Unit Two Part Two Physical Assessment

Question 1

How is the order of the physical examination changed in a newborn

Answer 1

altered to move from least to most invasive techniques

Question 2

Toddlers cannot be _____ with

Answer 2

reasoned with

cooperation is not always possible

Question 3

The parent is your ____ for _____ the child and providing ____

Answer 3

parent is assistant for positioning child, providing reassurance

and sometimes restraint as a last resort

Question 4

How should you speak to a child during the exam

Answer 4

playful and soothing tone

remember to smile

Question 5

How should you approach the child exam with your body position

Answer 5

stay at childs level as much as possible

so you dont tower over them

Question 6

What kind of eye contact should be avoided in toddlers

Answer 6

direct eye contact - too intense and intimidating

Question 7

When do infants and toddlers typically go through developmentally appropriate stranger anxiety

2 time periods

Answer 7

9 months
18 months

Question 8

When working from least invasive to most invasive parts of the exam for infants and toddlers which common parts should be saved for last

Answer 8

ears and throat exams

Have a reward handy, like a sticker, and praise them for their cooperation, even if they didn’t give it. They tried; they just couldn’t. Remember that toddlers work on instinct, have poor emotional control, and are programmed to protect themselves.

Preschoolers may have a great fear of threats to their body integrity. They may perceive an exam as highly threatening. Engage the parents.