Physical Examination and Health Assessment 8th Edition 0323510809
Chapter 29: The Complete Physical Assessment: Infant, Young Child, and Adolescent Jarvis: Physical Examination and Health Assessment, 8th Edition MULTIPLE CHOICE 1. A 5-year-old child is in the clinic for a checkup. When performing the physical examination,
what would the nurse expect? a. Needs to be held on his mother’s lap. b. Is able to sit on the examination table. c. Is able to stand on the floor for the examination. d. Is able to remain alone in the examination room. ANS: B
At 4 or 5 years old, a child usually feels comfortable on the examination table. Older infants and young children aged 6 months to 2 or 3 years should be positioned in the parent’s lap. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Health Promotion and Maintenance 2. When assessing the neonate, the nurse should test for hip stability with which method? a. Eliciting the Moro reflex b. Performing the Romberg test c. Assessing the stepping reflex d. Checking for the Ortolani sign ANS: D
The nurse should test for hip stability in the neonate by testing for the Ortolani sign. The other tests are not appropriate for testing hip stability. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Health Promotion and Maintenance 3. Which of these actions is most appropriate to perform on a 9-month-old infant at a well-child
checkup? a. Testing for Ortolani sign b. Blood pressure measurement c. Assessment for stereognosis d. Assessment for the presence of the startle reflex ANS: A
Until the age of 12 months, the infant should be assessed for Ortolani sign. If Ortolani sign is present, then it could indicate the presence of a dislocated hip. The other tests are not appropriate for a 9-month-old child. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Health Promotion and Maintenance 4. A fourteen-year-old male is being seen at the clinic for a well-person exam. How should the
nurse proceed? a. Defer assessment of the inguinal area for hernias. b. Have the patient remain in his street clothes and work around them.
Chapter 29 - The Complete Physical Assessment Infant Young Child and Adolescent
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