Chapter 2

Question 1

Ages 3months-1 year, where are recommend temp routes?

Answer 1

Axillary

Rectal (if exact measurement is necessary)

Question 2

Ages 3-5 years, what are recommend temp routes?

Answer 2

Axillary
Tympanic
Oral (if child is cooperative)
Rectal (if need exact measurement)

Question 3

Ages 7-13 years, what are recommended temp routes?

Answer 3

Oral, axillary, and tympanic

Question 4

What ages have temps of 99.5 F?

Answer 4

3-6 months

Question 5

What ages have temp of 99.9 F?

Answer 5

1 year

Question 6

What ages have temp of 99.0 F?

Answer 6

3 years

Question 7

What ages have temp of 98.6 F?

Answer 7

5 year

Question 8

What ages have temp of 98.2 F?

Answer 8

7

Question 9

What ages have temp of 98.1 F?

Answer 9

9, 11

Question 10

What age has temp of 97.9 F?

Answer 10

13

Question 11

Newborn pulse rate?

Answer 11

80-180 min

Question 12

1 wk-3 month pulse rate?

Answer 12

80-220 min

Question 13

3 m-2 yr pulse rate?

Answer 13

70-150 min

Question 14

2-10 year pulse rate?

Answer 14

60-110 min

Question 15

10 year + pulse rate?

Answer 15

50-90/min

Question 16

Newborn-1 year RR?

Answer 16

30-35/min

Question 17

1-2 year RR?

Answer 17

25-30/min

Question 18

2-6 year RR?

Answer 18

21-25/min

Question 19

6-12 year RR?

Answer 19

19-21/min

Question 20

12+ RR?

Answer 20

16-19/min

Question 21

What is a good range for infant BO?

Answer 21

Systolic: 65-80
Diastolic: 40-50

Question 22

Erect head posture is expected in infants after __ months of age

Answer 22

4

Question 23

What are manifestations of nutritional deficiencies?

Answer 23

Hair that is stringy, dull, brittle, and dry

Question 24

What does hair loss or bolding spots in infants indicate?

Answer 24

Spending too much time in the same position

Question 25

Are lymph nodes that are small, palpable, nontender, and mobile expected in children?

Answer 25

Yes

Question 26

When does the posterior fontanel close?

Answer 26

6-8 weeks of age

Question 27

When does the anterior fontanel close?

Answer 27

12-18 MONTHs of age

Question 28

Vision test for children who can't read yet?

Answer 28

Tumbling E or HOTV

Question 29

Older children vision test?

Answer 29

Senile chart or symbol chart

Question 30

What are these tests: Ishihara or Hardy-Rand-Rittler

Answer 30

Testing color vision

Question 31

How do you visualize tympanic membrane in infants and toddlers?

Answer 31

Pull pinna down and back

Question 32

How do you visualize the TM in children older than 3?

Answer 32

Pull pinna up and back

Question 33

Infants may have ____ on their tongues from ___ than can be easily removed. Oral _____ is not easily removed

Answer 33

White coatings from milk | Oral candidiasis is NOT easily removed

Question 34

How many teeth should infants have by 1 year?

Answer 34

6-8

Question 35

Infants have tonsils you can easily see?

Answer 35

No, may not be able to visualize them

Question 36

Children younger than 7 more ____ movement is seen with respirations

Answer 36

Abdominal

Question 37

Breath sounds ____ is longer than ____.

Answer 37

Inspiration is longer than expiration

Question 38

What breath sounds are heard over the lungs?

Answer 38

Vesicular, or soft, swishing sounds

Question 39

When do breasts develop in females?

Answer 39

10-14 yr

Question 40

Infants and toddlers with rounded abdomens..is this normal?

Answer 40

Yes

Question 41

Sucking and rooting, Moro reflex, and Startle reflex are from what age?

Answer 41

Birth-4 months

Question 42

When is the palmar grasp age?

Answer 42

Birth-3 months

Question 43

When is the plantar grasp?

Answer 43

Birth-8 months

Question 44

When is the tonic neck reflex?

Answer 44

Birth to 3-4 months

Question 45

When is the babinski reflex?

Answer 45

Birth-1 year

Question 46

When is the stepping reflex?

Answer 46

Birth-4 WEEKS

Question 47

A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate action by the nurse to prepare the child? A. Allow the child to role play using mini equip. B. Use med. terminology to describe what will happen C. Separate the child from her parent during the exam D. Keep med equipement visible to the child

Answer 47

A

Question 48

``` A nurse is checking the VS of a 3 year old child during well-child visit. Which of the following findings should the nurse report to the provider? A. Temp 99 F B. Pulse 106/min C. RR 30/min D. BP 88/54 ```

Answer 48

C

Question 49

``` A nurse is assessing a child's ears. Which of the following is an expected finding? A. Light reflex at 2oclock B. TM is red in color C. Bony landmarks not visible D. Cerumen present bilaterally ```

Answer 49

D

Question 50

``` A nurse is assessing 6 month old. Which of the following reflexes should the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic neck ```

Answer 50

B

Question 51

A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks trigeminal cranial nerve? (select all that apply) A. Clenching teeth together tightly B. Recognizing sour tastes on the back of the tongue C. Identifying smells through each nostril D. Detecting facial touches with eyes closed E. Looking down in with the eyes

Answer 51

A, D