Deck 35: Pediatric Assessment

Question 1

Place the following in the appropriate sequence when assessing a toddler:

A)Examination of eyes,ears,and throat
B)Auscultation of chest
C)Palpation of abdomen
D)Developmental assessment

Answer 1

Examination of eyes,ears,and throat
Auscultation of chest
Palpation of abdomen
Developmental assessment

Question 2

While inspecting a 5-year-old child's ears,the nurse notes that the right pinna protrudes outward,and that there is a mass behind the right ear.In light of these findings,the vital sign parameter with which the nurse would be most concerned would be:

A)Temperature.
B)Heart rate.
C)Respirations.
D)Blood pressure.

Answer 2

Temperature.

Question 3

A nurse is assessing a 5-year-old child.Which assessment finding is abnormal?

A)Simultaneous rise of the chest and abdomen on inspiration
B)Anteroposterior diameter smaller than the lateral diameter
C)Bronchovesicular breath sounds
D)A protruding sternum

Answer 3

A protruding sternum

Question 4

A nurse is reviewing normal and abnormal heart sounds.The nurse recognizes a child has an abnormal heart sound if:

A)There is a sinus arrhythmia.(Heart rate is faster on inspiration and slower on expiration. )
B)A third heart sound is heard.
C)The S1 is heard best in the mitral area of the heart.
D)The S1 and S2 heart sounds are muffled.

Question 5

A nurse caring for a 9-year-old notices some swelling in the child's ankles.The nurse presses against the ankle bone for 5 seconds,then releases the pressure,noticing a markedly slow disappearance of the indentation.Due to these physical findings,the nurse would suspect a problem with the:

A)Respiratory system.
B)Renal system.
C)Musculoskeletal system.
D)Integumentary system.

Question 6

An assessment finding that would indicate developmental dysplasia of the hip would be found in a:

A)1-month-old with flat soles and prominent fat pads.
B)2-week-old with a positive Babinski's reflex.
C)1-week-old with metatarsus varus.
D)1½-month-old with asymmetric thigh and gluteal folds.

Question 7

A school nurse is conducting a health education class for middle school girls.The nurse knows further teaching is needed if a student states:

A)"I should begin to see hair in the pubic area before my breasts start to develop."
B)"I understand that girls develop earlier than boys."
C)"I understand that sexual maturity can vary as to when it occurs."
D)"The beginning of breast development is around 10 years of age for Caucasian girls."

Question 8

The nurse is questioning a 10-year-old child to assess the level of cognitive development.The question by the nurse that would best determine cognitive development would be:

A)"What books have you read lately?"
B)"What classes are you taking,and what are your grades in them?"
C)"What is your least favorite class?"
D)"What grade are you in?"

Question 9

A mother of a 2-month-old is worried about a "soft spot" on the top of her infant's head.The nurse informs her that this is a normal physical finding called the anterior fontanelle,and that it will remain open until:

A)2-3 months of age.
B)6-9 months of age.
C)12-18 months of age.
D)Approximately 2 years of age.

Question 10

To avoid stimulating the cremasteric reflex while examining the testicles on a male infant,the nurse should:

A)Warm the examiner's hands under hot water before palpating.
B)Place the examiner's index finger and thumb over both inguinal canals.
C)Distract the infant with a rattle while performing the examination.
D)Palpate the testicle under clothing.

Question 11

The nurse is completing a physical examination of a 4-year-old child.The best position in which to place the child for assessment of the genitalia would be:

A)Frog-leg position.
B)Right side-lying.
C)Supine,legs at a 50-degree angle.
D)Prone position,knees drawn up under body.

Question 12

While assessing a 10-month-old African-American infant,the nurse notices that the sclerae have a yellowish tint.Which organ system would the nurse suspect as having an ongoing disease process?

A)Cardiac
B)Respiratory
C)Hepatic
D)Genitourinary

Question 13

A very concerned 14-year-old boy presents to the clinic because of an enlargement of his left breast.Except for the breast enlargement,the rest of the history and physical is reported as normal.The most appropriate intervention for the nurse to implement next would be to inform the child that:

A)A pediatric endocrine consult is being arranged.
B)The health practitioner is arranging a surgical consult for him.
C)This is a normal finding in adolescent males,and that the breast tissue generally regresses by the time of full sexual maturity.
D)His condition is related to a high-fat diet,and that limiting fat intake usually will resolve the enlargement over a period of a couple of months.

Question 14

The nurse is taking a health history from the family of a 3-year-old child.The statement or question by the nurse that would be most likely to establish rapport and elicit an accurate response from the family is:

A)"Does any member of your family have a history of asthma,heart disease,or diabetes?"
B)"Hello,I would like to talk with you and get some information on you and your child."
C)"Tell me about the concerns that brought you to the clinic today."
D)"You will need to fill out these forms;make sure that the information is as complete as possible."

Question 15

During an examination,a nurse asks a 5-year-old child to repeat his address.The nurse most likely is evaluating:

A)Recent memory.
B)Language development.
C)Remote memory.
D)Social skill development.