The nurse is conducting a physical examination of a child following a comprehensive health history. What should be the focus of the physical examination?

Developmental age

The parents

The child

Chief complaint

Answer and Explanation

The Correct Answer is C

A. Developmental age is an important aspect of the child's health but is not the primary focus of a physical examination following a health history.

B. While the parents' information is valuable, the focus of the physical examination is on the child, not the parents.

C. The child should be the focus of the physical examination to assess their current health status and to identify any immediate care needs.

D. The chief complaint is a critical component of the health history, but the physical examination should be comprehensive and focused on the child as a whole

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Correct Answer is D

Explanation

A. Congenital anomalies: While congenital anomalies can contribute to infant mortality, they are not the leading cause of death among infants.

B. Respiratory distress: Respiratory distress can be a significant concern in newborns, especially premature infants, but it is not the leading cause of death among infants overall.

C. Low birth weight: Low birth weight is a risk factor for various health complications in infants, but it is not the leading cause of death among infants.

D. Sudden infant death syndrome (SIDS): SIDS is the sudden and unexplained death of an otherwise healthy infant, typically during sleep. It is the leading cause of death among infants aged 1 month to 1 year, making it an essential consideration in health promotion and education efforts for parents.

A. Epiglottitis B. Bronchiolitis C. Influenza D. Croup

Correct Answer is B

Explanation

A. Epiglottitis

Epiglottitis typically presents with rapid onset of severe sore throat, high fever, difficulty swallowing, and drooling due to inflammation and swelling of the epiglottis. It is a medical emergency requiring immediate intervention but is less likely to present with the described symptoms.

B. Bronchiolitis

Bronchiolitis commonly occurs in infants and young children, often during the winter months. It is characterized by symptoms such as coughing, wheezing, nasal congestion, fever, and

respiratory distress. The described symptoms, including coughing, nasal congestion, and intermittent fever, align with bronchiolitis.

C. Influenza

Influenza typically presents with symptoms such as fever, cough, sore throat, body aches, and fatigue. While coughing and fever are common symptoms of influenza, the presence of apneic spells is less typical of influenza and more indicative of lower respiratory tract infections like bronchiolitis.

D. Croup

Croup is characterized by a barking cough, hoarseness, and respiratory distress often accompanied by stridor. While croup shares some symptoms with bronchiolitis, such as coughing, the absence of stridor in the description suggests bronchiolitis as a more likely diagnosis.

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The nurse is conducting a physical examination of a child following a comprehensive health history. What should be the focus of the physical examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is B

Explanation

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