Chapter 2 Flashcards
Ages 3months-1 year, where are recommend temp routes?
Axillary
Rectal (if exact measurement is necessary)
Ages 3-5 years, what are recommend temp routes?
Axillary
Tympanic
Oral (if child is cooperative)
Rectal (if need exact measurement)
Ages 7-13 years, what are recommended temp routes?
Oral, axillary, and tympanic
What ages have temps of 99.5 F?
3-6 months
What ages have temp of 99.9 F?
1 year
What ages have temp of 99.0 F?
3 years
What ages have temp of 98.6 F?
5 year
What ages have temp of 98.2 F?
7
What ages have temp of 98.1 F?
9, 11
What age has temp of 97.9 F?
13
Newborn pulse rate?
80-180 min
1 wk-3 month pulse rate?
80-220 min
3 m-2 yr pulse rate?
70-150 min
2-10 year pulse rate?
60-110 min
10 year + pulse rate?
50-90/min
Newborn-1 year RR?
30-35/min
1-2 year RR?
25-30/min
2-6 year RR?
21-25/min
6-12 year RR?
19-21/min
12+ RR?
16-19/min
What is a good range for infant BO?
Systolic: 65-80
Diastolic: 40-50
Erect head posture is expected in infants after __ months of age
4
What are manifestations of nutritional deficiencies?
Hair that is stringy, dull, brittle, and dry
What does hair loss or bolding spots in infants indicate?
Spending too much time in the same position
Are lymph nodes that are small, palpable, nontender, and mobile expected in children?
Yes
When does the posterior fontanel close?
6-8 weeks of age
When does the anterior fontanel close?
12-18 MONTHs of age
Vision test for children who can’t read yet?
Tumbling E or HOTV
Older children vision test?
Senile chart or symbol chart
What are these tests: Ishihara or Hardy-Rand-Rittler
Testing color vision
How do you visualize tympanic membrane in infants and toddlers?
Pull pinna down and back
How do you visualize the TM in children older than 3?
Pull pinna up and back
Infants may have ____ on their tongues from ___ than can be easily removed. Oral _____ is not easily removed
White coatings from milk
Oral candidiasis is NOT easily removed
How many teeth should infants have by 1 year?
6-8
Infants have tonsils you can easily see?
No, may not be able to visualize them
Children younger than 7 more ____ movement is seen with respirations
Abdominal
Breath sounds ____ is longer than ____.
Inspiration is longer than expiration
What breath sounds are heard over the lungs?
Vesicular, or soft, swishing sounds
When do breasts develop in females?
10-14 yr
Infants and toddlers with rounded abdomens..is this normal?
Yes
Sucking and rooting, Moro reflex, and Startle reflex are from what age?
Birth-4 months
When is the palmar grasp age?
Birth-3 months
When is the plantar grasp?
Birth-8 months
When is the tonic neck reflex?
Birth to 3-4 months
When is the babinski reflex?
Birth-1 year
When is the stepping reflex?
Birth-4 WEEKS
A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate action by the nurse to prepare the child?
A. Allow the child to role play using mini equip.
B. Use med. terminology to describe what will happen
C. Separate the child from her parent during the exam
D. Keep med equipement visible to the child
A
A nurse is checking the VS of a 3 year old child during well-child visit. Which of the following findings should the nurse report to the provider? A. Temp 99 F B. Pulse 106/min C. RR 30/min D. BP 88/54
C
A nurse is assessing a child's ears. Which of the following is an expected finding? A. Light reflex at 2oclock B. TM is red in color C. Bony landmarks not visible D. Cerumen present bilaterally
D
A nurse is assessing 6 month old. Which of the following reflexes should the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic neck
B
A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks trigeminal cranial nerve? (select all that apply)
A. Clenching teeth together tightly
B. Recognizing sour tastes on the back of the tongue
C. Identifying smells through each nostril
D. Detecting facial touches with eyes closed
E. Looking down in with the eyes
A, D
