NUR 283: PEDS EXAM 1 WITH OVER 300
QUESTIONS AND CORRECT ANSWERS
RATED A+ 2026/2027
Pediatric cardiac arrest leading cause is...
respiratory distress
Vitals for Newborns
HR: 110-160
RR: 30-60
KNOW: Maintenance IV Fluid 100, 50, 20 rule & 4, 2, 1 rule
Vitals for Adolescents
HR: 55-95
RR: 12-20
Concerning Vitals for Peds: 3 months - 1 yr
- Hypotension Risk: SBP Below 71
- Temperature Concern: 36 & Lower or 38 & Higher
Vitals for Infants
HR: 80-150
RR: 25-55
Vitals for Toddlers
HR: 65-110
RR: 20-25
Vitals for School-age
HR: 60-100
RR: 14-26
,Minimum Urine Output for Peds
1 ml/kg/hr
- Calculate by taking the total urine from the time frame you are evaluating, suchas
within a 12 hr shift
- ex: client weighs 20 kg with U/O of 300 ml forthe past 12 hours --> 300
mL//kgs/12hrs = 1.25 ml/kg/hr
Bolus for Hypotension
*20 ml/kg IV Fluid Bolus of NS usually over 30 minutes*
- Sometimes hand push to over 1 hr
- *For cardiac heart conditions = 10 ml/kg IV Fluid Bolus of NS*
- *KNOW the difference between how much bolus between cardiac and
normal*
Assessment for Kids :DDD
- Ease into assessment
- **Do not ask "Can I...?"
- You can give a choice
- Let them touch equipment
- Respect privacy
- *Listen to heart and respiratory first, sneak in while they are
sleeping/swaddled*
Weight in Peds
1. Explain procedure to kid and family
2. Hand Hygiene
3. Place paper on scale
4. Balance or "Tare" scale to "0", place dry diaper on scale
5. Weigh kid with no clothing
- use same scale
- always have hand within 1 inch of infant
- weight in kg
Length in Peds
,- 2 people to help
- Measuring boards are helpful
- Use the paper table covering
- Hard surface to head and mark
- Extend legs and make heel position
Head Circumference in Peds
- We measure the head circumference till kid is 2 to 3 years old
- Repeat the measurement 3 times
- 1-2 fingers widths above the eyebrow (or just above the eyebrows)
- Tape across the most prominent part in the back of the head
- Head exceeds chest by 1 to 2 inches
Boy Peds normal Weight/Head Circumference/Length
18 months
32 inches
28 lbs
Temperature for Peds
Hospital and policy driven
- *Avoid rectal temperature on a child that has a bleeding issue,
immunosuppressed, rectal or lower spinal surgery, 1 month or less (age), hx of
diarrhea, spina bifida, chemo*
- Method used is set by policy - usually in Celsius
- Temporal or Tympanic Temperature are common
- *Axillary temperature in newborn - proper technique*
Measuring Tympanic Temperature
1. Pull earlobe back and down if younger than 3 years
2. Insert probe gently into ear canal towards the tympanic membrane, not the sides
of the ear canal
3. Push the button to take the temperature and hold until a reading is obtained. The
length of time required for the temperature to register varies per manufacturer but
is only a few seconds at most.
I/O's for Peds
, Bottles
- 1 ounce = 30 mls
Diapers
- 1 gram = 1 ml
- I/O's are documented in mls
Data Collection/Interview
- Child may sit on caregiver's lap
- Include child if appropriate with developmentally appropriate conversation
- Use of a stuffed animal/toy can help
- Caregiver information like legal guardian/custody
- Allergies (including adverse reactions to medications)
- Feeding habits
- Food likes/dislikes
- Sleeping
- Toilet-training (and words they use)
- Immunization history
- Medication history (med rec)
- Smoking in household?
- Pool?
- Guns?
