Peds Exam 1 questions and answers
grade A+
What is are important questions to ask while obtaining a family medical history? - Are
there any genetic traits/diseases, and is there any smoking in the home?
What does smoking in the home lead to? - Respiratory admissions. Even if the
caregiver smokes outside the child is still exposed.
What should you observe while assessing children? - Observe the behavior of children
and family members while you are collecting historical and physiologic data.
What observations are distressing to children? - Ears and mouth. Look at these last.
How do you develop trust with a child? - Develop trust with the parent first and then the
child will follow.
What should you assess about the parent/child relationship? - Look for a
bonding/soothing relationship.
What is a goal of pediatric assessment? - Identify and implement appropriate
interventions.
Should you asses a child in the playroom? - No, this should remain a safe place.
What is true about preschoolers and the exam? - They like to be part of it.
What is true about teenagers and the exam? - Treat them like adults, don't lie to them
about pain.
What the most important thing to understand when examining a pediatric patient? - To
understand their developmental level.
How do you know that a kid is ready to be examined? - They will start talking to you,
accepting things from you.
What measurement should be taken into account in children greater than 2 years old? -
BMI
How is BMI used? - Its most reliable when compared over time. It is an indicator of
health and well being.
, How do you measure a child until they are 24 months old? - In a recumbent, supine
position, from the head to the heels.
What device is used to measure height? - Stadiometer.
When should BMI be checked in children. - At every visit 2 years and over.
What does a BMI between 85 and 95 percent mean? - Overweight.
What does a BMI >95 mean? - Obese
What does a BMI of 120% of the 95th percentile mean? - Extreme obesity.
What are normal vital signs for a newborn? - HR 11-180, RR 35, BP 65/41, T 36.5
What are normal vital signs for a infant? - HR 80-120, RR 30, BP 65-100/45-65, T 37.5
What are normal vital signs for toddler? - HR 80-110, RR 23-25, BP 90-105/55-70, T
37.2
What are normal vital signs for school age? - HR 70-110, RR 17-21, BP 100-120/60-
75, T 36.7
What are normal vital signs for a adolescent? - HR 55-90, RR 17-18, BP 110-135/65-
85, T 36.6
How do you take a tympanic temp if the child is > 3? - Pull the ear up and back.
How do you take a tympanic temp if the child is < 3? - Pull the ear down and back.
How do you count the pulse in a child less than 2 years old? - Apical for 1 min.
How often is BP measured in children greater than 3 years old? - Annual.
What is a recommendation about taking BP? - Try to take it in the same place.
What is the order of taking vital signs? - RR, HR, BP, T
Until what age can respirations be seen best abdominally? - Until age 7.
What is the FLACC scale? - Use to measure pain based on face, legs, activity, cry and
consolability.
What are the point values on the FLACC scale? - 0,1, 2. Will add up to a maximum of
10.
grade A+
What is are important questions to ask while obtaining a family medical history? - Are
there any genetic traits/diseases, and is there any smoking in the home?
What does smoking in the home lead to? - Respiratory admissions. Even if the
caregiver smokes outside the child is still exposed.
What should you observe while assessing children? - Observe the behavior of children
and family members while you are collecting historical and physiologic data.
What observations are distressing to children? - Ears and mouth. Look at these last.
How do you develop trust with a child? - Develop trust with the parent first and then the
child will follow.
What should you assess about the parent/child relationship? - Look for a
bonding/soothing relationship.
What is a goal of pediatric assessment? - Identify and implement appropriate
interventions.
Should you asses a child in the playroom? - No, this should remain a safe place.
What is true about preschoolers and the exam? - They like to be part of it.
What is true about teenagers and the exam? - Treat them like adults, don't lie to them
about pain.
What the most important thing to understand when examining a pediatric patient? - To
understand their developmental level.
How do you know that a kid is ready to be examined? - They will start talking to you,
accepting things from you.
What measurement should be taken into account in children greater than 2 years old? -
BMI
How is BMI used? - Its most reliable when compared over time. It is an indicator of
health and well being.
, How do you measure a child until they are 24 months old? - In a recumbent, supine
position, from the head to the heels.
What device is used to measure height? - Stadiometer.
When should BMI be checked in children. - At every visit 2 years and over.
What does a BMI between 85 and 95 percent mean? - Overweight.
What does a BMI >95 mean? - Obese
What does a BMI of 120% of the 95th percentile mean? - Extreme obesity.
What are normal vital signs for a newborn? - HR 11-180, RR 35, BP 65/41, T 36.5
What are normal vital signs for a infant? - HR 80-120, RR 30, BP 65-100/45-65, T 37.5
What are normal vital signs for toddler? - HR 80-110, RR 23-25, BP 90-105/55-70, T
37.2
What are normal vital signs for school age? - HR 70-110, RR 17-21, BP 100-120/60-
75, T 36.7
What are normal vital signs for a adolescent? - HR 55-90, RR 17-18, BP 110-135/65-
85, T 36.6
How do you take a tympanic temp if the child is > 3? - Pull the ear up and back.
How do you take a tympanic temp if the child is < 3? - Pull the ear down and back.
How do you count the pulse in a child less than 2 years old? - Apical for 1 min.
How often is BP measured in children greater than 3 years old? - Annual.
What is a recommendation about taking BP? - Try to take it in the same place.
What is the order of taking vital signs? - RR, HR, BP, T
Until what age can respirations be seen best abdominally? - Until age 7.
What is the FLACC scale? - Use to measure pain based on face, legs, activity, cry and
consolability.
What are the point values on the FLACC scale? - 0,1, 2. Will add up to a maximum of
10.
