ATI Physical Assessment Findings- Expected Values

Expected temp for 3-6 months

37.5 degrees Celsius (99.5)

expected temp for 1 year old

37.7 degrees Celsius (99.9)

expected temp 3 years old

37.2 degrees celsius (99.0)

expected temp 5 years old

37.0 degrees celsius (98.6)

expected temp 7 years old

36.8 degrees celsius (98.2)

expected temp 9-11 years old

36.7 degrees celsius (98.1)

expected temp 13 years old

36.6 degrees celsius (97.9)

pulse for newborn (birth to 4 weeks)

110-160/min

pulse for infant (1-12 months)

90-160/min

pulse for toddler (1-2 years)

80-140/min

pulse for preschooler (3-5 years)

70-120/min

pulse for school age (6-12 years)

60-110/min

pulse for adolescent (13-18 years)

50-100/min

respirations for newborn (birth to 4 weeks)

30-60/min

respirations for infant (1-12 months) and toddler (1-2 years)

25-30/min

respirations for preschooler (3-5 years) and school aged (6-12 years)

20-25/min

respirations for adolescent (13-18)

16-20/min

normal BP for newborn (full term- birth to 4 weeks)

64/41

normal BP for infant (1-12 months)

85/50

normal BP for toddler (1-2 yrs)
male and female

male: 85-91/37-46
female: 86-89/40-49

normal BP for preschooler (3-5 yrs)
male and female

male: 91-98/46-53
female: 89-93/49-52

normal BP for school aged (6-12 years)
male and female

male: 96-106/55-62
female: 94-105/56-62

normal BP for adolescent (13-18)

expected findings and age for sucking and rooting reflexes

-elicited by stroking infant's cheek or edge of infant's mouth
-infant turns head toward side that is touched and starts to suck
-birth to 4 months

expected findings and age for palmar grasp

-elicited by placing object in palm
-infant grasps object
-birth to 4 months

expected findings and age for plantar grasp

-elicited by touching sole of an infant's foot
-infant's toes curl downward
-birth to 8 months

expected findings and age for moro reflex

-elicit: allow head and trunk of infant in semi sitting position to fall backward to 30 degree angle
-arms and legs symmetrically extend, then abduct while fingers spread and form C shape
-birth to 4 months

expected findings and age for tonic neck reflex (fencer position)

-elicit: turn an infant's head to one side
-extend arm and leg on that side and flex arm and leg on opposite side
-birth to 3-4 months

expected findings and age for babinski reflex

-elicit: stroke outer edge of sole of infant's foot up toward toes
-infant toes fan upward and out
-birth-1 year

expected findings and age for stepping

-elicit: hold upright w/ feet touching flat surface
-infant makes stepping movements
-birth to 4 weeks

which reflexes are exhibited from birth to 4 months?

sucking and rooting reflexes, palmar grasp, moro reflex

expected findings: infant + children and adolescents
CN I (Olfactory)

-infant: hard to test
-kids and adolescents: identify smells through each nostril individually

expected findings: infant + children and adolescents
CN II (Optic)

-infant: look at face and track w/ eyes
-kids and adolescents: intact visual acuity, peripheral vision, and color vision

expected findings: infant + children and adolescents
CN III (oculomotor)

-infant: blink in response to light, has pupils that are reactive to light
-kids and adolescents: has no nystagmus and PERRLA is intact

expected findings: infant + children and adolescents
CN IV (trochlear)

infant: looks at face and tracks w/ eyes
kids and adolescents: has ability to look down and in w/ eyes

expected findings: infant + children and adolescents
CN V (trigeminal)

-infant: rooting and sucking reflexes
-kids and adolescents: is able to clench teeth together & detects touch on face w/ eyes closed

expected findings: infant + children and adolescents
CN VI (abducens)

-infant: looks at face and tracks w/ eyes
-kids and adolescents: is able to move eyes laterally toward temples

expected findings: infant + children and adolescents
CN VII (facial)

-infants: has symmetric facial movements
-kids and adolescents: ability to differentiate btwn salty and sweet, symmetric facial movements

expected findings: infant + children and adolescents
CN VIII (acoustic)

-infants: tracks a sound, bling in response to a loud noise
-kids and adolescents: don't experience vertigo, has intact hearing

expected findings: infant + children and adolescents
CN IX (glossopharyngeal)

-infants: intact gag reflex
-kids and adolescents: intact gag reflex, able to taste sour on back of tongue

expected findings: infant + children and adolescents
CN X (Vagus)

infant: no difficulty swallowing
-kids and adolescents: speech clear, no difficulties swallowing, uvula midline

expected findings: infant + children and adolescents
CN XI (spinal accessory)

-infant: move shoulders symmetrically
-kids and adolescents: equal strength of shoulder shrug against examiner hands

expected findings: infant + children and adolescents
CN XII (hypoglossal)

-infant: no difficulty swallowing, open mouth when nares are occluded
-kids and adolescents: tongue that is midline, able to move tongue in all directions w/ equal strength against tongue blade resistance