New Born And Pediatric Assessment

Question 1

New born pulse and resp rate

Answer 1

Pulse 100-160
RR-30-60

Question 2

1-11 months pulse and rr

Answer 2

Pulse-100-150
RR- 25-35

Question 3

1-3 yr old pulse and RR

Answer 3

Pulse 80-130
RR- 20-30

Question 4

3-5 yr old pulse and rr

Answer 4

80-120 pulse
RR-20-25

Question 5

6-10 yr pulse rr

Answer 5

Pulse 70-110
RR 18-22

Question 6

10-16 pulse& RR

Answer 6

Pulse 60-90
RR 16-20

Question 7

What age are we looking At their abdominal for respiration because
They are diaphoretic breathers

Answer 7

Children younger than 7

Question 8

Which age range do you look at their chest because they are thoracic breathers

Answer 8

Older than 7

Question 9

Since it takes a antipyretic an hour to kick in what do we want to teach parents to do in the mean time ?

Answer 9

Remove layered clothing from child and a cool cloth

Question 10

What is the first thing to be concerned about when a new born is born

Answer 10

Respiratory is the most critical , typically sitting in the 60% for o2
In order for heart to beat , babies have to breathe
Takes about 10 min for o2 to get back up

Question 11

What is the second thing to be cautious about when a baby is born

Answer 11

Thermoregulation .. critical to new born survival

Question 12

Evaporation

Answer 12

Causes heat loss

Question 13

Conductive

Answer 13

Heating up surfaces like our hands or stethascope before touching the baby

Question 14

Convection

Answer 14

Loss of oxygen = heat loss

Question 15

Radiation

Answer 15

Transfer of heat from a cooler object (why we keep babies away from a cold wall)

Question 16

Important tempature for a new born to stay within

Answer 16

36.5-37.5 c
97.7-99.5f

Question 17

What factors stimulateNB to breathe

Answer 17

Chemical factors
Thermal factors (cold)
Tactile (drying them off)

Question 18

Vernix

Answer 18

Cheesy white stuff that gets powdery when it dries .. serves as a protectant

Question 19

Lanugo

Answer 19

Hair .. protection

Question 20

Possible Indicators of trisomy 21(not always the case)

Answer 20

Top pinna of ear not aligned with outer canvas
Webbing of the neck or webbing of fingers
One palmar crease

Question 21

At what ages do you listen to the 5th intercostal space

Answer 21

Children over. 7

Question 22

What ages do we listen to the 4th intercostal space for apical pulse

Answer 22

Younger than 7

Question 23

Moro (startle) reflex response

Answer 23

Scarring baby - another way to see symmetry and movement

Question 24

Within the first 24 hours we should expect babies to

Answer 24

Urinate and the urine should be colorless and odorless

Question 25

Genitalia for a new born girl

Answer 25

Labia majors and minora hymnal tag

Question 26

Genteel is for male

Answer 26

Penis foreskin urethra opening scrotum testing

Question 27

What should we never do to babies foreskin

Answer 27

Retract

Question 28

Ophthalmic drugs

Answer 28

Erythromycin Tetracycline Silver natrate

Question 29

Why do we apply prophylactic ophthalmic drugs

Answer 29

To protect baby from exposure from chlamida that was passed during labor, c sections mom babies get them as welll. Protect babies eyes from blindness

Question 30

What do you assess before giving ointment for eyes

Answer 30

PERRLA first and give within first hour of life

Question 31

What two medication/vaccine given at birth

Answer 31

Vitamin k 1 of 3 hepatitis shots

Question 32

When does the posterior fontael close

Answer 32

2-4 months

Question 33

Anterior fontanels when does it close

Answer 33

12-18 mo

Question 34

When does binocularity occur

Answer 34

3-4 mo

Question 35

Treatments of stasbimus

Answer 35

Glasses Patching Eye drops Surgical intervention

Question 36

Amblyopia

Answer 36

Lazy eye can lead to blindness

Question 37

Signs of hearing impairment in infants

Answer 37

Lack of startle or blink reflex to loud sound Absence of babble or voice by 7 mo absence of well formed syllabus by 11 mo

Question 38

Signs of hearing impairment of children

Answer 38

Use of gestures rather than words to express desires Failure to develop intelligible speech by 24 mo Asking to repeat statements Avoidance of social interactions Can’t hear in school or teach due to big class

Question 39

Signs of teething

Answer 39

Increase nonnutritive sucking Ear rubbing pulling Drooling Anorexia

Question 40

By what age do babies have a complet set of teeth

Answer 40

24 month

Question 41

How many teeth do kids lose starting at age 6

Answer 41

20 primary teeth

Question 42

How many permanent teeth is gained

Answer 42

32 16 on top 16 on bottom