The Paediatric Patient - Respiratory Status Assessment
1. What would usually be the breath sounds of a child or infant with croup?

Stridor
Wheeze
Quiet

2. What would usually be the breath sounds of a child or infant with a normal RSA?

Wheeze
Quiet
Stridor

3. What would usually be the pulse rate of an infant with a normal RSA?

80-100
100-160
80-120
120-160

4. What would usually be the conscious state of a child or infant in respiratory distress?

Conscious, alert, active
May be altered or unconscious

5. What would usually be the general appearance of a child or infant in respiratory distress?

May be anxious
Quiet, calm

6. What would usually be the pulse rate of a small child with a normal RSA?

80-100
80-120
100-160
120-160

7. What would usually be the pulse rate of a large child with a normal RSA?

120-160
80-120
80-100
100-160

8. What would usually be the respiratory effort of a child or infant in respiratory distress?

Little effort with small chest movement
Grunting, retraction, use of accessory muscles

9. What would usually be the respiratory rate of a large child with a normal RSA?

20-35
40-60
20-50
15-25

10. What would usually be the pulse rate of a newborn with a normal RSA?

120-160
100-160
80-100
80-120

11. What would usually be the respiratory rate of an infant with a normal RSA?

40-60
20-35
15-25
20-50

12. What would usually be the breath sounds of a child or infant with asthma?

Quiet
Stridor
Wheeze

13. What would usually be the conscious state of a child or infant with a normal RSA?

Conscious, alert, active
May be altered or unconscious

14. What would usually be the respiratory effort of a child or infant with a normal RSA?

Little effort with small chest movement
Grunting, retraction, use of accessory muscles

15. What would usually be the skin condition of a child or infant with a normal RSA?

Warm, pink, dry
Pallor or cyanosis

16. What would usually be the pulse rate of an infant in respiratory distress?

<100 or >170
<75 or >130
<90 or >170
<65 or >100

17. What would usually be the respiratory rate of a newborn with a normal RSA?

20-50
15-25
40-60
20-35

18. What would usually be the speech chacteristics of a child with a normal RSA?

Clear and steady (older children)
Broken or unable to speak (older children)

19. What would usually be the pulse rate of a large child in respiratory distress?

<100 or >170
<75 or >130
<90 or >170
<65 or >100

20. What would usually be the skin condition of a child or infant in respiratory distress?

Warm, pink, dry
Pallor or cyanosis

21. What would usually be the general appearance of a child or infant with a normal RSA?

Quiet, calm
May be anxious

22. What would usually be the speech chacteristics of a child in respiratory distress?

Broken or unable to speak (older children)
Clear and steady (older children)

23. What would usually be the pulse rate of a newborn in respiratory distress?

<75 or >130
<90 or >170
<100 or >170
<65 or >100

24. What would usually be the respiratory rate of a small child with a normal RSA?

40-60
20-35
20-50
15-25

25. What would usually be the pulse rate of a small child in respiratory distress?

<100 or >170
<75 or >130
<65 or >100
<90 or >170

26. Which of the following groups, are clinical signs to look for in "Children" with Hypoxia?

Restlessness, tachypnoea, tachycardia (badycardia as a late sign) and cyanosis.
Lethargy, bradycardia, hypotention, apnoea, pallor.
Sweating (uncommon in infants), tachycardia, bounding pulse, hypertension, pupillary dilatation, (cardiovascular and CNS depression as a late sign).

27. Which of the following groups, are clinical signs to look for in "Infants" with Hypoxia?

Sweating (uncommon in infants), tachycardia, bounding pulse, hypertension, pupillary dilatation, (cardiovascular and CNS depression as a late sign).
Restlessness, tachypnoea, tachycardia (badycardia as a late sign) and cyanosis.
Lethargy, bradycardia, hypotention, apnoea, pallor.

28. Which of the following groups, are clinical signs to look for in "Children" or "Infants" with a manifestation of Carbon Dioxide Retention?

Sweating (uncommon in infants), tachycardia, bounding pulse, hypertension, pupillary dilatation, (cardiovascular and CNS depression as a late sign).
Restlessness, tachypnoea, tachycardia (badycardia as a late sign) and cyanosis.
Lethargy, bradycardia, hypotention, apnoea, pallor.

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