Pediatric Vitals
Assessment 101
Vaccines
Priorities
Development
100

Find the abnormal vital sign for a 3 day old infant

heart rate: 160

respiratory rate: 50

temp: 95.7 rectal

BP: 72/45

temp 95.7
100
What age does the anterior fontanelle close?

between 9-15 months

100

Name 2 different types of vaccinations

live, inactivated, toxoid, conjugate

100

You are caring for a client with a history of sickle cell anemia who is in vaso-occlusive crisis. You have orders for IV fluids, labwork, application of heat pack, and a chest x-ray. Which order should be priority?

IV fluids

100

Around what age would you expect an infant to start sitting unsupported?

8-9 months

200

At what age should children start having annual blood pressures?

3 years old

200

Name 3 possible assessment findings in an infant with severe dehydration

sunken fontanelle, delayed capillary refill, lethargy, no tears, tachycardia, dry mucous membranes, sunken eyes, decreased or no urine output

200

What needs to be documented with vaccination administration?

site, route, size of needle, vaccine lot number and expiration

200

You hear a mom on the unit shouting for help. You walk in the room and find the patient seizing with an 02 sat of 82%. What are your priority actions?

Turn patient on side, administer oxygen, call for help

200

according to erikson, which developmental stage are adolescents in?

identity versus role confusion

300

Name 3 different scales used to assess pain

FLACC

Faces

Number scale

300

Name 3 differences in pediatric respiratory system versus adults

obligate nose breathers, shorter airways, narrower airways, airways more easily occluded with secretions/edema

300

What are common side effects after vaccinations?

fever up to 102, redness or swelling at injection site, increased fussiness, increased sleep

300

at triage, you find a client who is febrile, drooling, and is sitting in the tripod position. What are your priority actions?

bring client to room, keep them calm, avoid assessing airway, alert provider, have intubation equipment at bedside
300

According to Erikson, what developmental stage are toddlers in?

autonomy versus shame and doubt

400

Based on knowledge of age related vital signs, select all that are considered abnormal:

a. adolescent with heart rate of 76

b. 6 month old with respiratory rate of 20

c. 3 year old with a heart rate of 140

d. 5 day old with a respiratory rate of 55

b, c

400

Name three cranial nerves and how to assess

1: olfactory

2: optic

3: Oculomotor

4: Trochlear

5: Trigeminal

6: Abducens

7: Facial

8: Acoustic

9: Glossopharyngeal

10: Vagus

11: Spinal Accessory

12: Hypoglossal

400

What vaccinations are added at 12 months?

MMR, Varicella, hep a

400
You are caring for a patient with tetralogy of fallot and need to place an IV. During IV placement, the infant begins to have a drop in oxygen saturation and becomes cyanotic. What is your priority action?

stop IV placement and place infant in knee chest position

400

What are the 4 stages of Piaget development?

sensorimotor, pre-operational, concrete operational, formal operational

500
Name the 5 items that are criteria of the FLACC score (what does each letter stand for?)

Face, legs, activity, cry, consolability

500

Name 5 signs of respiratory failure

extreme irritability, grunting, head bobbing, coughing severe retractions, quiet breathing, tripod position, see saw respirations, hypopnea, weak or absent cry
500

What vaccines are given at 2 months?

rotavirus, dtap, hib, PCV 13, inactivated polio

500

You are caring for a client with a history of hemophilia that arrives with a red and swollen joint after an injury. Which is your priority action?

a. place an IV to administer factor

b. draw labs for a crossmatch

c. place a compression dressing and apply ice


C. place a compression dressing and apply ice

500
Put Erikson's developmental stages in the correct order

identity versus role confusion

autonomy versus shame and doubt

trust versus mistrust

industry versus inferiority

initiative versus guilt

trust versus mistrust

autonomy versus shame and doubt

initiative versus guilt

industry versus inferiority

identity versus role confusion

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