NR 328 Peds Test 1 Study Guide: Questions& Answers
What is the normal HR range for a newborn? - ANSWER:80-180
What is the normal HR range for a 1 week to 3 month old? - ANSWER:80-220
What is the normal HR range for a 3 month to 2 year old? - ANSWER:70-150
What is the normal HR range for a 2 - 10 year old? - ANSWER:60-110
What is the normal HR range for a 10 year old - adult? - ANSWER:50 to 90
Whats important to remember regarding newborn respirations when measuring? - ANSWER:The
breathing is irregular, and small very short apnic periods may be seen.
Are new borns more mouth or nose breathers at <6 weeks. - ANSWER:They're nose breathers until 6
weeks old usually.
Whats a normal respiration rate for a newborn to 1 year? - ANSWER:30-35
Whats a normal respiration rate for a 1-2 year old? - ANSWER:25-30
Whats a normal respiration rate for a 2 to 6 year old? - ANSWER:21-25
Whats a normal respiration rate for a 6 to 12 year old? - ANSWER:19-21
Whats a normal respiration rate for 12 years and older? - ANSWER:16-19
Erect head posture is expected in peds patients greater than how may months of age? - ANSWER:4
months of age
Regarding hair, bald spots or patchy hair loss in infants may be indicative of what? - ANSWER:It may
indicate that the child is spending too much time in the same position. (ATI CH.2, PG 8)
When assessing lymph nodes in an asymptomatic child, you are able to palpate a small nontender and
mobile mass. Is this a normal finding for a child or is this something that the HCP should be notified of? -
ANSWER:This is a normal finding, unless the patient complains of pain or is showing symptoms of illness.
(ATI CH.2, PG 8)
At what age should the posterior fontanelle close? - ANSWER:Between 6-8 weeks.(ATI CH.2, PG 8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
At what age should the anterior fontanelle close? - ANSWER:Between 12 to 18 months of age (ATI CH.2,
PG 8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
What is the expected temperature for a 3 & 6 month old? - ANSWER:37.5, 99.5
What is the expected temperature for a 1 & 3 year old? - ANSWER:1yr old 37.7, 99.9
,3yr old 37.2, 99.0
What is the expected temperature for a 3 & 5 year old? - ANSWER:3 yr old 37.2, 99.0
5 yr old 37.0, 98.6
What is the expected temperature for a 5 & 7 year old? - ANSWER:5 yr old 37.0, 98.6
7 yr old 36.8, 98.2
What is the expected temperature for a 7 to 9 year old? - ANSWER:7 yr old 36.8, 98.2
9 yr old 36.7, 98.1
What are some important developmental milestones for a 1 month old? - ANSWER:1 month old -*Cries
in a special way* when hungry and responds to voices.
Demonstrates head lag, has grasp reflex
What are some important developmental milestones for a 2 month old? - ANSWER:2 month old *Makes
sounds like - ah, eh, ugh, and can smile*
lifts head of mattress when prone, holds hands in open position
What are some important developmental milestones for a 3 month old? - ANSWER:*raise
head/shoulders off mattress when prone, slightly head lag, no longer has grasp reflex, keeps hands
loosely open*
What are some important developmental milestones for a 4 month old? - ANSWER:4 month old
*Squeels, ah-goo, and laughs*
rolls from back to side, places objects in mouth
What are some important developmental milestones for a 5 month old? - ANSWER:5 month old *Makes
"rasberry" sound*
-Can roll over from front to back, uses palmar grasp dominantly
What are some important developmental milestones for a 6 months old? - ANSWER:6 month old *Begins
to babble and respond to name*
-Can roll over from their back onto their stomach, holds bottle
What are some important developmental milestones for a 7 month old? - ANSWER:7 month old *Says
things like da, ba, ga, ka, ma*
bears full weight on feet, moves object from hand to hand
What are some important developmental milestones for an 8 month old? - ANSWER:8 month old *Says
ma-ma, da-da, ba-ba*
-Can crawl, sits unsupported, begins using pincer grasp
-Can feed self a cracker or a cookie
,What are some important developmental milestones for a 9 month old? - ANSWER:9 month old
*imitates speech sounds you make*
-Can pull self up to standing, creeps on hands and knees instead of crawling, crude pincer grasp, Is able
to hold bottle with both hands while feeding.
