Advanced Health Assessment Final 2024 (With complete solution)

Select the correct sequence of techniques used during an examination of a child's abdomen: a. Percussion, inspection, palpation, auscultation b. Inspection, palpation, percussion, auscultation c. Inspection, auscultation, percussion, palpation d. Auscultation, inspection, palpation, percussion correct answers c. Inspection, auscultation, percussion, palpation When percussing a child's abdomen, you note tympany. This is indicative of the presence of: a. Fluid b. Air c. Feces d. Hepatomegaly correct answers b. Air When inspecting the child's abdomen, the examiner notes a midline muscular separation with bulging at the child cries. This finding is a(n): a. Umbilical hernia b. Inguinal hernia c. Omphalocele d. Diastasis recti correct answers d. Diastasis recti A 10-month-old infant is brought to the clinic with complaints of cough and rhinorrhea. When auscultating the child's lungs, you note a large, bulging umbilical mass. The mass is easily reducible but increases when the child cries. This assessment finding is a(n): a. Inguinal hernia b. Umbilical hernia c. Gastroschisis d. Omphalocele correct answers b. Umbilical hernia The iliopsoas (psoas sign) test is used to identify: a. Splenic enlargement b. Costovertebral tenderness c. Intra-abdominal inflammation d. Decreased peristalsis or intestinal activity correct answers c. Intra-abdominal inflammation When auscultating bowel sounds in an infant or a young child, it is essential to use a pediatric stethoscope because: a. A stethoscope diaphragm that is too large may also encompass lung sounds, confusing the clinical picture b. A stethoscope diaphragm that is too large may also encompass vascular sounds, confusing the clinical picture c. A stethoscope diaphragm that is too large may cause pain in a small infant if pressure is applied during auscultation