Pediatrics HESI exam
1. Developmental milestones: 1. Birth weight doubles by 6 months and triples by 12 months
2. Birth length increases by 50% at 12 months
3. Posterior fontanelles close at 8 weeks
4. Anterior closes at around 12-15 months
5. Social smile starts at 2 months
6. Turns head to locate sounds at 3 months
7. Achieves steady head control at 4 months
8. Turns completely over at 5-6 months
9. Plays peek-a-boo after 6 months
10. Moro reflex (startle reflex) disappears at 4 months
2. Developmental milestones 2: Transfers objects hand to hand at 7 months
Develops stranger anxiety 7-8 months
Sits unsupported at 8 months
Crawls at 10 months
Fine pencer grasp appears at 10-12 months
Waves bye bye at 10 months
Walks with assistance at 10-12 months
Says simple words in addition to Mama or Dada at 12 months
Explores environement by motor and oral means 4-6 months
3. The stages of seperation anxiety consists of (HESI): Protest
Despair
Denial
Detachment
4. When does the birth length double by?: 4 years
5. When does the child sit unsupported?: 8 months
6. When does a child achieve 50% of adult height?: By 2 years
7. When does a child throw a ball overhand?: By 18 months
,8. When does a child speak 2 to 3 word sentences?: By 2
10. When does a child tie his/her shoes: By 5
11. What behavior indicated that throid hormone therapy for a 4 month old is
effective?: Has steady head control
12. Be aware that a girls growth spurt during adolescence begins earlier than
boys.: As early as 10 years of age
13. Temper tantrums are --------- in the toddler and are considered normal
behavior: common
14. Be aware that adolescence is a time when the child: Forms their identity and that
rebellion against family values is common for this age group.
15. School age children are in Erikson's age of -------------: Industry. Mean ing they like to do
and accomplish things. Peers are also becoming important for children of this age. Happens between ages 6-12.
16. PN's should know childresn concepts of -----------: Bodily injury. Around 6 months of age.
17. Infants can remember pain: After 6 months because of their cognitive development.
,20. School age children fear: Loss of control of their body
21. Adolescents major concern is:: Change in body image
22. Major cause of death in children and adolescents: Accidents.
Collaborate with the RN to develop a teaching plan for parents and children about developmentally appropriate
safety/accident-prevention techniques.
23. Infants from 32 to 60 weeks (8 months to approximately 1.5 years)of ges-
tational age will ------ when they are in pain: Cry
24. FLACC pain scale: The FLACC Pain Scale is a tool used to assess pain in individuals who are unable to
communicate their pain verbally, such as young children 0 to toddler or those with cognitive impairments. FLACC
stands for Face, Legs, Activity, Cry, and Consolability.
The scale assigns scores based on observations in these five categories:
Face: Observations of facial expressions (0-2 points)
Legs: Assessment of leg movement (0-2 points)
Activity: Overall body movement (0-2 points)
Cry: Quality of crying (0-2 points)
, Consolability: Response to comfort attempts (0-2 points)
Each category is scored from 0 to 2, with a total score ranging from 0 to 10. Higher scores indicate greater pain levels.
This scale is widely used in clinical settings for non-verbal patients.
25. Faces pain scale: The Faces Pain Scale is primarily designed for use with children aged 3 to 8 years.
It typically consists of a series of faces, each depicting a ditterent level of discomfort, ranging from a smiling face
representing no pain to a crying face indicating extreme pain.
Patients are asked to point to the face that best represents their current pain level. This scale is ette ctive for those who
may have diflculty verbalizing their pain, making it widely used in pediatric settings and for individuals with cognitive
impairments. The Faces Pain Scale helps healthcare providers assess and manage pain more ettectively.
26. Numeric pain scale: 0-10
Can be used from children 9 years and older
27. Oucher pain scale: Scale used for children aged 3-12 years with culturally specific photogra phs showing
ditterent levels of pain and discomfort.
28. ----------- Of a childs self report of pain is essential to effectively treating the
childs pain: Documentation. Done every shift. And evaluate the pain after the child has been medicated.
29. Nonpharmacological interventions for children with pain: *Should be based on the
childs age and developmental level
*Infants may respond best to pacifiers, holding and rocking
*Toddlers and preschoolers may respond best to distraction.
Distraction may be through books, music, television and bubble blowing. Truck or ipad.
30. Before administering pain medicine to a pediatric child: * Verify that the prescibed
dose is safe for the child based on the childs weight.
31. After the administration of opiods in a child you need to: Monitor the vital signs
32. Children as young as ------ years of age can be taught to use a patient
controlled analgesia pump.: 5 years.
33. Children may deny pain if they fear receiving a: IM injection, therefore iv pain medications
are the preferred choice. Even orally or topically.
