Peds ATI (Chapter 2) - Josh

Question 1

Expected Pulse Rate of a Newborn:

Answer 1

80-180/min

Question 2

Expected Pulse Rate at 1-3 mths:

Answer 2

80-220/min

Question 3

Expected Pulse Rate b/t 3 mths - 2 yrs:

Answer 3

70-150/min

Question 4

Expected Pulse Rate b/t 2 yrs- 10 yrs:

Answer 4

60-110/min

Question 5

Expected Pulse Rate at 10 years and older:

Answer 5

50-90/min

Question 6

Pulse Rates:

Answer 6

Newborn: 80-180
1-3 mths: 80-220
3 mths - 2 yrs: 70-150
2 - 10: 60-110
10 and up: 50-90

Question 7

RR of newborn to 12 mths:

Answer 7

30-35/min

Question 8

RR 1 to 2 yrs:

Answer 8

25-30/min

Question 9

RR 2 - 6 yrs:

Answer 9

21-25/min

Question 10

RR 6 - 12 yrs:

Answer 10

19-21/min

Question 11

RR 12 and up:

Answer 11

16-19/min

Question 12

Erect head posture is expected in infants after —— of age.

Answer 12

4 mths

Question 13

Skin temp should be — or slightly —- to the touch.

Answer 13

warm

cool

Question 14

Skin texture should be —– and slightly —-, but not —-.

Answer 14

smooth

dry

oily

Question 15

How will the hair of a malnourished child appear?

Answer 15

stringy, dull, brittle, and dry

Question 16

Should lymph nodes by palpable?

Answer 16

No, but small, palpable, nontender, and mobile may be an expected finding in children

Question 17

Front fontanel closes when?

Back fontanel closes when?

Answer 17

Front: 12-18 mths

Back: 6-8 weeks

Question 18

To asses the ear in children

Answer 18

pull pinna down and back

pull up and back for age 3 and up

Question 19

How many teeth by age 1?

Answer 19

6-8

Question 20

Which reflexes between birth - 4 months?

Answer 20

• Sucking and Rooting
• Moro
• Startle

Question 21

When should the child show the palmar grasp reflex?

Answer 21

birth - 3 mths

Question 22

When should the child show the plantar grasp reflex?

Answer 22

birth - 8 mths

Question 23

What is the tonic neck reflex?

Answer 23

when turning the infant’s head to one side, the infant extends the arm and leg on that side and flexes the arm and leg on the opposite side

Birth to 3-4 months

Question 24

How long will child display the Babinksi (fanned feet) Reflex?

Answer 24

Birth - 12 mths

Question 25

Infants make stepping movements when?

Answer 25

Birth - 4 wks

Question 26

A nurse is checking the vital signs of a 3-yr old child during a well visit. Which of the following findings should the nurse report to provider?

a) Temp 37.2 C
b) HR 106/min
c) RR 30/min
d) BP 88/54

Answer 26

RR 30/min is too high

RR of 3 year old is expected to be 21-25/min

Question 27

A nurse is assessing a 6-month old infant. Which of the following reflexes should the infant exhibit?

a) Moro
b) Plantar grasp
c) Stepping
d) Tonic neck

Answer 27

Plantar Grasp (birth - 8 mths)

• moro (birth - 4mths)
• stepping (birth - 4wks)
• tonic neck (birth - 3 or 4 mths)