2 SESSION 2.2: Pediatric Overview and Vital Signs

Question 1

Remember, with the Pediatric H&P, you always have (at least) _____________

Answer 1

TWO patients

Question 2

_______ to ________ approach on the PE. _______ first, ________ later.

Answer 2

Quiet to active. Heart and lungs first, ears later.

Question 3

Five stages of pediatric development - with ages

Answer 3

0-1 month: Neonate
0-11 months: Infancy
1-4 years: Early childhood
5-10 years: Middle childhood
11-20 years: Adolescence
**(EARLY is 11-14)
**(MIDDLE is 15-17)
**(LATE is 18-21)

Question 4

With children’s height and weight, ________ is not as important as the ______.

Answer 4

One single measurement is not as important as the general trend.

Question 5

At what age should you start using a non-infant scale on kids?

Answer 5

2 years and up

Question 6

With premies, you should use the corrected age chart until what age?

Answer 6

2 years

Question 7

Pediatric medications are dosed by weight ________

Answer 7

In kilograms

Question 8

At two years of age, the child’s head circumference is _________

Answer 8

2/3 its adult size

Question 9

What are the vital signs?

Answer 9

• Temp
• Heart rate
• Respiratory Rate
• Blood pressure
• Oxygen saturation
• Pain

Question 10

You should always use one route for taking temp if possible. _______ is always the most accurate.

Answer 10

RECTAL.

Question 11

How long should you count pulse for in children? Why?

Answer 11

1 full minute, to account for irregularities in rhthym

Question 12

For children under 2 years, _____________ is the most accurate pulse.

Answer 12

Apical pulse while child is quiet

Question 13

How long should you count pediatric respiratory rate? Why?

Answer 13

Because rapid breathing (tachypnea) may not be detectable otherwise.

Question 14

________ refers to rapid breathing

Answer 14

Tachypnea

Question 15

Newborns are _______ breathers.

Answer 15

Diaphragmatic

Question 16

In comparing a newborn to a 12-year-old, a newborn’s breathing is __________, heart rate is _______ and blood pressure is _________.

Answer 16

faster, higher, lower.