Author Question: When examining a 2-year-old child during a well child physical, it is most important for the nurse ... (Read 29 times)

jwb375 · **on:** Jun 27, 2018

When examining a 2-year-old child during a well child physical, it is most important for the nurse to assess:

1. Visual acuity.
2. Helmet use.
3. Risk of lead exposure.
4. Whether household drinking water contains fluoride.

Question 2

The nurse caring for the newly pregnant woman would advise her that ideally prenatal care should begin:

a. Before the first missed menstrual period.
b. After the first missed menstrual period.
c. After the second missed menstrual period.
d. After the third missed menstrual period.

beccamahon · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale:
1. Visual acuity could be difficult to assess accurately at this age secondary to the child's compliance and ability to understand the directions for the screening test.
2. While teaching helmet use at an early age is important, it is unlikely that this child is riding a bicycle yet.
3. Elevated lead levels are neurotoxic to young children, and if untreated, can cause irreparable neurologic damage.
4. While early exposure to fluoridated water is important for good dental health, lack of fluoridated drinking water will not be as harmful to the child as will toxic lead levels.

Answer to Question 2

B

Feedback
A Regular prenatal visits, ideally beginning soon after the first missed menstrual period, offer opportunities to ensure the health of the expectant mother and her infant.
B Prenatal care ideally should begin soon after the first missed menstrual period.
C Regular prenatal visits, ideally beginning soon after the first missed menstrual period, offer opportunities to ensure the health of the expectant mother and her infant.
D Regular prenatal visits, ideally beginning soon after the first missed menstrual period, offer opportunities to ensure the health of the expectant mother and her infant.