NUR 445: PEDS EXAM 1 QUESTIONS
AND ANSWERS
Normal Premature Infant Vital Signs - answer- HR: 110-170
BP: 55/35-75/45
RR: 40-70
Normal 0-3 month Infant Vital Signs - answer- HR: 110-160
BP: 65/45-85/55
RR: 35-55
Normal 3-6 month Infant Vital Signs - answer- HR: 110-160
BP: 70/50-90/65
RR: 30-45
Normal 6-12 month Infant Vital Signs - answer- HR: 90-160
BP: 80/55-100/65
RR: 22-38
Normal 1-3 year old Vital Signs - answer- HR: 80-150
BP: 90/55-105/70
RR: 22-38
Normal 3-6 year old Vital Signs - answer- HR: 70-120
BP: 95/60-110/75
RR: 20-24
Normal 6-12 year old Vital Signs - answer- HR: 60-110
BP: 110/60-120/75
RR: 16-22
Normal >12 year old Vital Signs - answer- Same as adult
HR: 60-100
BP: 110/65-135/85
RR: 12-20
Goal of Healthy People 2030 for Children - answer- Increase the proportion of
children who are ready for school in all five domains of healthy development:
physical development, social-emotional development, approaches to learning,
language, and cognitive development
What does breastfeeding reduce the risk for? - answer- Obesity, diabetes, SIDS,
lung dx, HTN, CV risk, renal disease, infection (IgA)
When should dental care begin in children? - answer- At first tooth erruption
-Start with soft cloth
-At 18mo: pea size amount of toothpaste
, When are labs drawn for lead levels? - answer- -Only if a risk is identified
--Risk assessments done at all well child visits 6mo-6yo
Acute illnesses causing childhood morbidity - answer- •Respiratory illness=50% of all
acute conditions
•Infections and parasitic dx=11%
•Injuries=15%
What is the leading cause of dealth in children >1 yo? - answer- Unintentional
Injuries
--2nd: Cong. Ana or Suicide
Federal and State funded programs for children - answer- -Medicaid
-WIC
-CHIP
Two Concepts of Family-Centered Care - answer- -Enabling: Creating opportunities
to display current and aquire new abilities/competencies as needed to meet the
needs of child/family
-Empowerment : (how do we help?)- EX. getting the child to PT but mom/dad work
full time.
3 Principles to provide atraumatic care - answer- 1. Prevent or minimize separation
from family
2. Promote sense of control
3. Prevent or minimize bodily injury or pain
Which nursing intervention is most effective in providing atraumatic care to a 3-year-
old boy preparing for major surgery?
A. Explain to the child that he will only be away from his parents for a short time.
B. Allow a parent to accompany the child to the preoperative holding area.
C. Give the child a teddy bear from the hospital's toy closet.
D. Hold the child's hand as you accompany the child to the preoperative holding
area. - answer- B- Allows for atraumatic care- minimizes separation from family
The nurse is assigned to care for a chronically ill child who is hospitalized. The child
is 14 months old, and is the youngest of 9 children ranging in age from 2 months to
17 years. Which nursing action is the best example of enhancing family-centered
care?
A. The nurse answers the call light promptly.
B. The nurse asks the mother to describe the child's feeding history.
AND ANSWERS
Normal Premature Infant Vital Signs - answer- HR: 110-170
BP: 55/35-75/45
RR: 40-70
Normal 0-3 month Infant Vital Signs - answer- HR: 110-160
BP: 65/45-85/55
RR: 35-55
Normal 3-6 month Infant Vital Signs - answer- HR: 110-160
BP: 70/50-90/65
RR: 30-45
Normal 6-12 month Infant Vital Signs - answer- HR: 90-160
BP: 80/55-100/65
RR: 22-38
Normal 1-3 year old Vital Signs - answer- HR: 80-150
BP: 90/55-105/70
RR: 22-38
Normal 3-6 year old Vital Signs - answer- HR: 70-120
BP: 95/60-110/75
RR: 20-24
Normal 6-12 year old Vital Signs - answer- HR: 60-110
BP: 110/60-120/75
RR: 16-22
Normal >12 year old Vital Signs - answer- Same as adult
HR: 60-100
BP: 110/65-135/85
RR: 12-20
Goal of Healthy People 2030 for Children - answer- Increase the proportion of
children who are ready for school in all five domains of healthy development:
physical development, social-emotional development, approaches to learning,
language, and cognitive development
What does breastfeeding reduce the risk for? - answer- Obesity, diabetes, SIDS,
lung dx, HTN, CV risk, renal disease, infection (IgA)
When should dental care begin in children? - answer- At first tooth erruption
-Start with soft cloth
-At 18mo: pea size amount of toothpaste
, When are labs drawn for lead levels? - answer- -Only if a risk is identified
--Risk assessments done at all well child visits 6mo-6yo
Acute illnesses causing childhood morbidity - answer- •Respiratory illness=50% of all
acute conditions
•Infections and parasitic dx=11%
•Injuries=15%
What is the leading cause of dealth in children >1 yo? - answer- Unintentional
Injuries
--2nd: Cong. Ana or Suicide
Federal and State funded programs for children - answer- -Medicaid
-WIC
-CHIP
Two Concepts of Family-Centered Care - answer- -Enabling: Creating opportunities
to display current and aquire new abilities/competencies as needed to meet the
needs of child/family
-Empowerment : (how do we help?)- EX. getting the child to PT but mom/dad work
full time.
3 Principles to provide atraumatic care - answer- 1. Prevent or minimize separation
from family
2. Promote sense of control
3. Prevent or minimize bodily injury or pain
Which nursing intervention is most effective in providing atraumatic care to a 3-year-
old boy preparing for major surgery?
A. Explain to the child that he will only be away from his parents for a short time.
B. Allow a parent to accompany the child to the preoperative holding area.
C. Give the child a teddy bear from the hospital's toy closet.
D. Hold the child's hand as you accompany the child to the preoperative holding
area. - answer- B- Allows for atraumatic care- minimizes separation from family
The nurse is assigned to care for a chronically ill child who is hospitalized. The child
is 14 months old, and is the youngest of 9 children ranging in age from 2 months to
17 years. Which nursing action is the best example of enhancing family-centered
care?
A. The nurse answers the call light promptly.
B. The nurse asks the mother to describe the child's feeding history.
