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Exam (elaborations) NR 328

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NR 328 Peds Test 1
Study

,How are pulses checked on patients <2 years of age? - CORRECT ANSWERS-An
apical pulse should be ascultated for a full minute.

What is the normal HR range for a newborn? - CORRECT ANSWERS-80-180
(depending on activity) (ATI CH.2, PG 7)

What is the normal HR range for a 1 week to 3 month old? - CORRECT ANSWERS-
120-180 (ATI CH.2, PG 7)

What is the normal HR range for a 3 month to 2 year old? - CORRECT ANSWERS-70-
150 (ATI CH.2, PG 7)

What is the normal HR range for a 2 - 10 year old? - CORRECT ANSWERS-60-110
(ATI CH.2, PG 7)

What is the normal HR range for a 10 year old - adult? - CORRECT ANSWERS-50 to
90 (ATI CH.2, PG 7)

Whats important to remember regarding newborn respirations when measuring? -
CORRECT ANSWERS-The breathing is irregular, and small very short apnic periods
may be seen.

Are new borns more mouth or nose breathers at <6 weeks. - CORRECT ANSWERS-
They're nose breathers until 6 weeks old usually.

Whats a normal respiration rate for a newborn to 1 year? - CORRECT ANSWERS-30 -
60 (ATI CH.2, PG 7)

Whats a normal respiration rate for a 1-2 year old? - CORRECT ANSWERS-25-30 (ATI
CH.2, PG 7)

Whats a normal respiration rate for a 2 to 6 year old? - CORRECT ANSWERS-21-25
(ATI CH.2, PG 7)

Whats a normal respiration rate for a 6 to 12 year old? - CORRECT ANSWERS-19-21
(ATI CH.2, PG 7)

Whats a normal respiration rate for 12 years and older? - CORRECT ANSWERS-16-19
(ATI CH.2, PG 7)

Erect head posture is expected in peds patients greater than how may months of age? -
CORRECT ANSWERS-4 months of age (ATI CH.2, PG 8)

,Regarding hair, bald spots or patchy hair loss in infants may be indicative of what? -
CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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 to 6 month old? - CORRECT ANSWERS-37.5

What is the expected temperature for a 1 to 3 year old? - CORRECT ANSWERS-37.7

What is the expected temperature for a 3 to 5 year old? - CORRECT ANSWERS-37.2

What is the expected temperature for a 5 to 7 year old? - CORRECT ANSWERS-37.0

What is the expected temperature for a 7 to 9 year old? - CORRECT ANSWERS-36.7

What are some important developmental milestones for a 1 month old? - CORRECT
ANSWERS--Cries in a special way when hungry and responds to voices. Adults who
spend time around the infant are often able to relate the cry to the specific need of the
intant (hunger, pain, tired, etc.)
-Can raise head and chest when lying on stomach

What are some important developmental milestones for a 2 month old? - CORRECT
ANSWERS--Makes sounds like - ah, eh, ugh, and can smile
-Holds head steady when sitting.
-Reacts to the sight of a breast or bottle

What are some important developmental milestones for a 3 month old? - CORRECT
ANSWERS--Crawling movements begin to be attempted
-They are able to keep one hand on a bottle while being bottle fed.

What are some important developmental milestones for a 4 month old? - CORRECT
ANSWERS--Squeels, ah-goo, and laughs

, -Holds own hands together

What are some important developmental milestones for a 5 month old? - CORRECT
ANSWERS--Makes "rasberry" sound
-Can roll over from stomach onto their back

What are some important developmental milestones for a 6 months old? - CORRECT
ANSWERS--Begins to babble and respond to name
-Can roll over from their back onto their stomach

What are some important developmental milestones for a 7 month old? - CORRECT
ANSWERS--Says things like da, ba, ga, ka, ma
-Sits w/out support

What are some important developmental milestones for an 8 month old? - CORRECT
ANSWERS--Says ma-ma, da-da, ba-ba
-Can crawl
-Can feed self a cracker or a cookie

What are some important developmental milestones for a 9 month old? - CORRECT
ANSWERS--Imitates speech sounds you make
-Can pull self up to standing
-Is able to hold bottle with both hands while feeding.

What are some important developmental milestones for a 10 month old? - CORRECT
ANSWERS--Understands single words like "bye bye" and "night night".
-Sidesteps around furniture while holding on

What are some important developmental milestones for a 11 month old? - CORRECT
ANSWERS--Uses mama and dada specifically for parent
-Stands alone well
-Can pick up a spoon by the handle

What are some important developmental milestones for a 1 year old? - CORRECT
ANSWERS--Can say one word clearly
-Climbs on chairs or other furnature and can walk with one hand being held for
assistance
-Can transition to "sippy cup" and milk instead of bottle and formula
-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 clothings.

Where is the recommended area for IM injections for children <12 months old? -
CORRECT ANSWERS-Anterolateral thigh

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