NR 328 Peds Test 1 Study Guide
How are pulses checked on patients <2 years of age? ANS: An apical pulse should be ascultated for a full
minute.
What is the normal HR range for a newborn? ANS: 80-180 (depending on activity) (ATI CH.2, PG 7)
What is the normal HR range for a 1 week to 3 month old? ANS: 120-180 (ATI CH.2, PG 7)
What is the normal HR range for a 3 month to 2 year old? ANS: 70-150 (ATI CH.2, PG 7)
What is the normal HR range for a 2 - 10 year old? ANS: 60-110 (ATI CH.2, PG 7)
What is the normal HR range for a 10 year old - adult? ANS: 50 to 90 (ATI CH.2, PG 7)
Whats important to remember regarding newborn respirations when measuring? ANS: The breathing is
irregular, and small very short apnic periods may be seen.
Are new borns more mouth or nose breathers at <6 weeks. ANS: They're nose breathers until 6 weeks
old usually.
Whats a normal respiration rate for a newborn to 1 year? ANS: 30 - 60 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 1-2 year old? ANS: 25-30 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 2 to 6 year old? ANS: 21-25 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 6 to 12 year old? ANS: 19-21 (ATI CH.2, PG 7)
,Whats a normal respiration rate for 12 years and older? ANS: 16-19 (ATI CH.2, PG 7)
Erect head posture is expected in peds patients greater than how may months of age? ANS: 4 months of
age (ATI CH.2, PG 8)
Regarding hair, bald spots or patchy hair loss in infants may be indicative of what? ANS: It may indicate
that the child is spending too much time in the same position. (ATI CH.2, PG 8)
When assessing lymph nodes in an asymptomatic child, you are able to palpate a small nontender and
mobile mass. Is this a normal finding for a child or is this something that the HCP should be notified of?
ANS: This is a normal finding, unless the patient complains of pain or is showing symptoms of illness.
(ATI CH.2, PG 8)
At what age should the posterior fontanelle close? ANS: Between 6-8 weeks.(ATI CH.2, PG 8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
At what age should the anterior fontanelle close? ANS: Between 12 to 18 months of age (ATI CH.2, PG
8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
What is the expected temperature for a 3 to 6 month old? ANS: 37.5
What is the expected temperature for a 1 to 3 year old? ANS: 37.7
What is the expected temperature for a 3 to 5 year old? ANS: 37.2
What is the expected temperature for a 5 to 7 year old? ANS: 37.0
,What is the expected temperature for a 7 to 9 year old? ANS: 36.7
What are some important developmental milestones for a 1 month old? ANS: -Cries in a special way
when hungry and responds to voices. Adults who spend time around the infant are often able to relate
the cry to the specific need of the intant (hunger, pain, tired, etc.)
-Can raise head and chest when lying on stomach
What are some important developmental milestones for a 2 month old? ANS: -Makes sounds like - ah,
eh, ugh, and can smile
-Holds head steady when sitting.
-Reacts to the sight of a breast or bottle
What are some important developmental milestones for a 3 month old? ANS: -Crawling movements
begin to be attempted
-They are able to keep one hand on a bottle while being bottle fed.
What are some important developmental milestones for a 4 month old? ANS: -Squeels, ah-goo, and
laughs
-Holds own hands together
What are some important developmental milestones for a 5 month old? ANS: -Makes "rasberry" sound
-Can roll over from stomach onto their back
What are some important developmental milestones for a 6 months old? ANS: -Begins to babble and
respond to name
-Can roll over from their back onto their stomach
, What are some important developmental milestones for a 7 month old? ANS: -Says things like da, ba,
ga, ka, ma
-Sits w/out support
What are some important developmental milestones for an 8 month old? ANS: -Says ma-ma, da-da, ba-
ba
-Can crawl
-Can feed self a cracker or a cookie
What are some important developmental milestones for a 9 month old? ANS: -Imitates speech sounds
you make
-Can pull self up to standing
-Is able to hold bottle with both hands while feeding.
What are some important developmental milestones for a 10 month old? ANS: -Understands single
words like "bye bye" and "night night".
-Sidesteps around furniture while holding on
What are some important developmental milestones for a 11 month old? ANS: -Uses mama and dada
specifically for parent
-Stands alone well
-Can pick up a spoon by the handle
What are some important developmental milestones for a 1 year old? ANS: -Can say one word clearly
-Climbs on chairs or other furnature and can walk with one hand being held for assistance
-Can transition to "sippy cup" and milk instead of bottle and formula
-They cooperate with dressing and can remove socks, hold out their foot for shoe or arm for sleeves and
assist by pushing legs or arms through the clothings.
