Pediatric,Physical,Examination:,An,Illustrated,Handbook,3rd,Edition,by,K
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aren,G.,Duderstadt,PhD,RN,CPNP,FAAN,(Author)latest,Update,2023-
24,Questions,And,,Answers,:wers,
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,Table,of,Contents,
Chapter,1.,Neurological,System..................................................................................... 2
Chapter,2.,Physical,Assessment,Parameters ................................................................ 23
Chapter,3.,Developmental,Surveillance,and,Screening ................................................ 32
Chapter,4.,Comprehensive,Health,Gathering ............................................................... 38
Chapter,5.,Environmental,Health,History .................................................................... 43
Chapter,6,Newborn,Assessment .................................................................................. 48
Chapter,7.,Skin............................................................................................................. 59
Chapter,8.,Heart,and,Vascular,System ......................................................................... 67
Chapter,9.,Chest,and,Respiratory,System..................................................................... 78
Chapter,10.,Head,and,Neck .......................................................................................... 93
DIncorrect.,Swelling,over,the,occipitoparietal,region,of,the,skull,is,not,called,parietus, 9
8
sepitus.,Chapter,11.,Lymphatic,System ....................................................................... 98
Chapter,12.,Eyes ........................................................................................................ 105
Chapter,13.,Ears ......................................................................................................... 114
Chapter,14.,Nose,,Mouth,,and,Throat ........................................................................ 117
Chapter,15.,Abdomen,and,Rectum............................................................................. 119
Chapter,16.,Male,Genitalia ........................................................................................ 135
Chapter,17.,Male,and,Female,Breast,,MANIFORD,CHOICE.................................... 136
Chapter,18.,Female,Genitalia ..................................................................................... 145
Chapter,19.,Musculoskeletal,System ......................................................................... 148
Chapter,20:,Approach,to,Care,and,Assessment,of,Children,and,Adolescents............. 164
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Chapter,1.,Neurological,System,
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1.,A,nurse,is,explaining,to,parents,how,the,central,nervous,system,of,a,child,differs,from,that,of,an,a
dult.,Which,statement,accurately,describes,these,differences?,
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a. The,infant,has,150,milliliters,of,cerebrospinal,fluid,compared,with,50,milliliters,in,t
he,adult.,
, b. Papilledema,is,a,common,manifestation,of,increased,intracranial,pressure,in,the,ver
y,young,child.,
c. The,brain,of,a,term,infant,weighs,less,than,half,of,the,weight,of,the,adult,brain.,
d. Coordination,and,fine,motor,skills,develop,as,myelinization,of,peripheral,nerves,pr
ogresses.,
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,ANSWERS,::,D,
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Peripheral,nerves,are,not,completely,myelinated,at,birth.,As,myelinization,progresses,,so,does,the,c
hilds,coordination,and,fine,muscle,movements.,An,infant,has,about,50,milliliters,of,cerebrospinal,fl
uid,compared,with,150,milliliters,in,an,adult.,Papilledema,rarely,occurs,in,infancy,because,open,fon
tanels,and,sutures,can,expand,in,the,presence,of,increased,intracranial,pressure.,The,brain,of,the,ter
m,infant,is,two-thirds,the,weight,of,an,adults,brain.,
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2.,A,nurse,is,assessing,a,1-year-
old,child,for,increased,intracranial,pressure,(ICP).,Which,sign,should,the,nurse,assess,for,with,th
is,age,of,child?,
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a. Headache,
b. Bulging,fontanel,
c. Tachypnea,
d. Increase,in,head,circumference,
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,ANSWERS,::,A,
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Headaches,are,a,clinical,manifestation,of,increased,ICP,in,children.,A,change,in,the,childs,normal,b
ehavior,pattern,may,be,an,important,early,sign,of,increased,ICP.,A,bulging,fontanel,is,a,manifestati
on,of,increased,ICP,in,infants.,A,10-year-
old,child,would,have,a,closed,fontanel.,A,change,in,respiratory,pattern,is,a,late,sign,of,increased,IC
P.,Cheyne-
Stokes,respiration,may,be,evident.,This,refers,to,a,pattern,of,increasing,rate,and,depth,of,respiration
s,followed,by,a,decreasing,rate,and,depth,with,a,pause,of,variable,length.,By,10,years,of,age,,cranial,
sutures,have,fused,so,that,head,circumference,will,not,increase,in,the,presence,of,increased,ICP.,
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3.,The,nurse,should,give,a,child,who,is,to,have,magnetic,resonance,imaging,(MRI),of,the,brain,wh
