Kayla Weber Maternity, Pediatric First Exam Week 1& 3 Growth and development

Kayla Weber Maternity/Pediatric First Exam Week 1& 3 Growth and development

Kayla Weber Maternity/Pediatric First Exam Week 1& 3 Growth and development 1. Pediatric Nursing a. Assessment quick review! a. Check for moist membranes, turgor and presence of tears b. Physical Assessment-Pediatric Variations approach slowly, gain trust c. Focused Interview – take developmental stage into consideration d. Also ask if they family eats dinner together for at least one meal for bonding and social skills e. Kids that grow at a slower rate look at genetic factors f. Nose breathers up to 6 months b. VS… assess RR, HR, TEMP, BP a. HYPOTENSION is a late sign of illness/decompensation in children i. Check CPR for perfusion b. Listen apically to heart for full minute to count heart rate c. Newborn: i. RR: 30-50 ii. HR: 120-160 iii. Systolic BP: 50-70 iv. Weight kg: 2-3 v. Weight lbs.: 4.5-7 d. Infant i. Infants when they cry increases HR and BP ii.Urine output: infant and toddlers: 1-2mL/kg/hr iii. RR: 20-30 iv. HR: 80-140 v. Systolic BP: 70-100 vi. Weight kg: 4-10 vii. Weight lbs: 9-22 e. Toddler i. Urine output: infant and toddlers: 1-2mL/kg/hr ii. RR: 20-30 iii. HR: 80-130 iv. Systolic BP: 80-110 v. Weight kg: 10-14 vi. Weight lbs: 22-31 f. Preschool i. RR: 20-30 ii. HR: 80-120 iii. Systolic BP: 80-110 iv. Weight kg: 14-18 v. Weight lbs: 31-40 g. School age i. RR: 20-30 ii. HR: 70-110 iii. Systolic BP: 80-120 iv. Weight kg: 20-42 v. Weight lbs: 41-92 h. Adolescent i. Urine output: adolescents: 0.5mL/kg/hr ii. RR: 12-20 iii. HR: 55-105 iv. Systolic BP: 110-120 v. Weight kg: >50 vi. Weight lbs: >110