Exam 34: Communication, history, physical, and Developmental Assessment

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?

What heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood?

What is the appropriate placement for a tongue blade to assess the mouth and throat?

Which data is included in a health history?

How should the nurse assess a child's capillary filling time?

By what age do the head and chest circumferences generally become equal?

When interviewing the mother of a 3-year-old child,the nurse asks about developmental milestones,such as the age when he started walking without assistance.How should milestones be considered?

The nurse has just started assessing a young child who is febrile and appears very ill.There is hyperextension of the child's head (opisthotonos),with pain on flexion.What is the priority action?

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

The nurse is seeing an adolescent boy and his parents in the clinic for the first time.What should the nurse do first?

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 heading?

During an examination of a toddler's extremities,the nurse notes that the child is bowlegged.How should the nurse document this finding?

A nurse is taking the sexual history of an adolescent girl.Which is the best way to determine whether she is sexually active?

A nurse knows that the patient is experiencing information overload when she observes that the patient is doing one of the following?

According to the WHO Growth Reference Charts,which body mass index (BMI)-for-age percentile indicates a risk for being overweight?

The nurse must check vital signs on a 2-year-old boy who is brought to the clinic for his 24-month checkup.Which criteria should the nurse use to determine the appropriate-size blood pressure cuff?

Which parameter correlates best with measurements of the body's total protein stores?

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

Where in the health history should the nurse describe all the details related to the chief complaint?

What is an important consideration for the nurse who is communicating with a very young child?