Physical Assessment Child Flashcards
A nurse is documenting findings from a physical examination. Which of the following statements indicates correct charting?
“Bowel gurgling at 24 per minute, heard in left upper quadrant, left lower quadrant, and right lower quadrant.”
“No problems breathing. Lungs clear.”
“Liver palpation is normal.”
“Regular heart rate and rhythm: S1, S2 heard.”
“Regular heart rate and rhythm: S1, S2 heard.”
When performing an otoscope examination on a 2-year-old child, the nurse should pull the pinna
Down and back
Down and forward
Up and back
Up and forward
Down and back
A nurse is testing a child for strabismus. Which of the following is the correct technique for performing this examination?
Check for presence of the red reflex.
Check for visual acuity.
Perform the cover-uncover test
Test for pupillary reaction to light
Perform the cover-uncover test
When assessing a school aged child or adolescent for scoliosis, it is important to have the child
Bend the knees and touch toes
Stand up straight with the arms at the side
Bend forward with the knees straight and the arms dangling
Lie prone with the arms extended
Bend forward with the knees straight and the arms dangling
A nurse is performing an annual physical examination on an adolescent. Which of the following should be included in the general survey?
The patient’s deep tendon reflexes are 2+ bilaterally
The patient is able to read small print at 14 inches
The patient demonstrates short-term recall
The patient makes good eye contact
The patient makes good eye contact
Which of the following communication techniques is most appropriate for a nurse to employ during the physical examination of a 10 year old?
Allow the child to play with the equipment
Encourage expression of thought through puppets
Use books and other visual aids to advance the interview
Use abstract questions to allow the child more freedom in response
Use books and other visual aids to advance the interview
A nurse is examining an 18-month old child’s ears during a well-child visit. Which of the following techniques should the nurse use?
Position the child on his side and have the parents hold both arms and head down
Have the parent hold the child securely in her lap
Ask another nurse to come into the room and hold the child
Restrain the child using a blanket to secure his arms against his sides
Have the parent hold the child securely in her lap
A nurse is obtaining a problem-oriented history from a preschool-age child. The nurse should consider that children from this age group typically can
Describe the symptoms
Identify when the problem started
Specify the cause of the problem
Answer questions related to previous health problems
Describe the symptoms
Which of the following techniques is appropriate when obtaining a blood pressure on a child?
Position the arm below the level of the heart while the child is sitting in a chair
Release the cuff pressure at a rate of 4 to 5 mm Hg
Inflate the blood pressure cuff slowly
Use a bladder covering 80 to 100% of the arm circumference
Use a bladder covering 80 to 100% of the arm circumference
A nurse is performing an abdominal examination on a preschooler. Which of the following instructions should the nurse give to the child when performing abdominal palpation?
Hold your breath
Place your hand under mine
Turn on your right side
Raise your arms over your head
Place your hand under mine
