SECTION 20: PEDIATRICS: Pediatric Measurements

SECTION 20: PEDIATRICS: Pediatric Measurements
Pediatrics – Pediatric Measurements
Strength of Evidence Level: 3
SECTION: 20.23
__RN__LPN/LVN__HHA
PURPOSE:
To accurately measure height and weight of pediatric
patients.
CONSIDERATIONS:
1. For accurate measurements, use infant-measuring
device for recumbent length and stadiometer for
standing height.
2. Normally, height is less if measured in the afternoon
than in the morning.
EQUIPMENT:
Scale
Stadiometer
PROCEDURE:
1. Height:
a. Children younger than 24-36 months:
(1) Place supine with head in midline.
(2) Grasp knees and push gently toward table
to FULLY extend legs.
(3) Measure from top of head to heels of feet
(toes pointing upward).
b. Standing children older than 24-36 months:
(1) Remove socks and shoes.
(2) Have child stand as tall as possible, back
straight, head in midline and eyes looking
straight ahead.
(3) Check for flexion of knees, slumping
shoulders, raising of heels.
(4) Measure from top of head to standing
surface.
(5) Measure to the nearest centimeters or 1/8
inch.
2. Weight:
a. Weigh infants and young children nude on
platform-type scale; protect infant by placing
hand above body to prevent falling off scale.
b. Weigh older children in underwear (and gown if
privacy is a concern) and no shoes on standingtype upright scale.
c. Check that scale is balanced before weighing.
d. Cover scale with clean sheet of paper for each
child.
e. Measure to the nearest 10 grams or 1/2 ounce
for infants and 100 grams or 1/4 pound for
children.
AFTER CARE:
1. Document height and/or weight of child/infant in
patient record.
2. Dress child/infant appropriately after measurements
to prevent chilling.
3. Restore comfort and recognize child’s cooperation
through positive reinforcement.
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