How are pulses checked on patients <2 years of age? ANS: An apical pulse should be ascultated for a full
minute.
What is the normal HR range for a newborn? ANS: 80-180 (depending on activity) (ATI CH.2, PG 7)
What is the normal HR range for a 1 week to 3 month old? ANS: 120-180 (ATI CH.2, PG 7)
What is the normal HR range for a 3 month to 2 year old? ANS: 70-150 (ATI CH.2, PG 7)
What is the normal HR range for a 2 - 10 year old? ANS: 60-110 (ATI CH.2, PG 7)
What is the normal HR range for a 10 year old - adult? ANS: 50 to 90 (ATI CH.2, PG 7)
Whats important to remember regarding newborn respirations when measuring? ANS: The breathing is
irregular, and small very short apnic periods may be seen.
Are new borns more mouth or nose breathers at <6 weeks. ANS: They're nose breathers until 6 weeks
old usually.
Whats a normal respiration rate for a newborn to 1 year? ANS: 30 - 60 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 1-2 year old? ANS: 25-30 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 2 to 6 year old? ANS: 21-25 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 6 to 12 year old? ANS: 19-21 (ATI CH.2, PG 7)
,Whats a normal respiration rate for 12 years and older? ANS: 16-19 (ATI CH.2, PG 7)
Erect head posture is expected in peds patients greater than how may months of age? ANS: 4 months of
age (ATI CH.2, PG 8)
Regarding hair, bald spots or patchy hair loss in infants may be indicative of what? ANS: It may indicate
that the child is spending too much time in the same position. (ATI CH.2, PG 8)
When assessing lymph nodes in an asymptomatic child, you are able to palpate a small nontender and
mobile mass. Is this a normal finding for a child or is this something that the HCP should be notified of?
ANS: This is a normal finding, unless the patient complains of pain or is showing symptoms of illness.
(ATI CH.2, PG 8)
At what age should the posterior fontanelle close? ANS: Between 6-8 weeks.(ATI CH.2, PG 8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
At what age should the anterior fontanelle close? ANS: Between 12 to 18 months of age (ATI CH.2, PG
8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
What is the expected temperature for a 3 to 6 month old? ANS: 37.5
What is the expected temperature for a 1 to 3 year old? ANS: 37.7
What is the expected temperature for a 3 to 5 year old? ANS: 37.2
What is the expected temperature for a 5 to 7 year old? ANS: 37.0
,What is the expected temperature for a 7 to 9 year old? ANS: 36.7
What are some important developmental milestones for a 1 month old? ANS: -Cries in a special way
when hungry and responds to voices. Adults who spend time around the infant are often able to relate
the cry to the specific need of the intant (hunger, pain, tired, etc.)
-Can raise head and chest when lying on stomach
What are some important developmental milestones for a 2 month old? ANS: -Makes sounds like - ah,
eh, ugh, and can smile
-Holds head steady when sitting.
-Reacts to the sight of a breast or bottle
What are some important developmental milestones for a 3 month old? ANS: -Crawling movements
begin to be attempted
-They are able to keep one hand on a bottle while being bottle fed.
What are some important developmental milestones for a 4 month old? ANS: -Squeels, ah-goo, and
laughs
-Holds own hands together
What are some important developmental milestones for a 5 month old? ANS: -Makes "rasberry" sound
-Can roll over from stomach onto their back
What are some important developmental milestones for a 6 months old? ANS: -Begins to babble and
respond to name
-Can roll over from their back onto their stomach
, What are some important developmental milestones for a 7 month old? ANS: -Says things like da, ba,
ga, ka, ma
-Sits w/out support
What are some important developmental milestones for an 8 month old? ANS: -Says ma-ma, da-da, ba-
ba
-Can crawl
-Can feed self a cracker or a cookie
What are some important developmental milestones for a 9 month old? ANS: -Imitates speech sounds
you make
-Can pull self up to standing
-Is able to hold bottle with both hands while feeding.
What are some important developmental milestones for a 10 month old? ANS: -Understands single
words like "bye bye" and "night night".
-Sidesteps around furniture while holding on
What are some important developmental milestones for a 11 month old? ANS: -Uses mama and dada
specifically for parent
-Stands alone well
-Can pick up a spoon by the handle
What are some important developmental milestones for a 1 year old? ANS: -Can say one word clearly
-Climbs on chairs or other furnature and can walk with one hand being held for assistance
-Can transition to "sippy cup" and milk instead of bottle and formula
-They cooperate with dressing and can remove socks, hold out their foot for shoe or arm for sleeves and
assist by pushing legs or arms through the clothings.
