The nurse is assessing heart rate for children on the pediatric ward. What is a normal finding based on developmental age?

A. At the beginning: It is not necessary to examine the tympanic membrane at the very beginning of the physical examination.

B. Before auscultating the chest and abdomen: While the tympanic membrane examination may precede auscultation of the chest and abdomen, it is not typically performed before all other components of the physical examination.

C. Before examining the head and neck: Examination of the tympanic membrane is usually part of the head and neck assessment, so it would not occur before examining these areas.

D. At the enD. Examination of the tympanic membrane is typically performed towards the end of the physical examination, after other components such as inspection, palpation, and auscultation have been completed. This sequence allows the nurse to maintain the flow of the examination and ensures a thorough assessment of all body systems.

A. Do nothing: this is a normal condition for toddlers: Lordosis, also known as swayback, is a common and typically normal finding in toddlers as they develop and their posture adjusts. It is characterized by an exaggerated curvature of the lumbar spine. In most cases, lordosis resolves on its own as the child grows and their musculoskeletal system matures. Therefore, no

intervention is usually necessary.

B. Notify the primary care healthcare provider about the condition: Lordosis alone is not

typically considered a concerning finding in toddlers unless it is severe or accompanied by other

symptoms. It is not necessary to notify the primary care provider unless there are additional concerning signs or symptoms.

C. Refer the toddler to a physical therapist: Referring the toddler to a physical therapist for lordosis alone is not warranted unless there are other significant musculoskeletal issues or developmental concerns.

D. Explain that the child will need a back bracE. Lordosis in toddlers does not typically require the use of a back brace. It is usually a benign and self-limiting condition that resolves with time as the child's musculoskeletal system matures.