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Older children may complain of sore throat, headaches, aching, and nausea, as well as, other symptoms. [17] Pulse should be checked at distal and proximal sites. Evaluate whether it is normal, bounding, or thready, as well as, compare strength symmetry. Bounding is a stronger than normal pulse and thread a weaker.
The Apgar score is a quick way for health professionals to evaluate the health of all newborns at 1 and 5 minutes after birth and in response to resuscitation. [1] It was originally developed in 1952 by an anesthesiologist at Columbia University, Virginia Apgar, to address the need for a standardized way to evaluate infants shortly after birth.
The pulse may vary due to exercise, fitness level, disease, emotions, and medications. [11] The pulse also varies with age. A newborn can have a heart rate of 100–160 bpm, an infant (0–5 months old) a heart rate of 90–150 bpm, and a toddler (6–12 months old) a heart rate of 80–140 bpm. [12]
These periods are divided into three stages. The first stage occurs in the first 30 minutes of life; during this stage the infant is alert and responsive with heart rate peaking at 160-180 beats per minute and then stabilizes to a baseline rate of 100-120 beats per minute. Crackles upon auscultation and irregular respirations are a normal finding.
Neonatal nurses are a vital part of the neonatal care team and are required to know basic newborn resuscitation, be able to control the newborn's temperature and know how to initiate cardiopulmonary and pulse oximetry monitoring. [1] Most neonatal nurses care for infants from the time of birth until they are discharged from the hospital.
Pediatric advanced life support (PALS) is a course offered by the American Heart Association (AHA) for health care providers who take care of children and infants in the emergency room, critical care and intensive care units in the hospital, and out of hospital (emergency medical services (EMS)). The course teaches healthcare providers how to ...
The child responds in his or her usual way to environmental stimuli. Look (gaze) Abnormal: Vacant stare with lack of eye contact. The child may not seem to recognize normal caregivers. Normal: Child is able to make eye contact; Speech Abnormal: The child is unable to express himself or herself age-appropriately.
Example pain assessment chart based on the Wong–Baker Faces Pain Rating Scale. Assessment of pain in children depends on the cooperation and developmental stage of the child. Some children cannot assist in their assessment because they have not matured enough cognitively, emotionally, or physically. [12]