Pediatric Health & Physical Assessment

The nurse is obtaining a health history of a 6-year-old child who is being seen at the clinic for the first time. Which of the following questions should the nurse ask the child during the interview? Select all that apply. A. "What kinds of pets do you have at home?" B. "Can you tell me how many 1 plus 1 makes?" C. "Can you tell me the name of one of your school friends?" D. "Can you tell me the names of any medicines that you take?" E. "What kinds of things do you like to play during recess at school?"

A. "What kinds of pets do you have at home?" B. "Can you tell me how many 1 plus 1 makes?" C. "Can you tell me the name of one of your school friends?"

When performing an otoscope examination on a 2-year-old child, the nurse should pull the pinna A. Down and back B. Down and forward C. Up and back D. Up and forward

A. Down and back

The nurse is measuring an abdominal girth on a child with abdominal distension. Identify the area on the child's abdomen where the tape measure should be placed for an accurate abdominal girth. A. Just above the umbilicus, around the largest circumference of the abdomen B. Below the umbilicus C. Just below the sternum D. Just above the pubic bone

A. Just above the umbilicus, around the largest circumference of the abdomen

The nurse is preparing to perform an examination of a 2-year-old boy. The child's mother is present. At the start of the examination, which of the following actions by the nurse may help to prevent a negative response from the child? A. Refrain from touching the child, and speak directly to the child's mother. B. Gently touch the child's hair while looking directly into his eyes. C. Smile broadly while placing the bell of the stethoscope on the child's chest. D. Ask the child to describe his favorite television show or favorite toy.

A. Refrain from touching the child, and speak directly to the child's mother.

The nurse is preparing to assess a toddler client. Which activities would gain cooperation from the toddler? Select all that apply. A. Asking the parents to wait outside B. Allowing the client to sit in the parent's lap C. Administering vaccinations prior to the assessment D. Handing the patient a stethoscope while taking the health history E. Making a game out of the assessment process

B. Allowing the client to sit in the parent's lap D. Handing the patient a stethoscope while taking the health history

The nurse enters the examination room of a mother and her 8-month-old. The baby is asleep in the mother's arms. Which of the following actions would be best for the nurse to perform at this time? A. Ask the baby's mother for an updated history since the last well-child check. B. Auscultate the baby's heart, lung, and bowel sounds. C. Begin a full body assessment, starting with the baby's head and neck. D. Wake the baby by playing with the baby's toes and feet.

B. Auscultate the baby's heart, lung, and bowel sounds.

Place the nursing assessments of a toddler in the best order. 1. Examination of eyes, ears, and throat 2. Auscultation of chest 3. Palpation of abdomen 4. Developmental assessment A. 1, 3, 2, 4 B. 2, 4. 3, 1 C. 4, 2, 3, 1 D. 3, 4, 1, 2

C. 4, 2, 3, 1 developmental assessment auscultation of chest palpation of abdomen examination of eyes, ears, throat

The nurse has performed a physical assessment on a 4-year-old preschool child who have been referred for potential genitourinary problems. It would be appropriate for the nurse to report to the primary health-care provider that which of the children's findings is not within normal limits? A. Circumcised male child: soft scrotal sac with no palpable masses. B. Female child: wide-spread labia majora. C. Uncircumcised male child: foreskin that resists being retracted. D. Female child: vaginal discharge with fishy odor.

D. Female child: vaginal discharge with fishy odor.

The nurse is assessing the vital signs of a newly admitted patient. To establish an accurate baseline of the patient's respiration, the nurse should do which of the following? A. Instruct the patient to breathe in and to exhale out as he would normally B. Make the patient physically comfortable before beginning the assessment C. Determine if the patient has a history of any chronic respiratory problems D. Observe the patient's chest movements while obtaining a radial pulse

D. Observe the patient's chest movements while obtaining a radial pulse

A nurse is attempting to get a 5-year-old child's cooperation when auscultating heart sounds. Which of the following comments is most likely to elicit the child's cooperation? A. "It's time for me to listen to your heart go boom boom" B. "Did you know that your heart beats in your chest?" C. "Would you like to listen to the sounds your heart makes?" D. "Let me show you a picture of a heart and where I want to listen."

C. "Would you like to listen to the sounds your heart makes?