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  • Place the height measuring board on a hard, flat surface (preferably against a wall).
  • Provide for privacy since height can be a sensitive matter.
  • Have the child remove any footwear or headgear that may alter the measurement (including braids, barrettes, etc.).
  • Place a paper towel under child's feet if he/she is not wearing socks. Confirm that the child is standing erect with the feet together in the center of the base of the height measuring board.
  • Instruct the child to look straight ahead so that his/her line of sight is parallel with the floor.
  • Make sure the child's shoulders are level and his/her hands are at the sides.
  • Place your open left hand on the child's chin.
  • With your right hand, lower the sliding headpiece on top of the child's head.
  • Read the measurement to the nearest quarter inch.
  • Record on appropriate forms.
  • Always ask for assitance if any questions arise regarding the procedure or the finding.

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  • Make sure the scales are operating correctly and set to weigh in kilograms. Ask the site coordinator for assistance if needed.
  • Provide for privacy since weight can be a sensitive matter.
  • Ask the child to remove his or her shoes and any heavy outerwear.
  • If the child is not wearing socks, have a clean paper towel ready to place on the scales. Discard after use.
  • The window will probably be blank since the scales shut off after a few minutes.
  • Tap the scales lightly with your foot. SECA should appear in the window followed by 8 and then by 0. The scales will not display the weight unless the 0's are registered when the student steps on it.
  • When the 0 appears, ask the child to step squarely on the scales and stand still.
  • When the numbers stabilize, record the weight in pounds and tenths of pounds as displayed.
  • Record on appropriate forms.
  • Always ask for assitance if any questions arise regarding the procedure or the findings

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  • Make every effort to locate this station in a quiet area.
  • Child must be sitting with arm resting on a table at the level of the heart.
  • Avoid placing the cuff over clothing or a rolled up sleeve that might constrict the arm.
  • Make sure the cuff is the appropriate size. Quick tip: Cuff width is 1/2 to 2/3 the upper arm length.
  • Palpate for brachial artery pulse point which is found in the antecubital space on the little finger side of the palm-up extended arm. Gently hyperextending the arm might make this pulse easier to find.
  • Center bladder over brachial artery with lower cuff edge 2.5 cm (1") above antecubital space.
  • Obtain palpated systolic pressure and mentally add 30 mmHg.
  • Deflate rapidly and wait 30 sec before reinflating.
  • Apply bell head making a light but airtight seal over the palpable artery. The diaphragm end may be adequate, but the bell is preferable and may help block ambient noise.
  • Inflate rapidly to level determined in step 6.
  • Release pressure 2-3 mmHg/sec. (slowly).
  • Listen for onset of 2 consecutive beats, Korotkoff Phase 1, = systolic pressure.
  • Listen for the absence of sound, Korotkoff Phase 5, = diastolic pressure.
  • Deflate cuff and remove. Record reading.
  • Always ask for assistance if any questions arise regarding the procedure or the findings.

Korotkoff Phases

  • Faint, clear tapping (Systolic)
  • Murmurs or swishing
  • Crisper, more intense
  • Distant, abrupt muffle (Diastolic)
  • Absence of sound (Diastolic)

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