ATI NURSING CARE OF CHILDREN EXAM GUIDE
2025
|MOST COMMON QUESTIONS WITH CORRECTLY
VERIFIED ANSWERS|ALREADY A+
GRADED|GUARANTEED PASS
Sucking & Rooting - birth-4mo
Palmar Grasp - birth-3mo
Plantar Grasp - birth-8mo
Moro Reflex - birth-4mo
Startle Reflex - birth-4mo
Tonic Neck Reflex - birth-3/4mo
Babinski Reflex - birth-1yr
Stepping - birth-4wks
when can solids be introduced? - 4-6mo
when are veggies/fruits introduced? - 6-8mo
citrus fruit, meat, eggs should not be started until? - after 6 months
immunizations at birth - hep B
immunizations 2 months - DTaP, RV, IPV, Hib, PCV, hep B
immunizations 4 months - DTaP, RV, IPV, Hib, PCV
immunizations 6 months - DTaP, IPV, PCV, HepB, RV, Hib
vaccines 6-12month - flu
,anterior fontanels close at ___ months of age - 18
language for 2 year olds - about 300 words
Rotavirus - transmitted fecal oral
most common cause of diarrhea in kids under 5
Rotavirus Interventions - avoid spread of disease
after each diarrheal stool, replace with 10mL/kg of ORT
determined level of dehydration & replace fluids accordingly
watch for skin breakdown
avoid BRAT diet, high carbs, caffeine
Vulvovaginitis - from detergents, harsh soaps, tight clothing, wet bathing suits
OR
infection from bacteria, yeast, pinworms, eczema, foreign objects
Vulvovaginitis Prevention - wipe front to back, no bubble baths, no powders or bath balls,
use mild soap, avoid irritaton
anemia - occurs in toddlers when given too much milk
ferrous sulfate is prescribed and given - regardless of meals, 1-2hrs before taking milk or
antacids, use a straw to prevent teeth stains, stools will be tarry green and may cause
constipation
rheumatic fever - occurs within 2-6wks after an untreated or partially treated URI, such
as strep
labs: ASO titer, CRP, ESR
Jones Criteria - presence of 2 major criteria or 1 major & 2 minor
major criteria: carditis, subQ nodules, polyarthritis, rash, chorea
minor criteria: fever, arthralgia
cardiac cath post op care - apply continuous pressure 2.5cm above insertion site
child should be flat (supine) to reduce gravitational effect on the rate of bleeding
,monitor for infection & bleeding
Kawasaki's Disease - acute systemic vasculitis c/b fever unresponsive to meds, strawberry
tongue, red eyes & lips, swelling of hands & feet, joint pain, cardiac issues
acute phase: unresponsive fever & manifestations
subacute phase: resolution of fever & gradual subsiding of manifestations
convalescent phase: no manifestations excepted abnormal labs, resolution in about 6-8 weeks
after onset
Kawasaki Treatment - IVIG given ideally within first 7 days
aspirin for 6-8wks
no live vaccines for 11 months
treatment for hyperkalemia - sodium polystyrene sulfonate AKA kayaxalate given rectal
or oral
pavlov harness - for newborns-6months
used for 12 weeks
family should not adjust straps
check straps every 1-2wks for adjustment
teach skin care- use undershirt, wear knee socks, assess skin, gentle massage under straps,
avoid lotions, place diaper under straps
hypopituitarism - deficient pituitary hormones
treatment is recombinant growth hormone
itusseception - telescoping of bowel on itself
tx: air enema
tonsillectomy/adenoidectomy - frequent swallowing indicates swallowing blood
wilms tumor - painless, firm, contender swelling in abdomen
tx: surgery, chemo, or radiation
do not palpate abdomen
5th disease - respiratory issues or "slapped cheek" bc cheeks get red
, compartment syndrome - Pain (not relieved by meds)
Paresthesia
Pulselessness
Paralysis
Pale
oral ulcers from chemotherapy - do NOT use lidocaine, hydrogen peroxide, milk of
magnesia, or lemon glycerin swabs
meningitis -
spina bifida -
cystic fibrosis -
S/S of HF -
nephrotic syndrome - alterations in glomerular membrane allows proteins (esp albumin)
to pass into urine, resulting in decreased serum osmotic pressure
prednisone, furosemide, albumin
glomerulonephritis - oliguria, edema, hypertension, circulatory congestion, hematuria,
proteinuria
avoid foods high in potassium & salt
sickle cell disease -
congenital heart defects -
dornase alfa - used for CF to decrease viscosity of mucus & improve lung function
trach care - decannulation in the first 72 hrs after surgery is a medical emergency bc the
trach tract has not matured & replacement is difficult
WBC - 5,000-10,000
Plts - 150,000-450,000
RBC - female: 4.2-5.4
