Pediatric Assessment Lab Worksheet – Summer 2025 (Nursing Practice Resource)

NURS 343 Pediatric Nursing Practicum


Pediatric Assessment Lab Worksheet

Instructions:

o Complete the questions for each “station” as you review the online modules.
o Initial the boxes that state your completion and sign at the bottom of that page.
o Complete the Evaluation section.
o Submit to Canvas in the submission spot titled “Pediatric Assessment Lab Worksheet”.



 Pediatric Assessment Discussion: As you watch the recording of the Pediatric Assessment, complete
the questions below.
 List at least 3 observations/interventions you can do to ensure that the room environment is safe.
a. Make sure the bed is at the lowest position. Make sure the child is in the right type of bed
(crib).




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b. Make sure the ID band is on either on wrist, or ankle. You can also put their ID on a paper




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on the bed if they continue to take the band off.




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c. Make sure equipment is the correct size (suction).




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
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Briefly describe the A, B, C components of Safe Sleep for infants:
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a. A: alone
b. B: back
c. C: crib
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 Describe approaches for each age group when first entering the patient’s room, in order to gain
trust.
a. Infants: Speak in a soft voice, higher pitch.
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b. Toddlers: do not talk to the patient first, talk to parent first. Get on the level of the patient.
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Ask about the child’s interests, or special item the child has brought with them.

c. Adolescents: talk to patient about interests, explain why you are doing things.
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 Neurological Assessment:
a. How can you tell that an infant is “neurologically appropriate”?
i. Do they lock eyes on you, do they follow you with their eyes. Check to see if the
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infant is awake.

b. Describe at least 2 infant reflexes that you can use in your neurologic assessment.
i. Touch the cheek, and assess the rooting reflex.
ii. Babinski, stroke outside of heel (normal as of one year)
iii. Moro Reflex


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, NURS 343 Pediatric Nursing Practicum


c. What questions can you ask a toddler/pre-school child when assessing orientation to
person/place/time?
i. Ask them their name, do you know where you are (sometimes works), who is that
sitting beside you, who is a character from a show or interest of the child.


 Cardiovascular Assessment:
a. What central pulses should you palpate when checking perfusion in an infant?
i. Radials
ii. Brachial
iii. Femoral
iv. Dorsalis pedis

b. What other signs do you check when assessing for adequate cardiac output?
i. Listening to heart sounds




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ii. Listening to regularities




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iii. What is the rate




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iv. Murmurs (normal until seven years of age)
v. Perfusion- cap refill and peripheral pulses, color, dry nail beds, warm extremities




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 Respiratory Assessment:

a. What are symptoms of respiratory distress in an infant?
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i. Nasal flaring
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ii. congestion
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b. Identify the location of upper airway retractions.
i. Suprasternal
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ii. Subclavical
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iii. supraclavical

c. What can cause upper airway retractions?
i. Obstruction of foreign objects
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ii. edema
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iii. secretions
iv. infections
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d. Identify the location of lower airway retractions.
i. Substernal
ii. Intercostal
iii. subcostal

e. What can cause lower airway retractions?



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