Author Question: The nurse is assessing an infant client during a health supervision visit. Which assessment findings ... (Read 61 times)

geoffrey · **on:** Jun 28, 2018

The nurse is assessing an infant client during a health supervision visit. Which assessment findings are considered normal variations for this client?

1. Sucking pads in the mouth
2. A rounded chest
3. Hearing breath sounds over the entire chest
4. Pubertal development
5. Knock-knees

Question 2

The nurse is preparing to assessment a toddler client. Which activities would gain cooperation from the toddler?

1. Asking the parents to wait outside
2. Allowing the client to sit in the parent's lap
3. Administering vaccinations prior to the assessment
4. Handing the client a stethoscope while taking the health history
5. Making a game out of the assessment process

cam1229 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale: Normal variations for the infant client include sucking pads in the mouth, a rounded chest, and hearing breath sounds over the entire chest. Pubertal development and knock-knees are not normal variations for the infant client.

Answer to Question 2

Correct Answer: 2,4
Rationale: Allowing the client to stay on the parents lap and allowing the client to play with instruments that will be used in the assessment process are activities the nurse can implement to gain the toddler's cooperation during the assessment process. Asking the parents to wait outside may cause the toddler to become fearful. Vaccinations should be administered at the end of the visit. While making a game out of the assessment process may be appropriate for older children, this is not an appropriate strategy for a toddler client.