Place the following in the appropriate sequence when assessing a ...

[penguins]

Place the following in the appropriate sequence when assessing a toddler:
 
  1. Examination of eyes, ears, and throat
  2. Auscultation of chest
  3. Palpation of abdomen
  4. Developmental assessment

Question 2

When assessing a woman in the first stage of labor, the nurse recognizes that the most conclusive sign that uterine contractions are effective would be:
 
  a. Dilation of the cervix.
  b. Descent of the fetus.
  c. Rupture of the amniotic membranes.
  d. Increase in bloody show.

[aruss1303]

Answer to Question 1

4, 2, 3, 1
Rationale:
In examining toddlers, in order to build their trust and cooperation, it usually is best to go from least invasive to most invasive. Developmental assessment involves visual inspection and activities that toddlers view as games. Auscultation is less threatening to toddlers than is palpation, especially if the nurse uses the stethoscope on a parent or a toy first. The most uncomfortable, most invasive exam for toddlers is the examination of the eyes, ears, and throat, and so this should be performed last.

Answer to Question 2

A

Feedback
A The vaginal examination reveals whether the woman is in true labor. Cervical change, especially dilation, in the presence of adequate labor indicates that the woman is in true labor.
B Descent of the fetus, or engagement, may occur before labor.
C Rupture of membranes may occur with or without the presence of labor.
D Bloody show may indicate slow, progressive cervical change (e.g., effacement) in both true and false labor.

[penguins]

Excellent

[marict]

TYSM