Jarvis Chapter 28: The Complete Physical Assessment: Infant, Child and Adolescent

D
Preschoolers demonstrate exploring behavior and may refrain from sitting still during an examination. In order to gain the child's cooperation, the nurse should allow the child to handle the otoscope and test the parent's ear. This intervention decrease

The nurse is performing an otoscopic examination in a preschooler. The child refuses to sit still on the chair and does not cooperate with the nurse during the examination. Which intervention should the nurse use to gain the child's cooperation?
A. Restra

C
While performing an assessment of the thorax and the breath sounds, the nurse involves the child in games and asks the child to blow on a pinwheel. This intervention enables the nurse to hear the lung sounds clearly and to assess the child's pulmonary f

During an examination, the nurse hands a child a pinwheel and asks the child to blow on it. What does this intervention help the nurse assess in the child?
A. Fine motor skills
B. Cardiac functioning
C. Pulmonary functioning
D. Cognitive development

A, E
The radial pulse is felt at the wrist; it helps to determine the blood flow through the brachial artery. The biceps and triceps reflexes help determine the functioning of the tendons of the biceps and the triceps located in the upper limbs. Therefore

Which parameters should the nurse assess while examining a child's upper extremities? Select all that apply.
A. Radial pulse
B. Femoral pulse
C. Stepping reflex
D. Dorsalis pedis pulse
E. Biceps and triceps reflexes

A, B, E
Growth charts help assess an infant's growth. The World Health Organization has developed a chart that determines appropriate growth on the basis of normal weight, height, and head circumference according to infant age. Therefore, the nurse would

The nurse instructs a student nurse to assess an infant's growth by using a growth chart. Which parameters would the student nurse measure? Select all that apply.
A. Weight
B. Length
C. Blood pressure
D. Respiratory rate
E. Head circumference

B
The nurse assesses the gross and fine motor skills while the child plays with toys. The nurse observes the child while walking to assess alignment of the legs. The size and shape of the child's head are inspected during an examination of the head and ne

What should the nurse assess as a young child plays with toys in the examination room?
A. Alignment of the legs
B. Gross and fine motor skills
C. Size and shape of the head
D. Parent and child interaction

D
The Apgar scoring system is an assessment tool that helps to examine the newborn's heart rate, muscle tone, and other vital signs. This scoring system helps to determine the newborn's ability to adapt to extrauterine life. In order to assess the newborn

What is the nurse assessing in a newborn by using the Apgar scoring system five minutes after birth?
A. Hearing ability in the newborn
B. Visual disorders in the newborn
C. Neuromuscular function in the newborn
D. Response of the newborn to extrauterine l

C
While performing the cover test, the nurse would cover the patient's eye with an index card to determine ocular deviation in each eye. The nurse would use an ophthalmoscope to test the red reflex in the patient. The nurse would use an ophthalmoscope to

While preparing the patient for an ophthalmic examination, the nurse places an index card on the patient's left eye. What is the reason behind this action?
A. To test the red reflex
B. To inspect the fundus
C. To conduct the cover test
D. To test for the

D
The trunk incurvation reflex assesses the spinal column. In order to assess the development of the lower limbs, the nurse would note the range of motion and muscle tone and test for the presence of the Ortolani sign in the newborn. The nurse would inspe

While examining a newborn, the nurse inspects the trunk incurvation reflex. What body part is the nurse assessing by doing this?
A. Lower limbs
B. Upper limbs
C. Genital organs
D. Spinal column

A
The Denver II is a developmental screening test that helps to assess motor and cognitive development in a preschooler or a school-age child. The Denver II test does not help to determine the presence of skin infections in the child. This would be done b

For what is the nurse testing when using the Denver II test?
A. Motor skills
B. Skin integrity
C. Hip displacement
D. Genital development

D
A Babinski reflex usually disappears by 24 months of age. Therefore, when a 3-year-old child has a Babinski reflex, it indicates that the child may be at risk for neuromuscular disorders. The Babinski reflex does not help to assess the genital functioni

The nurse assesses that a 3-year-old child has a Babinski reflex. What risk does this child have?
A. Genital disorders
B. Opthalamic disorders
C. Cardiovascular disorders
D. Neuromuscular disorders

A
The grasp reflex is used to assess an infant's upper extremities. The nurse places a finger in the infant's palm to note the grasp reflex. The nurse checks the rooting reflex while assessing an infant's mouth and throat. The Babinski reflex is the fanni

Which assessment should the nurse include in order to assess an infant's upper extremities?
A. Grasp reflex
B. Rooting reflex
C. Babinksi reflex
D. Stepping reflex