Pedatric Calculations - Exam 1

Question 1

1,000 grams is how many kg?

Answer 1

1 kg

Question 2

1 gram is how many mL?

Answer 2

1 mL

Question 3

Normal specific gravity for children

Answer 3

1.005-1.015

Question 4

Elevated specific gravity

Answer 4

points to dehydration

Question 5

Decreased specific gravity

Answer 5

Points to kidney issues

Question 6

For a client who is not toilet trained, how can accurate urine output be measured?

Answer 6

Weigh diapers with urine and subract weight of dry diaper

U-Bags (urine bags)

Urinary Catheter

Question 7

What do you do if the diaper has both urine and stool?

Answer 7

Mark volume under urine and indicate on I&O that it included stool

Describe color, amount, consistency under stool output

Question 8

What are the rules for obtaining body weight?

Answer 8

Naked (for infant) or in same clothes

Early/Same time

Same scale

Question 9

How would the nurse restrain an infant, toddler/preschooler, older child for painful procedures?

Answer 9

Infant: modified mummy restraint aka swaddling

Toddler/preschooler: bend over child’s body, holding extremities firmly

Older child: Use a second person to help hold child still, stabilize involved extremities

Question 10

Minimum Fluid Requirement Formula

Answer 10

0-10kg 100 mL/kg

11-20kg 50 mL/kg

21-70kg 20 mL/kg

                       71+ kg              2500/24 hr(adult requirement)

Question 11

How many meals does the day shift have?

Answer 11

2

Question 12

How much of the daily enteral requirements should be planned for the day shift?

Answer 12

2/3

Question 13

Safe Dose

Answer 13

The maximum amount of medication that can be given, either in a day or at a single administration time or both

Question 14

How much flush (or primary fluid for intermittent infusion) would you use for syringe tubing?

Answer 14

4 mL