What are some important developmental milestones for a 10 month old? - ANSWER:10 month old
*Understands single words like "bye bye" and "night night".*
-Sidesteps around furniture while holding on, changes from a prone to sitting position, grasps rattle by
handle
What are some important developmental milestones for a 11 month old? - ANSWER:11 month old *Uses
mama and dada specifically for parent*
-walks while holding on to something, places object into a container,
-Can pick up a spoon by the handle, neat pincer grasp
What are some important developmental milestones for a 1 year old?
say one word clearly, Climbs on chairs or other furniture, can walk with one hand being held for
assistance, Can transition to "sippy cup" and milk instead of bottle and formula, - ANSWER:sits from
standing without assistance, tries to build a 2 block tower with no success, They cooperate with dressing
and can remove socks, hold out their foot for shoe or arm for sleeves and assist by pushing legs or arms
through the clothing.
Where is the recommended area for IM injections for children <12 months old? - ANSWER:Anterolateral
thigh
Where is the recommended area for IM injections in a child that is 12 months old or more? -
ANSWER:The deltoid although the ventrogluteal site is an option if completely necessary
What are the 3 live vaccines given? - ANSWER:MMR, Varicella, and Rotavirus
measles/mumps/rubella, chicken pox, rv
What ages is the MMR given?
2 doses mmr sub q - ANSWER:2 doses mmr sub q
12-15 months
4-6 years
Can an MMR be given at the same time as other vaccinations? - ANSWER:Yes, but in different sites.
Is the MMR IM or SubQ? - ANSWER:Subcutaneous Injection in most cases (of about 0.5 mL)
What are some contraindications for an MMR vaccine? - ANSWER:-Hx of *hypersensitivity/anaphylaxis to
neomycin or eggs.*
-Those with known altered immunodeficiency and pregnant women.
, *NOTE:* This vaccine CAN be given to HIV+ individuals
What is the DTaP vaccine?
6 doses DTap i.m. - ANSWER:Diphtheria, pertussis, tetanus.
6 doses DTap i.m.
Is the DTaP given IM or SQ? - ANSWER:IM (about 0.5 mL)
6 doses DTap i.m.
How many rounds of of the DTaP vaccine are given in total? - ANSWER:There are 6 including 1 booster
They are given at 2m,4m,6m, and 15-18 months. Then again at 4 to 6 yr old.
-There is also a booster given know as the TDAP between 11 to 12 years old. This is the adult dose.
What is the IPV vaccine?
4 doses IPV i.m. or sub q - ANSWER:Inactivated Poliovirus
4 doses IPV i.m. or sub q
Is the IPV-inactive polio vaccine- IM or SQ? - ANSWER:It depends on the brand, it can be both. Usually
0.5 in amount.
What ages receive the IPV-poliovirus?
4 doses IPV i.m. or sub q - ANSWER:2mo, 4mo, and 6 to 18 months, and then again at 4 to 6 years of age.
4 doses IPV i.m. or sub q
How is IPV-inactive polio virus-often combined? - ANSWER:It is often combined with the DTaP and HepB
vaccines
What are some contraindications of the IPV-inactivated polio virus vaccine? - ANSWER:-Contraindicated
in individuals with previous reactions to *neomycin and/or streptomycin*.
-Can also cause tiredness and irritability
What is the Hib vaccination?
3 doses Hib i.m. - ANSWER:Haemophilus Influenzae Type B
3 doses Hib i.m.
Is the Hib-haemophilus influenza b- IM or SQ? - ANSWER:IM (0.5 mL)
3 doses Hib i.m.
What's the earliest a Hib-haemophilus influenza b- vaccine can be given? - ANSWER:2 months
3 doses Hib i.m.
