How should the clinician examine the ear canal in an infant? ...

[mckennatimberlake]

How should the clinician examine the ear canal in an infant?
 
  A. Pull the auricle down and out
  B. Pull the auricle up and back
  C. First in the sequence of a physical examination
  D. Child should be lying in prone position

Question 2

It is important to examine the infant's anterior fontanel when the child is:
 
  A. Lying supine
  B. Relaxed and sitting up
  C. Lying prone
  D. Standing with assistance

[zenzy]

Answer to Question 1

ANS: A
The otoscopic examination is described in detail in Chapter 6 (Ear, Nose, Mouth, and Throat). The otoscopic examination should be saved for last in infants and young children because of the distress it often causes. To examine the inner ear in an infant or young child, pull the pinna down and out. For examination in an older child, pull up and back as you would with an adult.

Answer to Question 2

ANS: B
When assessing pediatric patients, remember to ask about head trauma, head growth, and the history of headaches. The head circumference should be measured at all well visits up to 2 years of age to assess for macro- or microcephaly. Assess the head symmetry and look for plagiocephaly. For the fontanel to be accurately assessed, the child should be sitting upright and not crying.

[mckennatimberlake]

TYSM

[atrochim]

Excellent