ich,information?,
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a. Your,head,will,be,restrained.,
b. You,will,have,to,drink,a,special,fluid,before,the,test.,
c. You,will,have,to,lie,flat,after,the,test,is,finished.,
d. You,will,have,electrodes,placed,on,your,head,with,glue.,
,
,ANSWERS,::,A,
,
,
aren,G.,Duderstadt,PhD,RN,CPNP,FAAN,(Author)latest,Update,2023-
24,Questions,And,,Answers,:wers,
,
,
,
,,,,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,,,,,,,,,,,,,,,,,,,,,, ,
,
,
,
,
,
,
,
,
,
,
,Table,of,Contents,
Chapter,1.,Neurological,System..................................................................................... 2
Chapter,2.,Physical,Assessment,Parameters ................................................................ 23
Chapter,3.,Developmental,Surveillance,and,Screening ................................................ 32
Chapter,4.,Comprehensive,Health,Gathering ............................................................... 38
Chapter,5.,Environmental,Health,History .................................................................... 43
Chapter,6,Newborn,Assessment .................................................................................. 48
Chapter,7.,Skin............................................................................................................. 59
Chapter,8.,Heart,and,Vascular,System ......................................................................... 67
Chapter,9.,Chest,and,Respiratory,System..................................................................... 78
Chapter,10.,Head,and,Neck .......................................................................................... 93
DIncorrect.,Swelling,over,the,occipitoparietal,region,of,the,skull,is,not,called,parietus, 9
8
sepitus.,Chapter,11.,Lymphatic,System ....................................................................... 98
Chapter,12.,Eyes ........................................................................................................ 105
Chapter,13.,Ears ......................................................................................................... 114
Chapter,14.,Nose,,Mouth,,and,Throat ........................................................................ 117
Chapter,15.,Abdomen,and,Rectum............................................................................. 119
Chapter,16.,Male,Genitalia ........................................................................................ 135
Chapter,17.,Male,and,Female,Breast,,MANIFORD,CHOICE.................................... 136
Chapter,18.,Female,Genitalia ..................................................................................... 145
Chapter,19.,Musculoskeletal,System ......................................................................... 148
Chapter,20:,Approach,to,Care,and,Assessment,of,Children,and,Adolescents............. 164
,
,
,
,
,
Chapter,1.,Neurological,System,
,
1.,A,nurse,is,explaining,to,parents,how,the,central,nervous,system,of,a,child,differs,from,that,of,an,a
dult.,Which,statement,accurately,describes,these,differences?,
,
a. The,infant,has,150,milliliters,of,cerebrospinal,fluid,compared,with,50,milliliters,in,t
he,adult.,
, b. Papilledema,is,a,common,manifestation,of,increased,intracranial,pressure,in,the,ver
y,young,child.,
c. The,brain,of,a,term,infant,weighs,less,than,half,of,the,weight,of,the,adult,brain.,
d. Coordination,and,fine,motor,skills,develop,as,myelinization,of,peripheral,nerves,pr
ogresses.,
,
,ANSWERS,::,D,
,
Peripheral,nerves,are,not,completely,myelinated,at,birth.,As,myelinization,progresses,,so,does,the,c
hilds,coordination,and,fine,muscle,movements.,An,infant,has,about,50,milliliters,of,cerebrospinal,fl
uid,compared,with,150,milliliters,in,an,adult.,Papilledema,rarely,occurs,in,infancy,because,open,fon
tanels,and,sutures,can,expand,in,the,presence,of,increased,intracranial,pressure.,The,brain,of,the,ter
m,infant,is,two-thirds,the,weight,of,an,adults,brain.,
,
2.,A,nurse,is,assessing,a,1-year-
old,child,for,increased,intracranial,pressure,(ICP).,Which,sign,should,the,nurse,assess,for,with,th
is,age,of,child?,
,
a. Headache,
b. Bulging,fontanel,
c. Tachypnea,
d. Increase,in,head,circumference,
, ,
,ANSWERS,::,A,
,
Headaches,are,a,clinical,manifestation,of,increased,ICP,in,children.,A,change,in,the,childs,normal,b
ehavior,pattern,may,be,an,important,early,sign,of,increased,ICP.,A,bulging,fontanel,is,a,manifestati
on,of,increased,ICP,in,infants.,A,10-year-
old,child,would,have,a,closed,fontanel.,A,change,in,respiratory,pattern,is,a,late,sign,of,increased,IC
P.,Cheyne-
Stokes,respiration,may,be,evident.,This,refers,to,a,pattern,of,increasing,rate,and,depth,of,respiration
s,followed,by,a,decreasing,rate,and,depth,with,a,pause,of,variable,length.,By,10,years,of,age,,cranial,
sutures,have,fused,so,that,head,circumference,will,not,increase,in,the,presence,of,increased,ICP.,
,
3.,The,nurse,should,give,a,child,who,is,to,have,magnetic,resonance,imaging,(MRI),of,the,brain,wh
ich,information?,
,
a. Your,head,will,be,restrained.,
b. You,will,have,to,drink,a,special,fluid,before,the,test.,
c. You,will,have,to,lie,flat,after,the,test,is,finished.,
d. You,will,have,electrodes,placed,on,your,head,with,glue.,
,
,ANSWERS,::,A,
,