part 3

Question 1

What can hospitalization do to an infant or toddlers development?

Answer 1

• regression of new skills

- development may be slowed

Question 2

When is the head and chest circumference equal?

Answer 2

at 1 to 2 years old

Question 3

Where is the appropriate location to take a temperature for a child under 2?

Answer 3

• axillary

- rectal if needed (after 1 month of age)

Question 4

Where is the appropriate location to take a temperature for a child age 2-5?

Answer 4

• axillary
• tympanic
• oral when the child can hold thermometer under tongue

Question 5

Where is the appropriate location to take a temperature for a child older than 5?

Answer 5

• oral
• axillary
• tympanic

Question 6

What is a proper BP cuff fitting?

Answer 6

• cuff bladder width should be 40% of circumference

- length of bladder should be 80% to 100% of arm circumference

Question 7

For taking temperature when should the pinna be pulled down and back?

Answer 7

3 years or younger

Question 8

For taking temps when should the pinna be pulled up and back?

Answer 8

3 years and older

Question 9

Can children tell you about their pain?

Answer 9

yes, but sometimes they won’t always tell you about it

• nonverbal doesn’t tell all
• addiction is extremely rare

Question 10

What are some indications of pain the nurse should pay attention to?

Answer 10

• verbal report
• observation: grimace, irritable, restless
• Physiological response: HR, RR, diaphoresis