VITAL SIGNS

Question 1

Adult temp

Answer 1

98.6 or 37c

Question 2

Adult rectal temp

Answer 2

1 degree higher than oral temp (99.6, 38c)

Question 3

Adult axillary temp

Answer 3

1 degree lower than oral (97.6, 36c)

Question 4

Adult Pulse

Answer 4

60-100

Question 5

Adult Respirations

Answer 5

12-20

Question 6

SpO2

Answer 6

greater than or equal to 92%

Question 7

Normal Adult BP

Answer 7

100-119/50-79

Question 8

Prehypertension Adult BP

Answer 8

120-139/80-89

Question 9

Hypertension Adult BP

Answer 9

greater than/equal to 140/ greater than/equal to 90

Question 10

Orthostatic BP

Answer 10

A decline in BP of 10-15 in systolic and diastolic BP with a concurrent 10 or more beats rise in pulse when the client changes positions from supine to sitting to standing

Question 11

Normal Adult Fluid Requirement

Answer 11

2500mL/24 hours

UPO greater than or equal to 30 ml/hour

Question 12

Semi Fowlers position

Answer 12

30-45 degrees

Question 13

High Fowlers Position

Answer 13

90 degrees

Question 14

Infant HR

Answer 14

80-150

Question 15

Infant RR

Answer 15

25-55

Question 16

Toddler HR

Answer 16

70-110

Question 17

Toddler RR

Answer 17

20-30

Question 18

Preschooler HR

Answer 18

65-110

Question 19

Preschooler RR

Answer 19

20-25

Question 20

School age HR

Answer 20

60-95

Question 21

School Age RR

Answer 21

14-22

Question 22

Adolescent HR

Answer 22

55-85

Question 23

Adolescent RR

Answer 23

12-18

Question 24

Birth (12 hours and less than 1000 g) BP

Answer 24

39-59/16-36

Question 25

Birth (12 hours and 3 kg) BP

Answer 25

50-70/15-45

Question 26

Neonate (96 hours) BP

Answer 26

60-90/20-60

Question 27

Infant (6 months) BP

Answer 27

87-105/53-66

Question 28

Toddler (2 year) BP

Answer 28

95-105/53-66

Question 29

School Age (7 years) BP

Answer 29

97-112/57-71

Question 30

Adolescent (15yr) BP

Answer 30

112-128/66-80

Question 31

Fetus Normal Values

Answer 31

FHR 110-160 BPM Moderate variability Accelerations of 15 beats above basline lasting 15 seconds

Question 32

Neonate Normal Values

Answer 32

Temperature: 36.5-37.5 Apical Pulse: 120-160 RR: 30-60 breaths/min

Question 33

Intrapartal Woman Normal Values

Answer 33

Temp: less than 38c HR: 60-100 RR: 12-20 BP: less than 140/90 and consistent with baseline

Question 34

Postpartum Woman Normal Values

Answer 34

Temp: less than 38c HR: 60-90 RR: 12-20 BP less than 140/90 and consistent with baseline