Exam 4: Communication and Physical Assessment of the Child and Family

During a routine health assessment, the nurse notes that an 8-month-old infant has significant head lag. Which is the nurse's most appropriate action?

What is the correct sequence used when performing an abdominal assessment? Begin with the first technique and end with the last. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d). A) Auscultation B) Palpation C) Inspection D) Percussion

A nurse is preparing to test a school-age child's vision. Which eye chart should the nurse use?

A nurse is preparing to assess a 3-year-old child. What communication technique should the nurse use for this child?

During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. How should the nurse interpret this finding?

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

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

During examination of a toddler's extremities, the nurse notes that the child is bowlegged. What should the nurse recognize regarding this finding?

The nurse is using calipers to measure skinfold thickness over the triceps muscle in a school-age child. What is the purpose of doing this?

The nurse has determined the rate of both the child's radial pulse and heart. What is the normal finding when comparing the two rates?

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

A nurse is performing an otoscopic exam on a school-age child. Which direction should the nurse pull the pinna for this age of child?

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. How should this action be interpreted?

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?

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

The nurse is having difficulty communicating with a hospitalized 6-year-old child. What technique might be most helpful?

The nurse must check vital signs on a 2-year-old boy who is brought to the clinic for his 24-month checkup. What criteria should the nurse use in determining the appropriate-size blood pressure cuff? (Select all that apply.)

The nurse must assess a 10-month-old infant. The infant is sitting on the father's lap and appears to be afraid of the nurse and of what might happen next. Which initial action by the nurse would be most appropriate?

Where is the appropriate placement of a tongue blade for assessment of the mouth and throat?

Which of the following data would be included in a health history? (Select all that apply.)