A middle-aged woman has brought a fussy baby to the pediatric ...

[cagreen833]

A middle-aged woman has brought a fussy baby to the pediatric clinic. After placing the woman and child in an exam room, which of the following questions should the nurse ask first?
 
  A.
  Have you taken the baby's temperature?
  B.
  How are you related to the baby?
  C.
  How long has the baby been so fussy?
  D.
  What brings you to the office today?

Question 2

A nurse is attempting to assess a toddler, who is being uncooperative. What action by the nurse would be best to accomplish this task?
 
  A.
  Get on the floor while assessing the child.
  B.
  Give the child toys to play with.
  C.
  Have the parent restrain the toddler.
  D.
  Visit with the parent for a short while.

[SamMuagrove]

Answer to Question 1

ANS: B
It is crucial to establish the relationship between a child and the adult who brings the child in for treatment. The nurse should ascertain the woman's identity; it is possible she is not legally able to provide consent for treatment. The other questions are important assessment questions, but establishing the identity of the adult comes first.

Answer to Question 2

ANS: D
Young children need to feel comfortable with the nurse before they will be cooperative. At this age, the best way to improve the child's comfort level is for the nurse to establish a rapport with the parent(s). Once the child becomes comfortable with the nurse present, he or she is more likely to cooperate. Giving toys and getting on the same level of the child are helpful, age-appropriate actions, but not the best answer. Having the parent restrain the child would be the last resort unless the assessment technique could injure a struggling child (e.g., otoscopic examination of the ear).

[cagreen833]

Excellent

[ricroger]

TYSM