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Flashcards in Chapter 2 Deck (51):
1

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

Axillary
Rectal (if exact measurement is necessary)

2

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

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

3

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

Oral, axillary, and tympanic

4

What ages have temps of 99.5 F?

3-6 months

5

What ages have temp of 99.9 F?

1 year

6

What ages have temp of 99.0 F?

3 years

7

What ages have temp of 98.6 F?

5 year

8

What ages have temp of 98.2 F?

7

9

What ages have temp of 98.1 F?

9, 11

10

What age has temp of 97.9 F?

13

11

Newborn pulse rate?

80-180 min

12

1 wk-3 month pulse rate?

80-220 min

13

3 m-2 yr pulse rate?

70-150 min

14

2-10 year pulse rate?

60-110 min

15

10 year + pulse rate?

50-90/min

16

Newborn-1 year RR?

30-35/min

17

1-2 year RR?

25-30/min

18

2-6 year RR?

21-25/min

19

6-12 year RR?

19-21/min

20

12+ RR?

16-19/min

21

What is a good range for infant BO?

Systolic: 65-80
Diastolic: 40-50

22

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

4

23

What are manifestations of nutritional deficiencies?

Hair that is stringy, dull, brittle, and dry

24

What does hair loss or bolding spots in infants indicate?

Spending too much time in the same position

25

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

Yes

26

When does the posterior fontanel close?

6-8 weeks of age

27

When does the anterior fontanel close?

12-18 MONTHs of age

28

Vision test for children who can't read yet?

Tumbling E or HOTV

29

Older children vision test?

Senile chart or symbol chart

30

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

Testing color vision

31

How do you visualize tympanic membrane in infants and toddlers?

Pull pinna down and back

32

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

Pull pinna up and back

33

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

White coatings from milk
Oral candidiasis is NOT easily removed

34

How many teeth should infants have by 1 year?

6-8

35

Infants have tonsils you can easily see?

No, may not be able to visualize them

36

Children younger than 7 more ____ movement is seen with respirations

Abdominal

37

Breath sounds ____ is longer than ____.

Inspiration is longer than expiration

38

What breath sounds are heard over the lungs?

Vesicular, or soft, swishing sounds

39

When do breasts develop in females?

10-14 yr

40

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

Yes

41

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

Birth-4 months

42

When is the palmar grasp age?

Birth-3 months

43

When is the plantar grasp?

Birth-8 months

44

When is the tonic neck reflex?

Birth to 3-4 months

45

When is the babinski reflex?

Birth-1 year

46

When is the stepping reflex?

Birth-4 WEEKS

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

A

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

C

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

D

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

B

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

A, D