ATI Nursing Care Of Children Assessment Set Q/A Explained.
Denver developmental screening test (denver ii) - accurate answers-A
standardized tool that assesses a child's language, cognition, and fine gross
motor development.
It screens for developmental problems.
Up to age 6
Nursing actions during assessment of a child - accurate answers--keep the
room well lit
-keep medical equipment out of sight.
-determine whether adolescents want a caregiver to stay during an exam.
-take time to play and build rapport.
-observe if child is ready to cooperate
-demonstrate what will happen with visual aids.
-let children handle equipment
-examine them in a secure, comfortable position.
-if uncooperative, assess reasons, be firm and direct about expected behavior.
-use a calm voice.
-encourage the child and family to ask questions during exams.
-discuss findings after.
Vitals for an infant up to 3 months - accurate answers-temperature: 37.5 (ax
or rectal)
pulse: 107-180
respirations: 30-35/min
Vitals for a toddler 1-2 years - accurate answers-temperature: 37.5-37.7
pulse: 70-150
respirations: 25-30
vitals for a child 2-6 years - accurate answers-temperature: 36.8-37.2
pulse: 60-110
respirations: 21-25Re
vitals for a child 6-12 years - accurate answers-temperature: 36.6-37.0
pulse: 60-110 (6-10 y.o.)
and 50-90 (10 y.o. and older)
respirations: 19-21 (16-19 if 12 and older)
, What factors affect blood pressure? - accurate answers-age
sex
height
measured on at least 3 separate occasions.
What is prehypertension - accurate answers-120/80 or greater
what is hypertension - accurate answers-120/80 or greater and is in the 95th
percentile or greater
How is growth evaluated? - accurate answers-by weight, length/ height, body
mass index, and head circumference.
How to inspect the ear of a toddler - accurate answers-pull the pinna down
and back to visualize the tympanic membrane.
How to inspect the ear of a child older than 3 - accurate answers-pull the
pinna up and back to visualize the tympanic membrane.
How to assess if a newborn can hear? - accurate answers-by blinking to
sudden sounds
How to assess if an infant can hear? - accurate answers-the infant should turn
toward a sound.
How to assess a child's hearing - accurate answers-by whispering a word from
behind to see whether they can identify a word.
how to assess heart sounds - accurate answers--position in a sitting and
reclining position
-s1 and s2 are clear and crisp
s1 is louder at apex, and s2 is louder at base of heart.
-Physiologic splitting of s2 and s3 are expected findings in some children.
-sinus arrhythmia that are associated with respirations are common
Expected blood pressures males - accurate answers-1 yo male: 80-114/ 34-66
3 yo male: 86-120 /44-75
6 y.o. male: 91--84
10 yo male: 97--90
Denver developmental screening test (denver ii) - accurate answers-A
standardized tool that assesses a child's language, cognition, and fine gross
motor development.
It screens for developmental problems.
Up to age 6
Nursing actions during assessment of a child - accurate answers--keep the
room well lit
-keep medical equipment out of sight.
-determine whether adolescents want a caregiver to stay during an exam.
-take time to play and build rapport.
-observe if child is ready to cooperate
-demonstrate what will happen with visual aids.
-let children handle equipment
-examine them in a secure, comfortable position.
-if uncooperative, assess reasons, be firm and direct about expected behavior.
-use a calm voice.
-encourage the child and family to ask questions during exams.
-discuss findings after.
Vitals for an infant up to 3 months - accurate answers-temperature: 37.5 (ax
or rectal)
pulse: 107-180
respirations: 30-35/min
Vitals for a toddler 1-2 years - accurate answers-temperature: 37.5-37.7
pulse: 70-150
respirations: 25-30
vitals for a child 2-6 years - accurate answers-temperature: 36.8-37.2
pulse: 60-110
respirations: 21-25Re
vitals for a child 6-12 years - accurate answers-temperature: 36.6-37.0
pulse: 60-110 (6-10 y.o.)
and 50-90 (10 y.o. and older)
respirations: 19-21 (16-19 if 12 and older)
, What factors affect blood pressure? - accurate answers-age
sex
height
measured on at least 3 separate occasions.
What is prehypertension - accurate answers-120/80 or greater
what is hypertension - accurate answers-120/80 or greater and is in the 95th
percentile or greater
How is growth evaluated? - accurate answers-by weight, length/ height, body
mass index, and head circumference.
How to inspect the ear of a toddler - accurate answers-pull the pinna down
and back to visualize the tympanic membrane.
How to inspect the ear of a child older than 3 - accurate answers-pull the
pinna up and back to visualize the tympanic membrane.
How to assess if a newborn can hear? - accurate answers-by blinking to
sudden sounds
How to assess if an infant can hear? - accurate answers-the infant should turn
toward a sound.
How to assess a child's hearing - accurate answers-by whispering a word from
behind to see whether they can identify a word.
how to assess heart sounds - accurate answers--position in a sitting and
reclining position
-s1 and s2 are clear and crisp
s1 is louder at apex, and s2 is louder at base of heart.
-Physiologic splitting of s2 and s3 are expected findings in some children.
-sinus arrhythmia that are associated with respirations are common
Expected blood pressures males - accurate answers-1 yo male: 80-114/ 34-66
3 yo male: 86-120 /44-75
6 y.o. male: 91--84
10 yo male: 97--90