- Childproof
Data Collection for Peds
- Chief Complaint: The caregiver's primary concern is his or her reason for
seeking health care for the child
- History of symptoms for chief complaint, what has helped, what treatment they
tried at home
- Other health history: surgeries, previous hospitalization, birth history
- Family history
- Developmental
QUESTIONS AND CORRECT ANSWERS
RATED A+ 2026/2027
Pediatric cardiac arrest leading cause is...
respiratory distress
Vitals for Newborns
HR: 110-160
RR: 30-60
KNOW: Maintenance IV Fluid 100, 50, 20 rule & 4, 2, 1 rule
Vitals for Adolescents
HR: 55-95
RR: 12-20
Concerning Vitals for Peds: 3 months - 1 yr
- Hypotension Risk: SBP Below 71
- Temperature Concern: 36 & Lower or 38 & Higher
Vitals for Infants
HR: 80-150
RR: 25-55
Vitals for Toddlers
HR: 65-110
RR: 20-25
Vitals for School-age
HR: 60-100
RR: 14-26
,Minimum Urine Output for Peds
1 ml/kg/hr
- Calculate by taking the total urine from the time frame you are evaluating, suchas
within a 12 hr shift
- ex: client weighs 20 kg with U/O of 300 ml forthe past 12 hours --> 300
mL//kgs/12hrs = 1.25 ml/kg/hr
Bolus for Hypotension
*20 ml/kg IV Fluid Bolus of NS usually over 30 minutes*
- Sometimes hand push to over 1 hr
- *For cardiac heart conditions = 10 ml/kg IV Fluid Bolus of NS*
- *KNOW the difference between how much bolus between cardiac and
normal*
Assessment for Kids :DDD
- Ease into assessment
- **Do not ask "Can I...?"
- You can give a choice
- Let them touch equipment
- Respect privacy
- *Listen to heart and respiratory first, sneak in while they are
sleeping/swaddled*
Weight in Peds
1. Explain procedure to kid and family
2. Hand Hygiene
3. Place paper on scale
4. Balance or "Tare" scale to "0", place dry diaper on scale
5. Weigh kid with no clothing
- use same scale
- always have hand within 1 inch of infant
- weight in kg
Length in Peds
,- 2 people to help
- Measuring boards are helpful
- Use the paper table covering
- Hard surface to head and mark
- Extend legs and make heel position
Head Circumference in Peds
- We measure the head circumference till kid is 2 to 3 years old
- Repeat the measurement 3 times
- 1-2 fingers widths above the eyebrow (or just above the eyebrows)
- Tape across the most prominent part in the back of the head
- Head exceeds chest by 1 to 2 inches
Boy Peds normal Weight/Head Circumference/Length
18 months
32 inches
28 lbs
Temperature for Peds
Hospital and policy driven
- *Avoid rectal temperature on a child that has a bleeding issue,
immunosuppressed, rectal or lower spinal surgery, 1 month or less (age), hx of
diarrhea, spina bifida, chemo*
- Method used is set by policy - usually in Celsius
- Temporal or Tympanic Temperature are common
- *Axillary temperature in newborn - proper technique*
Measuring Tympanic Temperature
1. Pull earlobe back and down if younger than 3 years
2. Insert probe gently into ear canal towards the tympanic membrane, not the sides
of the ear canal
3. Push the button to take the temperature and hold until a reading is obtained. The
length of time required for the temperature to register varies per manufacturer but
is only a few seconds at most.
I/O's for Peds
, Bottles
- 1 ounce = 30 mls
Diapers
- 1 gram = 1 ml
- I/O's are documented in mls
Data Collection/Interview
- Child may sit on caregiver's lap
- Include child if appropriate with developmentally appropriate conversation
- Use of a stuffed animal/toy can help
- Caregiver information like legal guardian/custody
- Allergies (including adverse reactions to medications)
- Feeding habits
- Food likes/dislikes
- Sleeping
- Toilet-training (and words they use)
- Immunization history
- Medication history (med rec)
- Smoking in household?
- Pool?
- Guns?
- Childproof
Data Collection for Peds
- Chief Complaint: The caregiver's primary concern is his or her reason for
seeking health care for the child
- History of symptoms for chief complaint, what has helped, what treatment they
tried at home
- Other health history: surgeries, previous hospitalization, birth history
- Family history
- Developmental