male: 4.7-6.1
2025
|MOST COMMON QUESTIONS WITH CORRECTLY
VERIFIED ANSWERS|ALREADY A+
GRADED|GUARANTEED PASS
Sucking & Rooting - birth-4mo
Palmar Grasp - birth-3mo
Plantar Grasp - birth-8mo
Moro Reflex - birth-4mo
Startle Reflex - birth-4mo
Tonic Neck Reflex - birth-3/4mo
Babinski Reflex - birth-1yr
Stepping - birth-4wks
when can solids be introduced? - 4-6mo
when are veggies/fruits introduced? - 6-8mo
citrus fruit, meat, eggs should not be started until? - after 6 months
immunizations at birth - hep B
immunizations 2 months - DTaP, RV, IPV, Hib, PCV, hep B
immunizations 4 months - DTaP, RV, IPV, Hib, PCV
immunizations 6 months - DTaP, IPV, PCV, HepB, RV, Hib
vaccines 6-12month - flu
,anterior fontanels close at ___ months of age - 18
language for 2 year olds - about 300 words
Rotavirus - transmitted fecal oral
most common cause of diarrhea in kids under 5
Rotavirus Interventions - avoid spread of disease
after each diarrheal stool, replace with 10mL/kg of ORT
determined level of dehydration & replace fluids accordingly
watch for skin breakdown
avoid BRAT diet, high carbs, caffeine
Vulvovaginitis - from detergents, harsh soaps, tight clothing, wet bathing suits
OR
infection from bacteria, yeast, pinworms, eczema, foreign objects
Vulvovaginitis Prevention - wipe front to back, no bubble baths, no powders or bath balls,
use mild soap, avoid irritaton
anemia - occurs in toddlers when given too much milk
ferrous sulfate is prescribed and given - regardless of meals, 1-2hrs before taking milk or
antacids, use a straw to prevent teeth stains, stools will be tarry green and may cause
constipation
rheumatic fever - occurs within 2-6wks after an untreated or partially treated URI, such
as strep
labs: ASO titer, CRP, ESR
Jones Criteria - presence of 2 major criteria or 1 major & 2 minor
major criteria: carditis, subQ nodules, polyarthritis, rash, chorea
minor criteria: fever, arthralgia
cardiac cath post op care - apply continuous pressure 2.5cm above insertion site
child should be flat (supine) to reduce gravitational effect on the rate of bleeding
,monitor for infection & bleeding
Kawasaki's Disease - acute systemic vasculitis c/b fever unresponsive to meds, strawberry
tongue, red eyes & lips, swelling of hands & feet, joint pain, cardiac issues
acute phase: unresponsive fever & manifestations
subacute phase: resolution of fever & gradual subsiding of manifestations
convalescent phase: no manifestations excepted abnormal labs, resolution in about 6-8 weeks
after onset
Kawasaki Treatment - IVIG given ideally within first 7 days
aspirin for 6-8wks
no live vaccines for 11 months
treatment for hyperkalemia - sodium polystyrene sulfonate AKA kayaxalate given rectal
or oral
pavlov harness - for newborns-6months
used for 12 weeks
family should not adjust straps
check straps every 1-2wks for adjustment
teach skin care- use undershirt, wear knee socks, assess skin, gentle massage under straps,
avoid lotions, place diaper under straps
hypopituitarism - deficient pituitary hormones
treatment is recombinant growth hormone
itusseception - telescoping of bowel on itself
tx: air enema
tonsillectomy/adenoidectomy - frequent swallowing indicates swallowing blood
wilms tumor - painless, firm, contender swelling in abdomen
tx: surgery, chemo, or radiation
do not palpate abdomen
5th disease - respiratory issues or "slapped cheek" bc cheeks get red
, compartment syndrome - Pain (not relieved by meds)
Paresthesia
Pulselessness
Paralysis
Pale
oral ulcers from chemotherapy - do NOT use lidocaine, hydrogen peroxide, milk of
magnesia, or lemon glycerin swabs
meningitis -
spina bifida -
cystic fibrosis -
S/S of HF -
nephrotic syndrome - alterations in glomerular membrane allows proteins (esp albumin)
to pass into urine, resulting in decreased serum osmotic pressure
prednisone, furosemide, albumin
glomerulonephritis - oliguria, edema, hypertension, circulatory congestion, hematuria,
proteinuria
avoid foods high in potassium & salt
sickle cell disease -
congenital heart defects -
dornase alfa - used for CF to decrease viscosity of mucus & improve lung function
trach care - decannulation in the first 72 hrs after surgery is a medical emergency bc the
trach tract has not matured & replacement is difficult
WBC - 5,000-10,000
Plts - 150,000-450,000
RBC - female: 4.2-5.4
male: 4.7-6.1
