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1

Expected temp level for 3-6 months

99.5

2

expected temp level for 1 year

99.9

3

expected temp level for 3 years

99

4

expected temp level. for 5 years

98.6

5

expected temp level for 7 years

98.2

6

expected temp level for 9, 11 years

98.1

7

expected temp level for 13. years

97.9

8

newborn pulse rate

110-160

9

1 week to three months pulse rate

107-180

10

3 months to 2 years pulse rate

70-150

11

2-10 years pulse rate

60-110

12

10 years. and older pulse rate

50-90

13

newborn to one. year respirations

30-35

14

1-2 years respirations

25-30

15

2-6. years respirations

21-25

16

6-12 years respirations

19-21

17

12 and older respirations

16-19

18

at what age should a child be able to lift their head unassisted

4 months

19

normal infant BP

65-78/41-52

20

normal 1 year BP

83-114/38-67

21

normal 3 year BP

86-117/47-76

22

normal 6 year BP

91-122/54-83

23

normal 10 year BP

98-129/59-88

24

normal 16 year BP

108-138/64-93

25

when should the posterior fontanel be closed

by 8 weeks

26

when does the anterior fontanel close.

12-18 months

27

how to visualize tympanic membrane in infant and toddler

pull pinna down and back

28

What is an expected finding in the ears

cerumen

29

how to visualize tympanic membrane is children older than 3

pull pinna up and back

30

What does a normal tympanic membrane look like

pearly pink or grey

31

how many teeth should an infant have by one year of age

6-8

32

expected ages of presence of sucking and rooting reflex

birth to four months

33

expected ages of presence of palmar grasp

birth to four months

34

expected ages of presence of plantar grasp

birth to 8 months

35

expected ages of presence of moro. reflex

birth to 6 months

36

expected ages of presence of tonic neck reflex

birth to 3-4 months

37

expected ages of presence of babinski reflex

birth to one year

38

expected ages of presence of stepping reflex

birth to 4 weeks

39

a nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to prepare the child?

a. allow the child to role play using miniature equipment
b. use medical terminology to describe what will happen
c. separate child from the caregiver during the exam
d. keep medical equipment visible to child

A

40

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

a. temperature 37.2 C (99.0)
b. Heart rate 106/min
c. respirations 30/min
d. BP 88/54

C

41

A nurse is assessing a child's ear. Which of the following findings should the nurse expect?

a. light reflex is located at the 2 o'clock position
b. tympanic membrane is red in color
c. bony landmarks are not visible
d. cerumen is present bilaterally

d

42

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

B

43

A nurse is performing a neuro assessment on an adolescent. Which of the following responses should the nurse expect the adolescent to exhibit when assessing the trigeminal nerve? (SATA)

a. clenching teeth together tightly
b. recognizing sour tastes on the back of the tongue
c. identify smells through nostril
d. detecting facial touches with eyes closed
e. looking down and in with the eyes

A, D

44

The infants weight. ___ by six months.

doubles

45

The infants weight ___ by 12 months.

triples

46

gross motor skills at 1 month

demonstrates head lag

47

gross motor skills at 2 months

lifts head off mattress when prone

48

gross motor skills at 3 months

raises head and shoulders off mattress when prone

-only slight head lag

49

gross motor skills at 4 months

rolls from back to side

50

gross motor skills at 5 months

rolls from front to back

51

gross motor skills at 6 months

rolls from back to front

52

gross motor skills at 7 months

bears full weight on feet

sits, leaning forward on both hands

53

gross motor skills at 8. months

sits unsupported

54

gross motor skills at 9 months.

pulls. to standing position

creeps on hands and knees

55

gross motor skills at 10 months

changes from prone to sitting position

56

gross motor skills at. 11 months

cruises or walks while holding on to something

57

gross motor skills at 12 months

sits down from standing position without assistance

walks with one hand held

58

fine motor skills at 1 month

has a strong grasp reflex

59

fine motor skills at 2 months

holds hand in open position

60

fine motor skills at 3 months

no longer has a grasp reflex

keeps hands loosely open.

61

fine motor skills at 4 months

grasps objects with both hands.

62

fine motor skills at 5 months

use palmar grasp predominately

63

fine motor skills at 6 months

holds bottle

64

fine motor skills at 7 months

moves objects from hand to hand

65

fine motor skills at 8 months

begins using pincer grasp

66

fine motor skills at 9 months

has a crude pincer grasp

dominant hand preference evident

67

fine motor skills at 10 months

grasps rattle by hand

68

fine motor skills at 11 months

places objects into container

neat pincer grasp

69

fine motor skills at 12 months

tries to build two block tower without success

can turn pages in a book

70

how to clean infant's teeth

cool, wet washcloths

71

Piaget (birth to 24 months)

sensorimotor

72

Which important tasks are achieved during the sensorimotor phase?

object permanence (by 8 months), knowing they are separate, mental representation of symbols

73

when are cooing noises vocalized?

3-4 months

74

when do infants squeal?

4 months

75

How many words should be said by one year

3-5

76

psychosocial development from birth to one year

trust vs mistrust

77

when does separation anxiety begin

4-8 months

78

car seat education on newborn

45 degree angle, rear-facing, harness should be snug with and the retainer clip should be at the level of the armpits

79

immunization at birth

hep B

80

immunizations at 2months (6)

DTaP, rotavirus, inactivate polio, Hib, pneumococcal, Hep B

81

Immunizations at 4 months

DTaP,, RV, IPV, Hib, PCV

82

Immunizations at 6 months

DTaP, IPV (6-18 months), PCV, Hep B, RV,Hib

83

immunizations at 12 months

seasonal flu vaccine

84

After 6 months, how much fruit juice can an infant have per day

4 oz

85

what is the first food that is introduced

iron-fortified cereal

86

How should foods be introduced to infants?

one at a time over a 5-7 day period to observe for allergies