Exam 1: Assessments and Vitals

Question 1

What can be assessed by just looking at a child?

Answer 1

Color (pallor, mottling, cyanosis)
Work of Breathing (labored/unlabored, breath sounds, retractions, nasal flaring)
Level of Consciousness (appearance, affect, mood)

Question 2

When is a neonate considered to be hypotensive?

Answer 2

Systolic BP: < 60

Question 3

When is an infant considered to be hypotensive?

Answer 3

Systolic BP: < 70

Question 4

When is a toddler (1-3 yrs) considered to be hypotensive?

Answer 4

Systolic BP: < 70 + (2x age in years)

E.g. 70+ 2x1 year= 72 mmHg

Question 5

When is a preschooler (3-6 years) considered to be hypotensive?

Answer 5

Systolic BP: < 70 + (2x age in years)

Question 6

When is a school aged child considered to be hypotensive?

Answer 6

Systolic BP: < 70 + (2x age in years)

Question 7

When is an adolescent considered to be hypotensive?

Answer 7

Systolic BP: < 90

Question 8

Infant 1 to 12 months

Answer 8

HR Awake: 100-180/min
HR Sleeping: 90 to 160/min
RR: 30 to 53/min
Systolic BP: Hypotension < 70

Question 9

Neonate: Birth to 1 month

Answer 9

HR Awake: 100-205/min
HR Sleeping: 90 to 160/min
RR: 30 to 60/min
Systolic BP: Hypotension < 60

Question 10

Toddler

1 year – 3 years

Answer 10

HR Awake: 98 to 140/min
HR Sleeping: 80 to 120/min
RR: 22 to 37/min
Hypotension < 70 + (2X age in years)

Question 11

Preschooler

3 years – 6 years

Answer 11

HR Awake: 80 to 120/min
HR Sleeping: 65 to 100/min
RR: 20 to 28/min
Hypotension < 70 + (2X age in years)

Question 12

School Aged

6 years – 12 years

Answer 12

HR Awake: 75 to 118/min
HR Sleeping: 58 to 90/min
RR: 18 to 25/min
Hypotension < 70 + (2X age in years)

Question 13

Adolescent (> 12 years)

Answer 13

HR Awake: 60 to 100/min
HR Sleeping: 50 to 90/min
RR: 12 to 20/min
Hypotension < 90