Question

A nurse is assessing a 3-year-old toddler at a well-child visit: True/ False Which of the following manifestations should the nurse report to the provider?

a) Blood pressure 90/50 mm Hg
b) Respiratory rate 45/min
c) Weight 14: True/ False5 kg (32 lb)
d) Heart rate 110/min

Answer 1

The nurse should report to the provider includes Bloop pressure, Respiratory rate and Heart rate.

a) Blood pressure 90/50 mm Hg: True (High for a 3-year-old)

b) Respiratory rate 45/min: True (High; normal is 20-30 breaths/min)

c) Weight 14.5 kg (32 lb): False (Within typical range)

d) Heart rate 110/min: True (High; normal is around 80-130 beats/min)

Step-by-step explanation:

The normal vital signs for a 3-year-old toddler are as follows:

a) Blood pressure 90/50 mm Hg: False (This blood pressure is high for a 3-year-old. Normal blood pressure for a 3-year-old is typically around 80-100/34-64 mm Hg.)

b) Respiratory rate 45/min: False (This respiratory rate is high. Normal respiratory rate for a 3-year-old is typically around 20-30 breaths per minute.)

c) Weight 14.5 kg (32 lb): True (Weight can vary, but this falls within a typical range for a 3-year-old.)

d) Heart rate 110/min: False (This heart rate is high. Normal heart rate for a 3-year-old is typically around 80-130 beats per minute.)

The nurse should report the high blood pressure, high respiratory rate, and high heart rate to the healthcare provider for further evaluation.