Author Question: A nurse is conducting an assessment on a child during a well-child visit. Which of the following ... (Read 77 times)

tth · **on:** Jun 27, 2018

A nurse is conducting an assessment on a child during a well-child visit. Which of the following includes the components of a complete pediatric history?

a. Statistical information, client profile, health history, family history, review of systems, and lifestyle and life patterns
b. Vital signs, chief complaint, and a list of previous problems
c. Chief complaint, including body location, quality, quantity, time frame, and alleviating and aggravating factors
d. Pertinent developmental and family information

Question 2

A nurse is reviewing pediatric physical assessment techniques. Which statement about performing a pediatric physical assessment is correct?

a. Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise.
b. The physical examination should be done with parents in the examining room for children of any age.
c. Measurement of head circumference is done until the child is 5 years old.
d. The physical examination is done only when the child is cooperative.

IAPPLET · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Statistical information, client profile, health history, family history, review of systems, and lifestyle and life patterns are included in a complete pediatric history. Vital signs, chief complaint, and list of previous problems do not constitute a complete history. A problem-oriented history includes specific information about the chief complaint. Pertinent developmental and family information are part of the complete history.

Answer to Question 2

A
Physical assessment usually proceeds from head to toe; however, developmental considerations with infants and toddlers dictate that the least threatening assessments be done first to obtain accurate data. Having parents in the examining room with adolescents is not appropriate. Head circumference is routinely measured until 36 months of age. Children will not always be cooperative during the physical examination. The examiner will need to incorporate communication and play techniques to facilitate cooperation.