulum in the penis is verified.

Genital area

WOMEN

In women, the exploration of the genito-urinary tract should verify that the labia majora cover the labia minora, in preterm newborns (newborns born before 37 weeks of gestation) it is normal to see the labia minora come out of the labia majora, and in RN terms to see the genital area too inflamed, but this with the passage of days will disappear and look normal.

In women it is important to verify that the urinary meatus is found (under the clitoris) and that it has a correct permeability (urinating properly).

In both sexes should be remembered the discomfort of the patient's intimacy, that he should feel safe and we must warn about each step that will be made so that the patient knows what will be done.

In both sexes, the presence and / or growth of pubic hair should be remembered in the age group with respect to adolescents..

Year: in RN (newborns) it is very important to verify the permeability of the anus, and that it is functioning correctly, besides verifying that the anal orifice exists. In other classifications of age groups should verify that there is no possibility of anal prolapse and that there are no hemorrhoids, in addition to verify that there is a correct hygiene.

Column: it is the back will verify the position of the person, mobility and sensitivity.

Now we will continue with the explanation of the extremities, to this I mean the arms and legs (upper extremities and lower extremities).

Upper limbs (arms): mobility, and skin tone, reflexes and if there is a catheter, venoclysis or how it is also called yelco / jelco should be verified. If the presence of jelco exists, it must be explained in which of the two upper extremities it is (that is, whether it is the left arm or the right arm).

Hands: the capillary nail filling will be verified and this must be a second.

What is ungelbal capillary refill?

Lower limbs (legs): mobility and skin tone should be checked.

Feet: the form is verified and the footprint is correct, firm and stable. Capillary nail filling will be verified and this should be one second.

With this we will complete the cephalocaudal physical examination, which, as I mentioned earlier, consists of evaluating from the head to the tip of the feet. It is important not to lose sight of any detail as this will affect the patient's assessment and alter both the medical history and the clinical case.

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All you have just read here has been my little experience in the area of Pediatrics in the central hospital of Venezuela - Lara, the matter is called Materno Infantil II.

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The images that you just saw are from my authority.
The separator that you just saw is my authority.

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I like to teach about the things I know, and thus give a little bit of me for you, thank you very much for reading, any comments and doubts you have will be well received.

Nursing student- @arisita