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NURS 307 PEDS QUIZ 4 Study Guide
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Pediatrics NURS 307 PEDS QUIZ 4 Study Guide
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lOMoARcPSD|3013804PEDS QUIZ 4
Studyguide
Pediatrics (West Coast
University)
, lOMoARcPSD|3013804
QUIZ 4 STUDYGUIDE
VITAL SIGNS newborn – 18 y/o
Newborn/infant 0-30 days
o BP 65-75/40-50
o HR 110-160
o RR 30-60
Infant 30 days-1 year
o BP 75-100/40-60
o HR 100-150
o RR 30-50
Toddler 1-3 years
o BP 85-105/40-60
o HR 90-130
o RR 30-50
Preschooler 3-6 years
o BP 90-110/45-70
o HR 80-110
o RR 20-30
School age 6-12 years o
BP 100-120/60-80
o HR 70-100
o RR 18-25
Adolescents 12-20 years
o BP 110-130/60-80
o HR 55-90
o RR 12-20
Urine output 20-30 mL/hr is normal for pediatrics
o Dehydration
o Body fluid disturbance when output exceeds intake
Fluid losses through skin, respiratory, urinary, or GI tract
o Type
Isotonic
Losing equal amounts of water and electrolytes (sodium) – most
common in children
, lOMoARcPSD|3013804
Hypovolemic shock can happen
Hypotonic
Losing more electrolyte (sodium) than water
Sodium <130
Hypertonic
Losing more fluid (water) than electrolytes (elevation in sodium) –
can be seen in children also
Sodium >150
Neuro changes (irritability, hyperreflexia, change in level of
consciousness)
o Risk factors – same as diarrhea risks
Lack of clean water
Lack of safe handling meat
Lack of eating meat cooked through
Not proper handwashing
Not having vaccinations (2 vaccinations that prevent against GI
infection rotavirus, Hep A)
Viral infection
Raw food
Antibiotics (concerned with C. diff) – antibiotics can kill good bacteria in
gut
o Clinical manifestations
Mild
Weight loss: 3-5% infants / 3-4% children
o Behavior
o Mucous membranes
o Anterior fontanel sunken*
o HR & BP within normal limits*
o Capillary refill greater than 2 sec*
prolonged
o Slight thirst
o Weak distal pulses
Moderate
Weight loss: 6-9% infants / 6-8% children
o Capillary refill 2-4 sec*
prolonged
o Thirst & irritability
o HR slightly increased*
o Normal to low BP*
o Mucous membranes dry
o Tears & skin turgor are decreased
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