Author Question: A 2-year-old child has been brought to the clinic for a well-child checkup. The best way for the ... (Read 90 times)

savannahhooper · **on:** Jun 25, 2018

A 2-year-old child has been brought to the clinic for a well-child checkup. The best way for the nurse to begin the assessment is to:

a. Ask the parent to place the child on the examining table.
b. Have the parent remove all of the child's clothing before the examination.
c. Allow the child to keep a security object such as a toy or blanket during the examination.
d. Initially focus the interactions on the child, essentially ignoring the parent until the child's trust has been obtained.

Question 2

A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently sleeping. What should the nurse do first when beginning the examination?

a. Auscultate the lungs and heart while the infant is still sleeping.
b. Examine the infant's hips, because this procedure is uncomfortable.
c. Begin with the assessment of the eye, and continue with the remainder of the examination in a head-to-toe approach.
d. Wake the infant before beginning any portion of the examination to obtain the most accurate assessment of body systems.

LVPMS · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
The best place to examine the toddler is on the parent's lap. Toddlers understand symbols; therefore, a security object is helpful. Initially, the focus is more on the parent, which allows the child to adjust gradually and to become familiar with you. A 2-year-old child does not like to take off his or her clothes. Therefore, ask the parent to undress one body part at a time.

Answer to Question 2

ANS: A
When the infant is quiet or sleeping is an ideal time to assess the cardiac, respiratory, and abdominal systems. Assessment of the eye, ear, nose, and throat are invasive procedures that should be performed at the end of the examination.