HEAD AND MID ARM CIRCUMFERENCE - ENGLISH

                                                                                                       

HEAD AND MID ARM CIRCUMFERENCE - ENGLISH
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TITLE OF THE PROCEDURE

      Assessment of Head circumference and mid arm circumference of an infant or child.

      This procedure is to be done under practical examination of child health nursing. We measure Head circumference and mid arm circumference with the help of tape measure.

 

PREPARATION OF ARTICLES

      The procedure tray should contain -

      Tape measure

       Pen

      News paper or disposal sheet

      Diary

      Toy ( to divert attention of the baby )

 

PREPARATION OF CHILD/PARENTS-

      Explain the procedure and objectives of the procedure to parents.

      Ask mother to clean the baby and change diaper if needed.

 

 

STEPS OF PROCEDURE-

      spread the disposal sheet on examination table.

      Place the infant in supine position.

      Give toy to play and divert attention of the baby

      Ask mother to stand near the baby and hold the baby and talk with the baby to divert attention.

      hold the tape measure on forehead and take a turn round the head placing the tape over most prominent part of the occiput in the back and just above supra orbital ridge in front. Take measurement at eye level. Ask mother to hold the head still for few seconds.

      Record the measurement in diary.

      Than we start procedure to measure mid arm circumference.

      Ask mother continue to talk to the baby to divert attention.

      Find out the mid arm point for this measure length from acromion process to olecranon process and than take midpoint of that length as shown in the picture.

      take the measurement by holding the tape starting from outer side .

      Take the reading at eye level.

      Note the measurement in the diary.

      Ask mother the take baby to her room.

      Replace the articles to their proper place.

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