PNP Vital Signs
Terms
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- Neonate
-
HR 80-180
RR 30-60
Bp 60-90/ 20-60 - Infant Vital Signs
-
HR 75-160
RR 30-60
Bp 87-105/53-66 - Toddler Vital Signs
-
HR 60-110
RR 24-40
Bp 95-105/ 53-66 - Preschooler Vital Signs
-
HR 60-110
RR 22-34
Bp 95-110/56-70 - School Age Vital Signs
-
HR 60-110
RR 18-30
Bp 97-112/ 57-71 - Adolescent Vital Signs
-
HR 50-90
RR 12-16
Bp 112-128/66-80 -
Average weight gain
0-3 months -
Average weekly gain 8oz weight
Average monthly gain 3.5cm -
Average wt/ht gain
3-6 months -
Average weekly gain 5 oz
Birth weight double by 4-6mo
Average montly gain 2 cm -
Average wt/ht gain
6-12mo -
Average weekly gain 3-5oz
Birth weight triples by 1 yr
Average monthly gain 1-1.5cm -
Average wt/ht gains
1-3 year -
Average yearly wt gain 4.4-6.6 pounds
Average yearly ht gain:
1-2yr: 12cm
2-3yr: 6-8cm
Height at 2yr is approx half of adult height -
Average wt/ht gains
3-6yr -
Average yealy wt gain 4-6 pounds
Averaly yearly ht gain 6-8cm -
Average wt/ht gains
6-12yr -
Average yearly wt gain 4-6 pounds
Average yearly ht gain 5cm - BMI < 14 years
-
Expected parameters
19-20 - BMI >15 years
-
Expected parameters
25 -
Teeth eruption:
lower incisors - 6 months
-
Teeth eruption:
central incisors - 6-8 months
-
Teeth eruption:
lateral incisors - 7-9 months
-
Teeth eruption:
1st molars - 12-24 months
-
Teeth eruption:
cuspids - 16-18 months
-
Teeth eruption:
2nd molars - 20-24 months
-
Teeth eruption:
All primary teeth - Erupt by 2 years
-
Teeth eruption:
Permanent teeth - Erupt 5-6 years, with all 32 by teens
- Closing of posterior fontanelle
- 4 months
- Closing of anterior fontanelle
-
Decreases in size at 6mo
Closes at 9-18 months -
Sinuses:
ethmoid - aerated at birth
-
Sinuses:
maxillary - aerated at birth
-
Sinuses:
Frontal - aerated by 5-6 years
-
Sinuses:
Sphenoid - aerated by 5-6 years
- Tanner Stage 1 Hair
-
Prepubertal
No true pubic hair - Tanner 2 Hair
-
Sparse growth of slighlty pigmented, downy hair
Only slight curl
Mainly at base of penis or along labia - Tanner 3 Hair
- Increase in hair, which is becoming coarses, curled and darker
- Tanner 4 Hair
-
Adult type hair, but limited in area
No spread to medial surface of thighs. - Tanner 5 Hair
- Adult type hair with spread to thighs
- Tanner 1 breast development
-
Prepubertal
Elevation of papilla only - Tanner 2 Breast development
-
Breast bud stage
Elevation of breast and papilla as small mound.
Increase diamete or areola - Tanner 3 Breast development
- Further enlargement of breast and areola with no separation of contours
- Tanner 4 Breast development
- Areola projected above level of breast as secondary mound
- Tanner 5 Breast development
-
Mature stage
Recession of areola mound to the general contour of breast.
Projection of only papilla. -
Eye exam
0-2 years -
Examine eyelids/orbits/external anatomy
Assess pupils & red reflex
Alignment/motility
>3mo should fix
corneal light reflex
Vision with unilteral cover test
Visual acuity
1yr: 20/40, 180 degree range -
Eye exam
3-5 years -
Opthalmoscopy after age 4yr
Alignment
Unilateral cover test at 10ft
Vision
abnormal < 4 of 6 correct on a line
Visual acuity
3-4yr: 20/30 -
Eye exam
>6yrs -
Opthalmoscopy with vision
Alignment with unilateral cover test
Snellen at 10ft
Visual acuity
6yr: 20/25 or 20/20