Which strategy should be the best approach when initiating the ...

[Capo]

Which strategy should be the best approach when initiating the physical examination of a 9-month-old infant?
 
  a. Undress the infant and do a head-to-toe examination.
  b. Have the parent hold the child on his or her lap.
  c. Put the infant on the examination table and begin assessments at the head.
  d. Ask the parent to leave because the infant will be upset.

Question 2

What term should be used in the nurse's documentation to describe auscultation of breath sounds that are short, popping, and discontinuous on inspiration?
 
  a. Pleural friction rub
  b. Bronchovesicular sounds
  c. Crackles
  d. Wheeze

[C.mcnichol98]

Answer to Question 1

B
Infants 6 months and older feel stranger anxiety. It is easier to do most of the examination on the parent's lap to decrease anxiety. The head-to-toe approach needs to be modified for the infant. Uncomfortable procedures, such as the otoscopic examination, should be left until last. The infant may feel less fearful if placed in the parent's lap or with the parent within visual range if placed on the examining table. There is no reason to ask a parent to leave when an infant is being examined. Having the parent with the infant will make the experience less upsetting for the infant.

Answer to Question 2

C
Crackles are short, popping, discontinuous sounds heard on inspiration. A pleural friction rub has a grating, coarse, low-pitched sound. Bronchovesicular sounds are auscultated over mainstem bronchi. They are clear, without any adventitious sounds. Wheezes are musical, high-pitched, predominant sounds heard on expiration.