ATI RN
ATI RN Nursing Care of Children 2019 Questions
Extract:
2-year-old child at a well-child visit with vital signs
Question 1 of 5
A nurse in a provider's office is assessing the vital signs of a 2-year-old child at a well-child visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure 118/74 mm Hg. This finding is abnormal for a 2-year-old child as the blood pressure is elevated. Normal blood pressure in children varies with age, height, and gender. Elevated blood pressure in children can be a sign of underlying health issues such as heart or kidney problems. The nurse should report this finding to the provider for further evaluation and management.
Choice B: Respiratory rate 26/min is within the normal range for a 2-year-old child.
Choice C: Pulse rate 98/min is within the normal range for a 2-year-old child.
Choice D: Temperature 37.2°C (99°F) is within the normal range for a 2-year-old child.
Therefore, choices B, C, and D are not concerning findings for a 2-year-old child's well-child visit.
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