DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
1. Vitals: for All ages 36.5-37.5 C / 97.7-99.5 F
Newborn:
110-160 HR
30-60 RR
~71/46 BP (I take the middle # of each and remember to +/- a few)
Infant:
90-160 HR
25-30 RR
~71/46 BP
Toddler: 80-140 HR
25-30 RR
~88/43 BP
Preschooler: 70-120 HR
20-25 RR
~94/49 BP
School Age:
60-110 HR
20-25 RR
~100/58 BP
Adolescent:
50/100 HR
16-20 RR
<120/<80 BP
, 3. Infants: Primitive Reflexes and when they disappear: Ë1 month: Stepping
reflex
Ë3-4 months: Tonic neck reflex
Ë4months: Rooting reflex, Sucking reflex, Palmar reflex, Extrusion reflex
Ë6months: Moro reflex
Ë8months: Plantar grasp
Ë12 months: Landau reflex, Babinski reflex
S: Some T: Trainers
REPS: REPS
M: Motivate P: People LB: Lift Big
Some trainers reps motivate people (to) lift big
4. major developmental expectations:
infants: 0-1 years Hospitalizations:
- separation anxiety, stranger anxiety
- sensory overload
- cluster care
caregiver consistency Pain scale: FLACC
Play: solitary
- soft toys, sensory
activities, textured blankets
Weight:
- 6 months: weight x 2
- 1 year: weight x 3
Height: length increases by 50% at 1 year
,5. Fontanels: Anterior: 12-18 months
Posterior: 2-3
months, 6-8 weeks
Sunken:
dehydration
Bulging fontanel at rest: increased ICP
Anterior fontanel pulsing when crying is normal finding
6. Newborn assessment: look, listen, feel
- Listen to heart, lungs, and GI before newborn starts crying for better assessment
- Offering the newborn a finger to suck on can help soothe or quiet them if they start crying during the
assessment
7. major developmental expectations:
toddler: 1-3 years Hospitalizations:
- favorite word no
- provide choices
- role-playing: strutted animal
- negativism: act out when afraid, doing the opposite of what others want
- separation anxiety
- regressive behavior
- encourage parents to provide routine care
- simple
explanation
& language
Play:
parallel
play
- imaginative, simple puzzles, stacking toys
Pain scale: FLACC, Wong-Baker Faces
scale (3 years) Height: 3 in/year
, Weight: quadruple by 30 months (4-6lb/yr)
OFC: measure until 2 years of age
potty training 18 mo - 3 yrs
daytime before nighttime continence
8. Major developmental expectations:
preschooler: 3-6 years Hospitalization:
- think hospitalization as punishment
- avoid medical terminology/double meaning
- regressive behavior
- inability to describe pain
- magical thinkers
provide choices Play: associative play
- vivid imagination, play dress up, dolls, action figures
Pain scale: Wong-Baker Faces scale (3-5), numeric for 6
and older Weight: 4.5-6.5lb/yr
Height: 2.5-3.5in/yr
9. Major developmental expectations: school-
age: 6-12 years Hospitalization:
- understand cause and effect
- rate/describes pain
- stress from loss of routine and peer separation
- open ended questions
Play: competitive and cooperative
- 6-9: board games, sports
- 9-12: building
models, competitive
sports Pain scale:
numeric scale
Nutrition: planning/packing lunch, avoid fast food, avoid