During an examination of a 3-year-old child, the nurse will need ...

[mspears3]

During an examination of a 3-year-old child, the nurse will need to take her blood pressure. What might the nurse do to try to gain the child's full cooperation?
 
  a. Tell the child that the blood pressure cuff is going to give her arm a big hug.
  b. Tell the child that the blood pressure cuff is asleep and cannot wake up.
  c. Give the blood pressure cuff a name and refer to it by this name during the assessment.
  d. Tell the child that by using the blood pressure cuff, we can see how strong her muscles are.

Question 2

A mother brings her 28-month-old daughter into the clinic for a well-child visit. At the beginning of the visit, the nurse focuses attention away from the toddler, but as the interview progresses, the toddler begins to warm up and is smiling shyly at
 
  the nurse. The nurse will be most successful in interacting with the toddler if which is done next?
  a.
  Tickle the toddler, and get her to laugh.
  b.
  Stoop down to her level, and ask her about the toy she is holding.
  c.
  Continue to ignore her until it is time for the physical examination.
  d.
  Ask the mother to leave during the examination of the toddler, because toddlers often fuss less if their parent is not in view.

[bassamabas]

Answer to Question 1

ANS: D
Take the time to give a short, simple explanation with a concrete explanation for any unfamiliar equipment that will be used on the child. Preschoolers are animistic; they imagine inanimate objects can come alive and have human characteristics. Thus a blood pressure cuff can wake up and bite or pinch.

Answer to Question 2

ANS: B
Although most of the communication is with the parent, the nurse should not completely ignore the child. Making contact will help ease the toddler later during the physical examination. The nurse should begin by asking about the toys the child is playing with or about a special doll or teddy bear brought from home. Does your doll have a name? or What can your truck do? Stoop down to meet the child at his or her eye level.

[mspears3]

Gracias!

[ultraflyy23]

TYSM