What is the normal HR range for a newborn? - ANSWER:80-180
What is the normal HR range for a 1 week to 3 month old? - ANSWER:80-220
What is the normal HR range for a 3 month to 2 year old? - ANSWER:70-150
What is the normal HR range for a 2 - 10 year old? - ANSWER:60-110
What is the normal HR range for a 10 year old - adult? - ANSWER:50 to 90
Whats important to remember regarding newborn respirations when measuring? - ANSWER:The
breathing is irregular, and small very short apnic periods may be seen.
Are new borns more mouth or nose breathers at <6 weeks. - ANSWER:They're nose breathers until 6
weeks old usually.
Whats a normal respiration rate for a newborn to 1 year? - ANSWER:30-35
Whats a normal respiration rate for a 1-2 year old? - ANSWER:25-30
Whats a normal respiration rate for a 2 to 6 year old? - ANSWER:21-25
Whats a normal respiration rate for a 6 to 12 year old? - ANSWER:19-21
Whats a normal respiration rate for 12 years and older? - ANSWER:16-19
Erect head posture is expected in peds patients greater than how may months of age? - ANSWER:4
months of age
Regarding hair, bald spots or patchy hair loss in infants may be indicative of what? - ANSWER:It may
indicate that the child is spending too much time in the same position. (ATI CH.2, PG 8)
When assessing lymph nodes in an asymptomatic child, you are able to palpate a small nontender and
mobile mass. Is this a normal finding for a child or is this something that the HCP should be notified of? -
ANSWER:This is a normal finding, unless the patient complains of pain or is showing symptoms of illness.
(ATI CH.2, PG 8)
At what age should the posterior fontanelle close? - ANSWER:Between 6-8 weeks.(ATI CH.2, PG 8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
At what age should the anterior fontanelle close? - ANSWER:Between 12 to 18 months of age (ATI CH.2,
PG 8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
What is the expected temperature for a 3 & 6 month old? - ANSWER:37.5, 99.5
What is the expected temperature for a 1 & 3 year old? - ANSWER:1yr old 37.7, 99.9
,3yr old 37.2, 99.0
What is the expected temperature for a 3 & 5 year old? - ANSWER:3 yr old 37.2, 99.0
5 yr old 37.0, 98.6
What is the expected temperature for a 5 & 7 year old? - ANSWER:5 yr old 37.0, 98.6
7 yr old 36.8, 98.2
What is the expected temperature for a 7 to 9 year old? - ANSWER:7 yr old 36.8, 98.2
9 yr old 36.7, 98.1
What are some important developmental milestones for a 1 month old? - ANSWER:1 month old -*Cries
in a special way* when hungry and responds to voices.
Demonstrates head lag, has grasp reflex
What are some important developmental milestones for a 2 month old? - ANSWER:2 month old *Makes
sounds like - ah, eh, ugh, and can smile*
lifts head of mattress when prone, holds hands in open position
What are some important developmental milestones for a 3 month old? - ANSWER:*raise
head/shoulders off mattress when prone, slightly head lag, no longer has grasp reflex, keeps hands
loosely open*
What are some important developmental milestones for a 4 month old? - ANSWER:4 month old
*Squeels, ah-goo, and laughs*
rolls from back to side, places objects in mouth
What are some important developmental milestones for a 5 month old? - ANSWER:5 month old *Makes
"rasberry" sound*
-Can roll over from front to back, uses palmar grasp dominantly
What are some important developmental milestones for a 6 months old? - ANSWER:6 month old *Begins
to babble and respond to name*
-Can roll over from their back onto their stomach, holds bottle
What are some important developmental milestones for a 7 month old? - ANSWER:7 month old *Says
things like da, ba, ga, ka, ma*
bears full weight on feet, moves object from hand to hand
What are some important developmental milestones for an 8 month old? - ANSWER:8 month old *Says
ma-ma, da-da, ba-ba*
-Can crawl, sits unsupported, begins using pincer grasp
-Can feed self a cracker or a cookie
,What are some important developmental milestones for a 9 month old? - ANSWER:9 month old
*imitates speech sounds you make*
-Can pull self up to standing, creeps on hands and knees instead of crawling, crude pincer grasp, Is able
to hold bottle with both hands while feeding.
