Which one of the following approaches would be best to use to ensure a receptive response from a toddler? Show Focus communication on the child and tell him or her how a procedure will feel. Call the toddler's name while picking him or her up. Call the toddler's name and say, "I am your nurse." Stand by the toddler, addressing him or her by name. Upgrade to remove ads Only ₩37,125/year
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Get faster at matching terms Terms in this set (46)The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first? a. Introduce himself or herself. A Which action is most likely to encourage parents to talk about their feelings related to their child's illness? a. Be sympathetic. C What is the single most important factor to consider when communicating with children? a. The child's physical condition. C What is an important consideration for the nurse who is communicating with a very young child? a. Speak loudly, clearly, and
directly. B When introducing hospital equipment to a preschooler who seems afraid, the nurse's approach should be based on which principle? a. The child may think the equipment is alive. A Which age group is most concerned with body integrity? a. Toddler. C An 8-year-old girls asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is to: a. Ask her why she wants to know. C When the nurse interviews an adolescent, it is especially important to: a. Focus the discussion on the peer group. B The nurse is having difficulty communicating with a hospitalized 6-year-old child. What technique may be most helpful? a. Suggest that
the child keep a diary. D The nurse is taking a health history on an adolescent. What best describes how the chief complaint should be determined? a. Ask for a detailed listing of symptoms. B Where in the health history should the nurse describe all details related to the chief complaint? a. Past history. C 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? a. Birth history. A When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. This should be considered because these milestones are: a. Unnecessary information because the child is age 3 years. C The nurse is taking a sexual history on an adolescent girl. The best way to determine whether she is sexually active is to: a. Ask her, "Are you sexually active?" B When doing a nutritional assessment on an Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. The nurse should recognize that this diet: a. Indicates that they live in poverty. C Which parameter correlates best with measurements of the body's total protein stores? a. Height. D An appropriate approach to performing a physical assessment on a toddler is to: a. Always proceed in a head-to-toe direction. C With the National Center for Health Statistics (NCHS) criteria, which body mass index (BMI)-for-age percentile indicates a risk for being overweight? a. 10th percentile. C The nurse is using the NCHS growth chart for an African-American child. The nurse should consider that: a. This growth chart should not be used.
D Which tool measures body fat most accurately? a. Stadiometer. B By what age do the head and chest circumferences generally become equal? a. 1 month. C The earliest age at which a satisfactory radial pulse can be take in children is: a. 1 year. B Where is the best place to observe for the presence of petechiae in dark-skinned individuals? a. Face. C When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation for this is: a. Some form of cancer. D 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. The most appropriate action is to: a. Refer for immediate medical evaluation. A The nurse should expect the anterior fontanel to close at age: a. 2 months. D 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 his is: a. A normal finding. A Binocularity, the ability to fixate on one visual field with both eyes simultaneously, is normally present by what age? a. 1 month. B The most frequently used test for measuring visual acuity is the : a. Denver Eye Screening test. D The nurse is testing an infant's visual acuity. By what age should the infant be able to fix on and follow a target? a. 1 month. C The appropriate placement of a tongue blade for assessment of the mouth and throat is the: a. The center back area
of the tongue. B 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? a. Vesicular. A What term is used to describe breath sounds that are produced as air passes through narrowed passageways? a. Rubs. C The nurse must assess a child's capillary filling time. This can be accomplished by: a. Inspecting the chest. D What heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood? a. S1, S2 C The nurse has a 2-year-old boy sit in "tailor" position during palpation for the testes. The rationale for this position is that: a. It prevents cremasteric reflex. A During examination of a toddler's extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is: a. Abnormal and requires further investigation. D Kimberly is having a checkup before starting kindergarten. The nurse asks her to do the "finger-to-nose" test. The nurse is testing for: a. Deep tendon reflexes. B 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: a. Inappropriate, because of child's age. B 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 may happen next. Which initial action by the nurse would be most appropriate? a. Initiate a game of peek-a-boo. A 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? a. Teach the parents appropriate exercises. C 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 in determining the appropriate-size blood pressure cuff? (Select all that apply) a. The cuff is labeled "toddler." B,C Which data would be included in a health history? (Select all that apply) a. Review of systems. ACEF A school nurse is screening children for scoliosis. Which assessment findings should the nurse expect to observe for scoliosis? (Select all that apply) a. Complaints of a sore back. BCE A nurse is performing an assessment on a school-age child. Which findings suggest the child is receiving an excess of vitamin A? (Select all that apply) a. Delayed sexual development. ACD 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) a.
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How do you do a pediatric head to toe assessment?Head, Ears, Eyes, Nose, Throat (HEENT). Observe head tilt.. Inspect skull and scalp.. Inspect facial features.. Palpate head and scalp.. Auscultate temporal arteries if appropriate.. Observe the color of lips and moistness.. Inspect teeth and gums.. Assess buccal mucosa and palate.. When interviewing the mother of a 3 year old child the nurse asks about developmental milestones this should be considered?When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. This should be considered because these milestones are: An important part of the child's past growth and development.
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Which of the following is an appropriate approach to performing a physical assessment on a toddler?
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