A nurse is preparing to begin an assessment on a newly admitted ...

[Ebrown]

A nurse is preparing to begin an assessment on a newly admitted child. The nurse should be aware that the single most important component of a pediatric physical examination is:
 
  a. assessment of heart and lungs.
  b. measurement of height and weight.
  c. documentation of parental concerns.
  d. obtaining an accurate history.

Question 2

Which statement made by a parent of a toddler who is not gaining weight indicates the need for education about feeding small children?
 
  a. He doesn't want to eat, so I put the cereal in his bottle..
  b. I put him in a high chair for meals and snacks..
  c. I turn off the television and we eat together for every meal..
  d. I try to feed him at the same times every day..

[recede]

Answer to Question 1

D
An accurate history is most helpful in identifying problems and potential problems. Heart and lung assessment and documentation of parental concerns are not as important as an accurate history. A single measurement of height and weight is not as significant as determining growth over time. The child's growth pattern can be elicited from the history.

Answer to Question 2

A
Large quantities of cereal or baby food in bottles do not provide sufficient nutritional intake for the small child. The young child should be placed in a high chair for feeding. Distraction during feedings, such as watching television, is identified as a reason for inadequate nutritional intake in young children. Having the parents or others eat with the child makes meals and snacks a pleasant time. A regular pattern or schedule for meals facilitates nutritional intake.

[Ebrown]

Thanks for the timely response, appreciate it

[gcook]

Excellent