A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane?
At the beginning
Before examining the head and neck
At the end
Before auscultating the chest
The Correct Answer is C
A. It’s usually best to build trust and rapport first with non-invasive assessments. Starting with a potentially uncomfortable procedure like looking in the ears may cause distress and make the rest of the exam more difficult.
B. Examining the tympanic membrane before the head and neck might still be too early in the assessment and could cause the child to become uncooperative for subsequent steps. If the child becomes upset, it could complicate the rest of the physical exam, making it harder to complete.
C. Performing the ear examination at the end allows the nurse to build trust and rapport throughout the visit. The child is less likely to become distressed too early in the exam, which helps maintain cooperation for as long as possible. If the child does become upset, it is at the end of the visit, and the more critical assessments have already been completed.
D. If the ear exam causes distress, it may make the child uncooperative for important assessments like auscultating the heart and lungs.
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Related Questions
Correct Answer is A
Explanation
Preschoolers, typically between the ages of 3 and 5 years, engage in imaginative and pretend play. They often create scenarios, role-play, and use their imagination to create fictional situations and characters. This type of play is important for their cognitive, social, and emotional development.
Building a section of cards and controlling impulsive feelings are not specific developmental tasks typically associated with preschoolers. While building with blocks or other construction toys can enhance fine motor skills and problem-solving abilities, building a section of cards is not a common developmental milestone. Controlling impulsive feelings is an ongoing process that develops over time and requires guidance and support from parents and caregivers, but it is not solely expected of preschoolers.
Correct Answer is B
Explanation
Allowing the child to have a doll for medical play would help foster their sense of autonomy. This allows the child to take on a role of authority and control in a familiar context, promoting a sense of independence and decision-making.
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