Chapter 5 & 33...what I think is important !

A pediatric nurse conducting a physical examination on a toddler in a bright, colorful clinic setting, with medical charts and toys in the background.

Pediatric Physical Assessment Quiz

Test your knowledge on pediatric physical assessments with our comprehensive quiz designed for healthcare professionals. This quiz covers essential concepts, developmental milestones, and immunization guidelines to ensure that you are well-prepared for the challenges of pediatric care.

17 multiple-choice questions
Focus on child development and physical examination techniques
Ideal for nurses, medical students, and healthcare providers

17 Questions4 MinutesCreated by CaringNurse42

You are the nurse admitting a toddler to the pediatric infectious disease unit. What is the single most important component of the child’s physical examination?

Assessment of heart and lungs

Measurement of height and weight

Documentation of parental concerns

Obtaining an accurate history

The nurse is performing a comprehensive physical examination on a young child in the hospital. At what age can the nurse expect a child’s head and chest circumferences to be almost equal?

Birth

6 months

1 year

3 years

Which action is appropriate when the nurse is assessing breath sounds of an 18-month-old crying child?

Ask the parent to quiet the child so the nurse can listen.

Auscultate breath sounds and chart that the child was crying.

Encourage the child to play with the stethoscope to distract and to calm down before auscultating.

Document that data are not available because of noncompliance.

The nurse is obtaining vital signs on a 1-year-old child. What is the most appropriate site for assessing the pulse rate?

Apical

Radial

Carotid

Femoral

A nurse is reviewing pediatric physical assessment techniques. Which statement about performing a pediatric physical assessment is correct?

Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise.

The physical examination should be done with parents in the examining room for children of any age.

Measurement of head circumference is done until the child is 5 years old.

The physical examination is done only when the child is cooperative.

Which strategy is not always appropriate for pediatric physical examination?

Take the history in a quiet, private place.

Examine the child from head to toe.

Exhibit sensitivity to cultural needs and differences.

Perform frightening procedures last.

The nurse palpated the anterior fontanel of a 14-month-old infant and found that it was closed. What does this finding indicate?

This is a normal finding.

This finding indicates premature closure of cranial sutures.

This is abnormal and the child should have a developmental evaluation.

This is an abnormal finding and the child should have a neurologic evaluation.

When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. This should be considered

Unnecessary information, because the child is 3 years old

An important part of the family history

An important part of the child’s past growth and development

An important part of the child’s review of systems

A nurse is performing an assessment on a newborn. Which vital signs indicate a normal finding for this age group? Select all that apply.

Pulse of 80–125 a minute

B/P of systolic 65–95 and diastolic 30–60

Temperature of 36.5–37.3 Celsius (axillary)

Temperature of 36.4–37 Celsius (axillary)

Respirations of 30–60 a minute

The nurse is planning a teaching session for a young child and her parents. According to Piaget’s theory, the period of cognitive development in which the child is able to distinguish between concepts related to fact and fantasy, such as human beings are incapable of flying like birds, is the _______ period of cognitive development.

Sensorimotor

Formal operations

Concrete operations

Preoperational

The theorist who viewed developmental progression as a lifelong series of conflicts that need resolution is

Erikson

Freud

Kohlberg

Piaget

A preschool aged child will be receiving immunizations. Which statement identifies an appropriate level of language development for a 4-year-old child?

The child has a vocabulary of 300 words and uses simple sentences.

The child uses correct grammar in sentences.

The child is able to pronounce consonants clearly.

The child uses language to express abstract thought.

Which children are at greater risk for not receiving immunizations?

Children who attend licensed daycare programs

Children entering school

Children who are home schooled

Young adults entering college

A 2-month-old child has not received any immunizations. Which immunizations should the nurse give?

DTaP, Hib, HepB, MCV, varicella

DTaP, Hib, HepB, HPV, IPV, Rota

DTaP, Hib, HepB, PCV, Rota

DTaP, Hib, HepB, PCV, HepA

The environment, both physical and psychosocial, is a significant determinate of growth and development outcomes before and after birth. Nurses can assist parents in preventing environmental injury for their 2-year-old toddler by teaching them to avoid the most common sources of exposure. This anticipatory guidance includes teaching related to

Avoiding sun exposure, secondhand smoke, and lead

Socioeconomic status, primarily poverty

Maternal smoking and alcohol intake during pregnancy

The passing of environmental toxins through breast milk

Which is the preferred site for administration of the Hib vaccine to an infant?

Deltoid

Anterolateral thigh

Upper, outer aspect of the arm

Dorsal gluteal region

Chapter 5 & 33...what I think is important !

Pediatric Physical Assessment Quiz

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