Pediatric Examination/Vitals/Stages

Question 1

Examination 0-6 months: if infant is asleep or nursing what do you do first?

Answer 1

Ausculatate heart, lungs, and abdomen without waking child.

Question 2

Examination 0-6 months: if infant is awake, what is the examination order?

Answer 2

1 )Undress infant, leaving diaper on male child.

2) head to toe along with observing for reflexes
3) all uncomfortable procedures (hip abduction, speculum examination of tempanic membranes, and eliciting the Moro reflex) until last.

Question 3

What are good distracters for this age group? (2)

Answer 3

rattle, pacifier

Question 4

Examination 6-12 months: order

Answer 4

same as 0-6 months, just may be more difficult due to stranger anxiety

Question 5

Distraction tools for this age group:

Answer 5

toys

Question 6

Examination 6-12 months: easier to do as much of the examination as possible with the child where?

Answer 6

parent’s lap

Question 7

Examination of Toddler: first thing to do to form a uspportive relationship:

Answer 7

stand or sit by parent

Question 8

Examination of Toddler: distraction techniques:

Answer 8

toys, books-encourage child to explore
allow child to handle examination objects
use age appropriate words to explain what is about to be done
parents can be asked to help examiner

Question 9

Examination of Toddler: Order

Answer 9

should be flexible, leaving painful and frightening procedures for last

Question 10

Examination of preschooler: order

Answer 10

head to toe, less resistance than toddler

leave invasive for last

Question 11

Examination of Preschooler: distraction

Answer 11

Allow child to participate in exam

Praise child for cooperating

Question 12

Examination of School-Age:Distraction

Answer 12

Ask child questions that they can answer (about school, friends, activities, etc).
Colorful examination gown

Question 13

Examination of School-Age: Order

Answer 13

Head to toe, drape over underpants (examiner should be sensitive to child’s modesty)
Teach about body and personal care during exam

Question 14

Examination for adolescents: who should be present?

Answer 14

• should be openly discussed with adolescent; in -most cases it should be without parent present
• allow time to discuss concerns about changing bodies

Question 15

To straighten and examine the ear of a child older than 3 years, the nurse ________

Answer 15

pulls the pinna up and back

Question 16

To examine the ear of a child younger than 3 the nurse ________.

Answer 16

pulls the pinna down and back