The nurse is assessing heart rate for children on the pediatric ward. What is a normal finding based on developmental age?
An infant's rate is 90 bpm.
A toddler's rate is 150 bpm.
A preschooler's rate is 130 bpm.
A school-age child's rate is 50 bpm.
The Correct Answer is A
A. An infant's rate is 90 bpm.
An infant's normal heart rate typically ranges from 70 to 150
B. A toddler's rate is 150 bpm.
The normal heart rate for a toddler usually ranges from 70 to 130. Therefore a rate of 150 bpm would be considered tachycardia in a toddler.
C. A preschooler's rate is 130 bpm.
The normal heart rate for a preschooler typically ranges from 80 to 120 bpm, with an average rate around 100-110 bpm. A rate of 130 bpm would be considered tachycardia in a preschooler.
D. A school-age child's rate is 50 bpm.
The normal heart rate for a school-age child usually ranges from 75 to 118 bpm. A rate of 50 bpm would be considered bradycardia in a school-age child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Speak to the child using mature language and appeal to his or her desire for self-care. - School-age children are typically more independent and responsive to mature communication. Acknowledging their desire for self-care fosters cooperation during the examination process.
B. Include the child in all parts of the examination: speak to the caregiver before and after the examination. - While involving the child in the examination process is important, school-age children may prefer direct communication rather than primarily interacting with caregivers.
C. Keep up a running dialogue with the caregiver, explaining each step as you do it. - While
involving caregivers in the examination process is important, maintaining a dialogue primarily with them may not fully engage the child during the assessment.
D. Address the child by name; speak to the caregiver and do the most invasive parts last. - While considering the child's comfort and addressing them directly is essential, school-age children
may respond better to direct communication rather than deferring to caregivers for discussion
Correct Answer is D
Explanation
A. Negative behaviors characterized by the need for autonomy: While toddlers may exhibit negative behaviors as they assert their independence, this is not the defining characteristic of psychosocial development during this stage.
B. Demonstrations of sexual curiosity: Sexual curiosity typically emerges during the preschool and early school-age years rather than during toddlerhood.
C. Imaginary playmates: Imaginary playmates are more commonly seen during the preschool years, not necessarily during toddlerhood.
D. Erikson's stage of initiative versus guilt: This stage, occurring during early childhood (ages 3 to 6 years), is characterized by the child's growing sense of initiative in exploring and interacting with the world balanced against the potential for feeling guilty about their actions. It involves developing a sense of purpose and direction in life while navigating feelings of competence versus inadequacy.
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