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

Quiet
Stridor
Wheeze

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

Stridor
Wheeze
Quiet

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

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

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

May be altered or unconscious
Conscious, alert, active

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
100-160
120-160
80-120

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

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

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

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

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

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

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

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

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?

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

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

Pallor or cyanosis
Warm, pink, dry

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

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

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

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

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?

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

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?

May be anxious
Quiet, calm

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

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

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

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

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

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

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

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

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

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).
Lethargy, bradycardia, hypotention, apnoea, pallor.
Restlessness, tachypnoea, tachycardia (badycardia as a late sign) and cyanosis.

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

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

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