The nurse is performing a risk assessment of a 5-year-old and ...

[Medesa]

The nurse is performing a risk assessment of a 5-year-old and determines the child has a risk factor for cystic fibrosis. What type of screening would the nurse perform to confirm or rule out this disease?
 
  A) Universal screening
  B) Selective screening
  C) Hyperlipidemia screening
  D) Developmental screening

Question 2

A mother and her 4-week-old infant have arrived for a health maintenance visit. Which activity will the nurse perform?
 
  A) Assess the child for an upper respiratory infection
  B) Take a health history for a minor injury
  C) Administer a varicella injection
  D) Plot the child's head circumference on a growth chart

[Bsand8]

Answer to Question 1

Ans: B
Selective screening is done when a risk assessment indicates the child has one or more risk factors for the disorder. In universal screening, an entire population is screened regardless of the child's individual risk. Selectively screening children at high risk for hyperlipidemia can reduce their lifelong risk of coronary artery disease; it does not screen for cystic fibrosis. Developmental screening is performed to detect developmental delays.

Answer to Question 2

Ans: D
The nurse will plot the head circumference of the child as part of developmental surveillance and screening. Assessing for an infection and taking a health history for an injury are not part of a health maintenance visit. Administering a vaccination for varicella would not occur until 12 months of age.