Pediatric Pain Assessment
Assessement 2
Assessment 3
Assessment 4
100

This pain scale is commonly used for infants and young children, based on facial expressions and body movements.

What is FLACC (Face, Legs, Activity, Cry, Consolability)

100

This reflex, present at birth, causes the baby to turn their head toward a stimulus on their cheek and open their mouth.

What is rooting?

100

The posterior fontanelle typically closes by this age.

What is 2-3 months?

100

Normal urinary output for child

2ml per kg per hour

200

This tool is often used for children ages 3 to 8 to describe their pain intensity by using faces to express emotions.

What is Wong-Baker Faces Pain Rating Scale?

200

This reflex is seen when an infant’s finger is placed in their palm, and they grasp tightly around it.

palmar grasp?

200

A persistent bulging fontanelle, even when the infant is not crying, could suggest this

What is hydrocephalus?

200

On a growth chart, what percentile should child fall in between

What is between 5th and 95th

300

The best time to check blood pressure on an infant

while they are sleeping

300

An involuntary reaction that occurs when an infant feels as if they are suddenly falling or when they hear a loud sound

Moro reflex

300

This physical exam measurement is often taken for infants to monitor their growth and development, especially during the first year.

What is head circumference?

300

The normal range for respiratory rate in an infant is

25-55 bpm

400

Formula to check for hypotension on a patient between (1 and 10 years old)

Systolic BP is <70 mmHg + (age in years x 2)

400

The maximum volume an infant can receive in the vastas lateralis

1mL

400

When performing a pediatric physical exam, which vital sign should you assess first

What is Respirations?

400

The normal heart rate for a toddler is

70-110

500

This is the most common non-pharmacological pain management technique used in pediatric patients.

What is distraction (e.g., using toys, music, or breathing exercises)

500

This reflex is elicited when the baby’s toes fan out and their big toe dorsiflexes upon stroking the sole of the foot. It's normal in infants but may indicate neurological issues if present later in life

What is Babinski reflex?

500

When performing a pediatric exam on an infant, what should be your approach if the baby is anxious or crying

What is to allow the caregiver to hold the infant for comfort?

500

A healthcare professional who specializes in supporting children and their families through hospitalization and medical treatments.

What is a child life specialist