Exam 6: Communication and Physical Assessment of the Child

What is the earliest age at which a satisfactory radial pulse can be taken in children?

The nurse observes yellow staining in the sclera of eyes,soles of feet,and palms of hands.This should be interpreted as:

Parents of a newborn are concerned because the infant's eyes often "look crossed" when the infant is looking at an object.The nurse's response is that this is normal based on the knowledge that binocularity is normally present by what age?

During a funduscopic examination of a school-age child,the nurse notes a brilliant,uniform red reflex in both eyes.The nurse should recognize that this is a(n):

Which following parameters correlate best with measurements of the body's total protein stores?

While caring for a critically ill child,the nurse observes that respirations are gradually increasing in rate and depth,with periods of apnea.What pattern of respiration will the nurse document?

A nurse is assessing a patient admitted for an asthma exacerbation.Which breath sounds does the nurse expect to assess?

Which is most important to document about immunizations in the child's health history?

Which is the most appropriate vision acuity test for a child who is in preschool?

A nurse is planning to use an interpreter during a health history interview of a non-English speaking patient and family.Which nursing care guidelines should the nurse include when using an interpreter? (Select all that apply.)

What type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?

Which approach would be best to use to ensure a positive response from a toddler?

Which communication technique should the nurse avoid when interviewing children and their families?

A nurse is preparing to perform a physical assessment on a toddler.Which approach should the nurse use for this child?

The nurse is interviewing the mother of an infant.She reports,"I had a difficult delivery,and my baby was born prematurely." This information should be recorded under which of the following headings?

When palpating the child's cervical lymph nodes,the nurse notes that they are tender,enlarged,and warm.What is the best explanation for this?

What is the single most important factor to consider when communicating with children?

The nurse has a 2-year-old boy sit in "tailor" position during palpation for the testes.What is the rationale for this position?

An 8-year-old girl asks the nurse how the blood pressure apparatus works.The most appropriate nursing action is to:

The nurse is meeting a 5-year-old child for the first time and would like the child to cooperate during a dressing change.The nurse decides to do a simple magic trick using gauze.This should be interpreted as: