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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Uses thumb and index fingers in a pincer grasp: The pincer grasp typically develops around 9 to 12 months of age, not at 6 months.
B. Sitting steadily without support: Most infants begin to sit steadily without support between 6 and 8 months of age, so this would be considered a developmental milestone for a 6-month-old.
C. Closed posterior fontanel: The posterior fontanel typically closes by 2 months of age. By 6 months, the posterior fontanel should be closed, so this finding would not be expected.
D. Lateral incisors: By 6 months of age, most infants will have erupted their lower central
incisors. The eruption of the lateral incisors typically occurs around 9 to 13 months of age, so this would be a normal finding for a 6-month-old infant.
Correct Answer is C
Explanation
A. Describing the tongue extrusion reflex: The tongue extrusion reflex is typically present in
infants up to around 4 to 6 months of age and diminishes as they begin to eat solid foods. At 7 months, this reflex is likely no longer prominent.
B. Explaining how to prepare table meats: While introducing solid foods is important around 6 months of age, meats are often introduced later in infancy due to their texture and potential
allergenicity. At 7 months, infants may still be primarily consuming pureed or mashed foods.
C. Advising about increased caloric needs: At 7 months, infants are transitioning to a more varied diet that includes solid foods alongside breast milk or formula. Guidance on meeting their
increasing nutritional needs is crucial at this stage.
D. Discussing the type of sippy cup to usE. Sippy cups are typically introduced closer to the end of the first year or during the transition to weaning from the bottle. While it's important to
discuss appropriate feeding utensils, addressing increased caloric needs is a more immediate concern for a 7-month-old infant.
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