The nurse is teaching the student nurse how to perform a physical ...

[penguins]

The nurse is teaching the student nurse how to perform a physical assessment based on the child's developmental stage.
 
  Which of the following statements accurately describes a recommended guideline for setting the tone of the examination for a school-age child? A) Keep up a running dialogue with the caregiver, explaining each step as you do it.
  B) Include the child in all parts of the examination; speak to the caregiver before and after the examination.
  C) Speak to the child using mature language and appeal to his or her desire for self-care.
  D) Address the child by name; speak to the caregiver and do the most invasive parts last.

Question 2

The nurse is conducting a physical examination of a child following a comprehensive health history. What should be the focus of the physical examination?
 
  A) The child
  B) The parents
  C) Chief complaint
  D) Developmental age

[Sassygurl126]

Answer to Question 1

B
Feedback:
For a school-age child, the nurse should include the child in all parts of the examination, and speak to the caregiver before and after the examination. For a newborn the nurse should keep up a running dialogue with the caregiver, explaining each step as it is done. The nurse should speak to the early teen using mature language and appeal to his or her desire for self-care. For an infant, the nurse should address the child by name, and speak to the caregiver and do the most invasive parts last.

Answer to Question 2

C
Feedback:
The next step after the health history is the physical examination. It should focus on the chief complaint or any of the systems that engaged the nurse's critical thinking while obtaining the history. The child and parents are involved in the assessment but the focus is on the health problem. The nurse should conduct a physical examination with the child's developmental age in mind.