ATI pediatrics proctored exam

Chapter 1: Family centered nursing care

1. Parenting styles

-Dictatorial or authoritarian:

-Parents try tocontrolthe child’s behaviors and attitudes through

unquestioned rules and expectations

-Ex:the child is never allowed towatch television on school nights

-Permissive:

-Parents exert little or no control overthe child’s behaviors, and consultthe

child when making decisions

-Ex:the child assists with deciding whether he will watch television

-Democratic or authoritative:

-Parents directthe child’s behavior by setting rules and explainingthe reason

for each rule setting

-Ex:the child can watch television for 1 hr on school nights after

completing all of his homework and chores

-Parents negatively reinforce deviations formthe rules

-Ex:the privilege is taken away but later reinstated based on new

guidelines

Chapter 2: Physical assessment findings

1. Vital signs

-Usually vital signs are all high except for BP

-Temperature:

-3 – 6 months 99.5

-1 year 99.9

-3 year 99.0

-5 years 98.6

-7 years 98.2

-9 – 11 years 98.1

-13 years 97.9

-Pulse:

-Newborn 80 – 180/min

-1 weeks – 3 months 80 – 220/min

-3 months – 2 years 70 – 150/min

-2 – 10 years 60 – 110/min

-10 years and older 50 – 90/min

-Respirations:

-Newborn – 1year 30 – 35/min

-1 – 2 years 25 – 30/min

-2 – 6 years 21 – 25/min

-6 – 12 years 19 – 21/min

-12 years and older 16 – 19/min

-Blood pressure:

-Low as a baby but increasesthe older they get

-Infants:

-Systolic: 65-78

-Diastolic: 41-52

2. Head

-Fontanels should be flat

-Posterior fontanel:

-Closes by 6-8 weeks

-Anterior fontanel:

-Closes by 12-18 months

3. Teeth

-Infants should have 6-8 teeth by 1 year old

-Children and adolescents should have teeth that are white and smooth, and begin

replacingthe 20 deciduous teeth with 32 permanent teeth

4. Infant Reflexes

Stepping Birth to4 weeks