D028 EXAM QUESTIONS
AND VERIFIED CORRECT
ANSWERS GRADED A+
LATEST 100%
GUARANTEED PASS
body parts equal bilaterally
stands erect
sits comfortably
gait is coordinated
walk is smooth and well balanced
full mobility of joints
Behavior - CORRECT ANSWER-maintains eye contact with appropriate expressions
comfortable and cooperative
speech clear
clothing is correct for climate
looks cleat and fit
appears clean and well groomed
,Comprehensive history - CORRECT ANSWER-which includes chief complaint or reason for the
visit a complete review of systems and complete past family and social history should be
obtained on the first encounter with a patient regardless of setting and by a RN
Family Health Hx - CORRECT ANSWER-Are completed across three generations looking
specifically for patterns in genetic issues that negatively impact quality of life
Health Hx - CORRECT ANSWER-gives a picture of patient's current health and documentation
must be completed for each visit and or assessment
How to measure height less than 2 years of age - CORRECT ANSWER-Obtain height by
measuring the recumbent length of children less than 2 years of age and
children between 2 and 3 who cannot stand unassisted. A measuring board with a stationary
headboard and a sliding vertical foot piece is ideal, but a tape measure can also be used
a) Lay the child flat against the center of the board. The head should be held against the
headboard by the parent or an assistant and the knees held so that the hips and knees are
extended. The foot piece is moved until it is firmly against the child's heels. Read and record the
measurement to the nearest 1/8 inch.
b) A modified technique in home settings is to lay the child flat and straight where the head
should be held by the parent and the knees held so that the hips and knees are extended, mark
the flat surface at the top of the head and tip of the heels. Move child and measure the distance
between the marks with a tape measure. Read and record the measurement to the nearest 1/8
inch
2. When a recumbent length is obtained for a two year old, it should be plotted on the birth to
36 months growth chart. When a standing height is obtained for a two year old, plot the finding
on the 2 year to 18 year chart. After plotting measurements for children on age and gender
specific growth charts, evaluate, educate and refer according to findings.
Height children 2-3 and older - CORRECT ANSWER-3. Obtain a standing height on children
greater than 2 to 3 years of age, adolescents, and adults, using a portable stadiometer. The
patient is to be wearing only socks or be bare foot. Have the patient stand with head, shoulder
blades, buttocks, and heels touching the wall. The knees are to be straight and feet flat on the
, floor, and the patient is asked to look straight ahead. The flat surface of the stadiometer is
lowered until it touches the crown of the head, compress the hair. A measuring rod attached to
a weight scale should not be used.
Measuring weight: - CORRECT ANSWER-1. Balance beam or digital scales should be used to
weigh patients of all ages. Spring type
scales are not acceptable. CDC recommends that all scales should be zero balanced and
calibrated. Scales must be checked for accuracy on an annual basis and calibrated in accordance
with manufacturer's instructions.
2. Prior to obtaining weight measurements, make sure the scale is "zeroed".
Weight infants, children, and teens and adults - CORRECT ANSWER-3. Weigh infants wearing
only a dry diaper or light undergarments. Weigh children after removing
outer clothing and shoes. Weigh adolescents and adults with the patient wearing minimal
clothing.
4. Place the patient in the middle of the scale. Read the measurement and record results
immediately. Plot measurements on age and gender specific growth charts and evaluate
accordingly
Measuring head circumference - CORRECT ANSWER-Obtain measurement on children from
birth to 36 months of age by extending a non stretchable measuring tape around the broadest
part of the child's head For greatest accuracy the tape is placed 3 times with a reading taken at
the right side at the left side and at the mid forehead and the greatest circumference is plotted.
The tape should be pulled adequately compress the hair
Should be measured each visit
Chest circumference - CORRECT ANSWER-This is measured at the nipple line
in a newborn the head circumference with be about 2 cm larger than the chest circumference
AS the child ages the chest circumference becomes larger than the head circumference