What are some important developmental milestones for a 10 month old? - ANSWER:10 month old
*Understands single words like "bye bye" and "night night".*
-Sidesteps around furniture while holding on, changes from a prone to sitting position, grasps rattle by
handle
What are some important developmental milestones for a 11 month old? - ANSWER:11 month old *Uses
mama and dada specifically for parent*
-walks while holding on to something, places object into a container,
-Can pick up a spoon by the handle, neat pincer grasp
What are some important developmental milestones for a 1 year old?
say one word clearly, Climbs on chairs or other furniture, can walk with one hand being held for
assistance, Can transition to "sippy cup" and milk instead of bottle and formula, - ANSWER:sits from
standing without assistance, tries to build a 2 block tower with no success, They cooperate with dressing
and can remove socks, hold out their foot for shoe or arm for sleeves and assist by pushing legs or arms
through the clothing.
Where is the recommended area for IM injections for children <12 months old? - ANSWER:Anterolateral
thigh
Where is the recommended area for IM injections in a child that is 12 months old or more? -
ANSWER:The deltoid although the ventrogluteal site is an option if completely necessary
What are the 3 live vaccines given? - ANSWER:MMR, Varicella, and Rotavirus
measles/mumps/rubella, chicken pox, rv
What ages is the MMR given?
2 doses mmr sub q - ANSWER:2 doses mmr sub q
12-15 months
4-6 years
Can an MMR be given at the same time as other vaccinations? - ANSWER:Yes, but in different sites.
Is the MMR IM or SubQ? - ANSWER:Subcutaneous Injection in most cases (of about 0.5 mL)
What are some contraindications for an MMR vaccine? - ANSWER:-Hx of *hypersensitivity/anaphylaxis to
neomycin or eggs.*
-Those with known altered immunodeficiency and pregnant women.
, *NOTE:* This vaccine CAN be given to HIV+ individuals
What is the DTaP vaccine?
6 doses DTap i.m. - ANSWER:Diphtheria, pertussis, tetanus.
6 doses DTap i.m.
Is the DTaP given IM or SQ? - ANSWER:IM (about 0.5 mL)
6 doses DTap i.m.
How many rounds of of the DTaP vaccine are given in total? - ANSWER:There are 6 including 1 booster
They are given at 2m,4m,6m, and 15-18 months. Then again at 4 to 6 yr old.
-There is also a booster given know as the TDAP between 11 to 12 years old. This is the adult dose.
What is the IPV vaccine?
4 doses IPV i.m. or sub q - ANSWER:Inactivated Poliovirus
4 doses IPV i.m. or sub q
Is the IPV-inactive polio vaccine- IM or SQ? - ANSWER:It depends on the brand, it can be both. Usually
0.5 in amount.
What ages receive the IPV-poliovirus?
4 doses IPV i.m. or sub q - ANSWER:2mo, 4mo, and 6 to 18 months, and then again at 4 to 6 years of age.
4 doses IPV i.m. or sub q
How is IPV-inactive polio virus-often combined? - ANSWER:It is often combined with the DTaP and HepB
vaccines
What are some contraindications of the IPV-inactivated polio virus vaccine? - ANSWER:-Contraindicated
in individuals with previous reactions to *neomycin and/or streptomycin*.
-Can also cause tiredness and irritability
What is the Hib vaccination?
3 doses Hib i.m. - ANSWER:Haemophilus Influenzae Type B
3 doses Hib i.m.
Is the Hib-haemophilus influenza b- IM or SQ? - ANSWER:IM (0.5 mL)
3 doses Hib i.m.
What's the earliest a Hib-haemophilus influenza b- vaccine can be given? - ANSWER:2 months
3 doses Hib i.m.
