Deck 29: The Complete Physical Assessment: Infant, Young Child, and Adolescent

Question 1

A 5-year-old child is in the clinic for a checkup. When performing the physical examination, what would the nurse expect?

A) Needs to be held on his mother's lap.
B) Is able to sit on the examination table.
C) Is able to stand on the floor for the examination.
D) Is able to remain alone in the examination room.

Answer 1

Is able to sit on the examination table.

Question 2

When assessing the neonate, the nurse should test for hip stability with which method?

A) Eliciting the Moro reflex
B) Performing the Romberg test
C) Assessing the stepping reflex
D) Checking for the Ortolani sign

Answer 2

Checking for the Ortolani sign

Question 3

A fourteen-year-old male is being seen at the clinic for a well-person exam. How should the nurse proceed?

A) Defer assessment of the inguinal area for hernias.
B) Have the patient remain in his street clothes and work around them.
C) Allow the patient's mother to remain in the room during the examination.
D) Allow the patient to remain in the sitting position for examination of the abdomen.

Answer 3

Have the patient remain in his street clothes and work around them.

Question 4

The nurse is conducting a complete physical assessment of a 6-month-old infant. Which assessment should the nurse perform last?

A) Blood pressure
B) Babinski reflex
C) Palpate the testes
D) Elicit the Moro reflex

Question 5

Which of these actions is most appropriate to perform on a 9-month-old infant at a well-child checkup?

A) Testing for Ortolani sign
B) Blood pressure measurement
C) Assessment for stereognosis
D) Assessment for the presence of the startle reflex