34. Rubeola (Measles): * Vaccination with the measles, mumps and rubella vaccine are given two doses at
12-15 months and 4-6 years
1. Developmental milestones: 1. Birth weight doubles by 6 months and triples by 12 months
2. Birth length increases by 50% at 12 months
3. Posterior fontanelles close at 8 weeks
4. Anterior closes at around 12-15 months
5. Social smile starts at 2 months
6. Turns head to locate sounds at 3 months
7. Achieves steady head control at 4 months
8. Turns completely over at 5-6 months
9. Plays peek-a-boo after 6 months
10. Moro reflex (startle reflex) disappears at 4 months
2. Developmental milestones 2: Transfers objects hand to hand at 7 months
Develops stranger anxiety 7-8 months
Sits unsupported at 8 months
Crawls at 10 months
Fine pencer grasp appears at 10-12 months
Waves bye bye at 10 months
Walks with assistance at 10-12 months
Says simple words in addition to Mama or Dada at 12 months
Explores environement by motor and oral means 4-6 months
3. The stages of seperation anxiety consists of (HESI): Protest
Despair
Denial
Detachment
4. When does the birth length double by?: 4 years
5. When does the child sit unsupported?: 8 months
6. When does a child achieve 50% of adult height?: By 2 years
7. When does a child throw a ball overhand?: By 18 months
,8. When does a child speak 2 to 3 word sentences?: By 2
10. When does a child tie his/her shoes: By 5
11. What behavior indicated that throid hormone therapy for a 4 month old is
effective?: Has steady head control
12. Be aware that a girls growth spurt during adolescence begins earlier than
boys.: As early as 10 years of age
13. Temper tantrums are --------- in the toddler and are considered normal
behavior: common
14. Be aware that adolescence is a time when the child: Forms their identity and that
rebellion against family values is common for this age group.
15. School age children are in Erikson's age of -------------: Industry. Mean ing they like to do
and accomplish things. Peers are also becoming important for children of this age. Happens between ages 6-12.
16. PN's should know childresn concepts of -----------: Bodily injury. Around 6 months of age.
17. Infants can remember pain: After 6 months because of their cognitive development.
,20. School age children fear: Loss of control of their body
21. Adolescents major concern is:: Change in body image
22. Major cause of death in children and adolescents: Accidents.
Collaborate with the RN to develop a teaching plan for parents and children about developmentally appropriate
safety/accident-prevention techniques.
23. Infants from 32 to 60 weeks (8 months to approximately 1.5 years)of ges-
tational age will ------ when they are in pain: Cry
24. FLACC pain scale: The FLACC Pain Scale is a tool used to assess pain in individuals who are unable to
communicate their pain verbally, such as young children 0 to toddler or those with cognitive impairments. FLACC
stands for Face, Legs, Activity, Cry, and Consolability.
The scale assigns scores based on observations in these five categories:
Face: Observations of facial expressions (0-2 points)
Legs: Assessment of leg movement (0-2 points)
Activity: Overall body movement (0-2 points)
Cry: Quality of crying (0-2 points)
, Consolability: Response to comfort attempts (0-2 points)
Each category is scored from 0 to 2, with a total score ranging from 0 to 10. Higher scores indicate greater pain levels.
This scale is widely used in clinical settings for non-verbal patients.
25. Faces pain scale: The Faces Pain Scale is primarily designed for use with children aged 3 to 8 years.
It typically consists of a series of faces, each depicting a ditterent level of discomfort, ranging from a smiling face
representing no pain to a crying face indicating extreme pain.
Patients are asked to point to the face that best represents their current pain level. This scale is ette ctive for those who
may have diflculty verbalizing their pain, making it widely used in pediatric settings and for individuals with cognitive
impairments. The Faces Pain Scale helps healthcare providers assess and manage pain more ettectively.
26. Numeric pain scale: 0-10
Can be used from children 9 years and older
27. Oucher pain scale: Scale used for children aged 3-12 years with culturally specific photogra phs showing
ditterent levels of pain and discomfort.
28. ----------- Of a childs self report of pain is essential to effectively treating the
childs pain: Documentation. Done every shift. And evaluate the pain after the child has been medicated.
29. Nonpharmacological interventions for children with pain: *Should be based on the
childs age and developmental level
*Infants may respond best to pacifiers, holding and rocking
*Toddlers and preschoolers may respond best to distraction.
Distraction may be through books, music, television and bubble blowing. Truck or ipad.
30. Before administering pain medicine to a pediatric child: * Verify that the prescibed
dose is safe for the child based on the childs weight.
31. After the administration of opiods in a child you need to: Monitor the vital signs
32. Children as young as ------ years of age can be taught to use a patient
controlled analgesia pump.: 5 years.
33. Children may deny pain if they fear receiving a: IM injection, therefore iv pain medications
are the preferred choice. Even orally or topically.
34. Rubeola (Measles): * Vaccination with the measles, mumps and rubella vaccine are given two doses at
12-15 months and 4-6 years
