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ATI Pediatrics Proctored Final (2026) – Comprehensive Highlights and Exam Review

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This document contains a comprehensive collection of highlights for the ATI Pediatrics Proctored Final (2026), focusing on essential pediatric nursing concepts and key exam content. It covers major topics such as growth and development milestones, pediatric assessments, common childhood disorders, medication administration, and family-centered care. The material is structured to summarize high-yield information, reinforce critical concepts, and support effective final exam preparation.

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ATI Peds Proctored Final Huge Covers
Highlights 2026
Newborn Pulse Rate - 80-180/min depending on activity

1 week to 3 months pulse rate: - 120-180/min

3 months to 2 years pulse rate: - 70-150/min

2-10 years pulse rate: - 60-110/min

Newborn to 1 year respirations: - 30-35/min

1 to 2 years respirations: - 25-30/min

2 to 6 years respirations: - 21-25/min

6 to 12 years respirations: - 19-21/min

12 years and older respirations: - 16-19/min

Temperature for age 3-6 months: - 37.5 C (99.5 F)

Temperature for age 1 year: - 37.7 C (99.9 F)

Temperature for age 3 years: - 37.2 C (99.0)

Temperature for age 5 years: - 37.0 C (98.6)

Temperature for age 7 years: - 36.8 (98.2)

Temperature for age 9 and 11 years: - 36.7 (98.1 F)

Temperature for age 13 years: - 36.6 (97.9F)

When is erect head posture expected in infants? - 4 months

When does the posterior fontanel close? - 6-8 weeks

When does the anterior fontanel close? - 12-18 months

,How should the internal ear be moved for assessment for infants and toddlers? - Pull
the pinna down and back

How should the internal ear be moved for assessment for children older than 3 years of
age? - Pull the pinna up and back

How many teeth should infants have by 1 year? - 6-8 teeth

How many deciduous teeth and then permanent teeth do children have? - 28 deciduous
teeth; 32 permanent teeth

What lung sounds are commonly heard in the child? - Vesicular, soft swishing sounds

When listening to heart sounds, what is commonly heard in children that is not heard in
adults and frequently occurs with respirations? - Sinus arrhythmia

When does the sucking/rooting reflex disappear in infants? - 4 months

When does the moro relfex disappear and how is it elicited? - Disappears by 4 months
and is elicited by allowing the head and trunk of an infant in a semi-sitting position to fall
backward to an angle of at least 30 degrees.

Infant reflexes that disappear/diminish by 4 months: - 1. Sucking/Rooting
2. Moro
3. Startle
4. Tonic Neck (Fencer Position)- 3-4 months

When does the Babinski Reflex disappear/diminish? - 1 year

When does the tonic neck reflex disappear? - Birth to 3-4 months

What is the V Trigeminal Nerve responsible for? - Clinch teeth together, Detects facial
touching when eyes are closed

What is the IV Trochlear nerve responsible for? - Looking down and inward

The IX glosso-pharyngeal nerve is responsible for? - Gag reflex

The XII hypo-glossal nerve is responsible for? - Tongue movement, Swallowing

The X vagus nerve is responsible for? - Speech and swallowing

,The XI spinal accessory nerve is responsible for? - Shoulder movment

The VIII acoustic nerve is responsible for? - Hearing

The VI abducens nerve is responsible for? - Lateral vision

The IV trochlear nerve is responsible for? - Up and down vision

The III oculomotor nerve is responsbile for? - Assessing for nystagmus and PERRLA,
blinking

The II optic nerve is responsible for? - Visual acuity and color vision

The I olfactory nerve is responsible for? - Smell

What is the VII Facial Nerve responsible for? - Symmetric facial movements

What is the average head circumference of an infant? - 33-35 cm

What is the average length of an infant? - 48-53 cm (19-21 in)

What is the average weight of an infant? - 2,700-4,000 g (6-9 lb)

When do the posterior and anterior fontanels close? - Posterior= 6-8 weeks
Anterior= 12-18 months

How much weight per month do infants gain in the first 5 months of life? - 1.5 lb

Birth weight is doubled by the age of? - 5 months

Birth weight is tripled by the age of? - 12 months

How much do infants grow (length-wise) per month for the first 6 months of life? - 1 inch

How many teeth should the infant have by 12 months old? - 6-8

When do the first teeth typically erupt in the infant? - 6-10 months

When can the newborn begin to walk while holding on to something? - 11 months

When an infant is teething and the use of Ibuprofen (Advil) or Acetaminophen (Tylenol)

, is indicated, how many days can the infant take it? - 3 days

Ibuprofen should only be used in infants over the age of? - 6 months

When do infants start to experience separation anxiety and stranger fear? - Separation
anxiety= 4-8 months
Stranger fear= 6-8 months

The infant is in Erikson's stage of... - Trust v. Mistrust

What provides the infant with a complete diet for the first 6 months of life? -
Breastfeeding

What supplements are recommended for the infant? - Vitamin D and Iron

When are solids first introduced to an infant? - 4-6 months

Which type of food should typically be introduced to the baby first? - Iron fortified cereal

Water temperature and water heaters should be set at what? - 49 Celsius (120
Farenheit)

How many inches do toddlers grow a year? - 3 inches

At 30 months of age, how much should toddlers weigh? - 4x their birth weight

What stage of Erikson's is the toddler in? - Autonomy v. Shame and Doubt

Which age group enjoys parallel play? - Toddlers

Toddler Juice consumption should be limited to: - 4-6 ounces/day

Anterior Fontanels should close by - 18 months

What stage of Erikson's is the Preschooler in? - Initiative v. Guilt

How many calories should preschoolers consume per day? - Half the amount of adults-
1800 cal/day

What stage of Erikson's is the School Age child in? - Industry v. Inferiority

At what age group should scoliosis screening begin? - School Age

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