When preparing to perform a physical examination on an infant, ...

[LaDunn]

When preparing to perform a physical examination on an infant, the nurse should:
 
  a. Have the parent remove all clothing except the diaper on a boy.
  b. Instruct the parent to feed the infant immediately before the examination.
  c. Encourage the infant to suck on a pacifier during the abdominal examination.
  d. Ask the parent to leave the room briefly when assessing the infant's vital signs.

Question 2

The nurse is examining an infant and prepares to elicit the Moro reflex at which time during the examination?
 
  a. When the infant is sleeping
  b. At the end of the examination
  c. Before auscultation of the thorax
  d. Halfway through the examination

[deja]

Answer to Question 1

ANS: A
The parent should always be present to increase the child's feeling of security and to understand normal growth and development. The timing of the examination should be 1 to 2 hours after feeding when the baby is neither too drowsy nor too hungry. Infants do not object to being nude; clothing should be removed, but a diaper should be left on a boy.

Answer to Question 2

ANS: B
The Moro or startle reflex is elicited at the end of the examination because it may cause the infant to cry.