Chapter 29 Practice Questions - The Complete Physical Assessment: Infant, Young Child, and Adolescent Flashcards
A 5-year-old child is in the clinic for a checkup. The nurse would expect him to:
a. Need to be held on his mothers lap.
b. Be able to sit on the examination table.
c. Be able to stand on the floor for the examination.
d. Be able to remain alone in the examination room.
b. Be able to sit on the examination table.
Which statement is true regarding the recording of data from the history and physical examination?
a. Use long, descriptive sentences to document findings.
b. Record the data as soon as possible after the interview and physical examination.
c. If the information is not documented, then it can be assumed that it was done as a standard of care.
d. The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing the rapport with the patient.
b. Record the data as soon as possible after the interview and physical examination.
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. Checking for the Ortolani sign
d. Assessing the stepping reflex
c. Checking for the Ortolani sign
A female patient tells the nurse that she has four children and has had three pregnancies. How should the nurse document this?
a. Gravida 3, para 4
b. Gravida 4, para 3
c. This information cannot be documented using the terms gravida and para.
d. The patient seems to be confused about how many times she has been pregnant.
a. Gravida 3, para 4
The nurse is documenting the assessment of an infant. During the abdominal assessment, the nurse noticed a
very loud splash auscultated over the upper abdomen when the nurse rocked her from side to side. This finding would indicate:
a. Epigastric hernia.
b. Pyloric obstruction.
c. Hypoactive bowel sounds.
d. Hyperactive bowel sounds.
d. Hyperactive bowel sounds.
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. Assessment for stereognosis
c. Blood pressure measurement
d. Assessment for the presence of the startle reflex
a. Testing for Ortolani sign
