Author Question: When conducting a health history on a late school-age client, what would the nurse document as a ... (Read 28 times)

futuristic · **on:** Jun 28, 2018

When conducting a health history on a late school-age client, what would the nurse document as a dysmorphic feature?

1. A repaired cleft palate
2. A 10 burn to the face
3. A severed finger
4. A flat anterior fontanel

Question 2

While in the pediatrician's office for their child's 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the child's developmental level, which types of toys would the nurse suggest?

1. Soft toys that can be manipulated
2. Small toys that can pop apart and go back together
3. Jack-in-the-box toys
4. Toys with black and white patterns
5. Push-and-pull toys

14vl19 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale: A dysmorphic feature was present at birth. A cleft palate, even though repaired, would be included in a health history as a dysmorphic feature. The burns and a severed digit were not present at birth, and would not be considered dysmorphic. A soft fontanel would be considered normal.

Answer to Question 2

Correct Answer: 1,3,5
Rationale: Both gross and fine motor skills are becoming more developed, and children at this age enjoy toys that can help them refine these skills. They tend to enjoy more colorful toys at this age and are more mobile and thus have less interest in placing toys in their mouths and more interest in toys that can be manipulated.