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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Correct Answer is ["A","C","D"]
Explanation
Lead is a toxic metal that can be found in old paint, dust, soil, and certain consumer products. Children are particularly vulnerable to lead poisoning, which can lead to developmental delays, learning difficulties, and other health problems.
Pesticides are chemicals used to control pests, such as insects and rodents. Children can be exposed to pesticides through contaminated food, water, or direct contact with treated areas. Pesticide exposure has been linked to various health issues, including neurodevelopmental disorders and respiratory problems.
Certain medications can be toxic to children, especially if taken in excessive amounts or without appropriate supervision. Accidental ingestion of medications, including over-the-counter and prescription drugs, is a significant concern in pediatric care.
While air pollution is a significant environmental factor that can impact children's health, it is not typically considered one of the most common toxins in pediatric care.
Correct Answer is D
Explanation
Using an infant model car seat that is properly anchored in the car is the recommended practice for a 6-month-old infant. Rear-facing positioning in the back seat is also the safest option for infants to protect them in the event of a collision. Ensuring that the harness is snug and there is no space between the baby and the car seat harness is also important for optimal safety.
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