Pediatric Vital Signs Pediatrics: Assessment PEDIATRIC VITAL SIGNS CHEAT SHEET HEART RATE AGE HEART RATE Neonate (1-28 days) 110 - 180 bpm Infant (1-12 months) 110 - 160 bpm Toddler (1-3) 80 - 110 bpm Preschool Child (3-6) 70 - 110 bpm School-age Child (6-12) 65 - 105 bpm Adolescent (12-18) 60 - 100 bpm RESPIRATORY RATE AGE RESPIRATORY RATE Neonate (1-28 days) 30 - 60 breaths/min Infant (1-12 months) 30 - 60 breaths/min Toddler (1-3) 24 - 40 breaths/min Preschool Child (3-6) 22 - 34 breaths/min School-age Child (6-12) 18 - 30 breaths/min Adolescent (12-18) 12 - 18 breaths/min BLOOD PRESSURE AGE SYSTOLIC DIASTOLIC SYSTOLIC HYPOTENSION Neonate (1-28 days) 60 - 90 20 - 60 <60 (0-28 days old) Infant (1-12 months) 70 - 105 35 - 55 <70 (1mo - 12mo) Toddler (1-3) 85 - 105 40 - 65 <70 + (age in year x 2) Preschool Child (3-6) 90 - 110 45 - 70 <70 + (age in year x 2) School-age Child (6-12) 97 - 120 55 -70 <70 + (age in year x 2) Adolescent (12-18) 110 - 130 65 - 80 <90 TEMPERATURE AGE TEMPERATURE Infants - children < 5 years old (the younger the child, the higher the baseline temperature) Rectum: 97.9oF (36.6oC) - 100.4oF (38oC) Oral: 95.9oF (35.5oC) - 99.5oF (37.5oC) Axillary: 97.8oF (36.5oC) - 99.5oF (37.5oC) Ear: 96.4oF (36.7oC) - 100.4oF (38oC) Children > 5 years old 98.6oF (37oC) OXYGEN SATURATION GOAL ALWAYS: > 95% SpO2 TEST TIP Focus on the highlighted information! Most exams focus on heart rate, respiratory rate & blood pressure, speciﬁcally in the neonate, infant & toddler age ranges, as these are the MOST vulnerable clients. *Ranges will vary by text book & nursing school. These vital signs were veriﬁed by 5 text books and NCLEX standards.