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Pediatrics Ch22.
Pulse & Respirations
| Question | Answer |
|---|---|
| What does a nurse feel when the pulse is being taken | Wave of blood as it is forced through the artery |
| The pulse and respiratory rate of a newborn are ____ | High |
| The ____ and ____ ___ of a newborn are high | Pulse and respiratory |
| How is the pulse of an older child taken | Just like that of an adult |
| How is the pulse of a child under 5 taken | Apically |
| Where is the apical pulse heard | At the apex of the heart – between 4th and 5th intercostals space, midclavicular |
| How long does the nurse count the pulse rate | 1 full minute |
| What are the most common sites for checking the pulse of a child over 5 | Radial, temporal, mandibular, carotid |
| Where can the pulse be checked | Any area where a large artery runs across a bone and has little soft tissue around it |
| When would it be inappropriate to check a child’s carotid pulse | In infants with chubby cheeks |
| Where is the temporal pulse located | Just in front of the ear |
| Where is the mandibular pulse located | On the lower jawbone |
| Where is the carotid pulse located | On each side of the front of the neck |
| Where is the femoral pulse located | In the groin |
| Which pulse is assessed just in front of the ear | Temporal |
| Which pulse is assessed on the lower jawbone | Mandibular |
| Which pulse is assessed on each side of the front of the neck | Carotid |
| Which pulse is assessed in the groin | Femoral |
| How are a child’s respirations counted | The same as for an adult = note the number of times the chest rises and falls in 1 minute |
| Regarding respirations, what is important in determining the patient’s general condition | Rate and Character |
| What vital sign relationships should be assessed | Pulse rate to Temperature to Respiratory rate |
| The ___ ____ will increase as the ____ increases because of the increased ____ ____ and increased ____ ____ needs that occur with an elevated ____ | Pulse rate – Temperature – Cardiac output – Oxygen consumption – Temperature |