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NUR 471 - FNP Exam #1 Questions and Answers (100% Correct Answers) Already Graded A+

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NUR 471 - FNP Exam #1 Questions and Answers (100% Correct Answers) Already Graded A+

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NUR 471 - FNP Exam #1 Questions and
Answers (100% Correct Answers) Already
Graded A+


Use a quiet, calm voice when interacting initially with infant
Smile, use exaggerated facial expressions and animated high-
pitched tone to hold infant's attention and to create a positive
mood
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Pick up infants and cuddle them.
Use a soothing voice to calm infants.
Hold, rock, and pat infants to comfort them
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Note a parent's interpretation of infant's nonverbal
communication—Ans: Young Infant Communication
Establish rapport with parents as well as infants; infants can sense
tension and will cry.
Parents should be in infants' direct line of vision to minimize
stranger anxiety, which starts around 6-8 months.
Allow parents to hold their children during the visit and during the
exam.
Make sure older infants have security objects nearby for
comfort.—Ans: Older Infant
Like to have their parents or a security object nearby during
physical examination.
Respond promptly to attempt to communicate with you.
Most difficult age group to communicate with, so be creative by
using dolls, toys, or puppets.
If possible, allow toddlers to touch medical equipment before
beginning physical examination to decrease fear and anxiety.

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Build on their one- or two-word sentences to form a complete
sentence so they know that you understand them and help them
build their vocabulary.
Give concise directions and only one direction at a time.—Ans:
Toddlers
Like to have their parents or a security object nearby during
physical examination.
Respond promptly to attempt to communicate with you.
Most difficult age group to communicate with, so be creative by
using dolls, toys, or puppets.
If possible, allow toddlers to touch medical equipment before
© 2025 Assignment Expert




beginning physical examination to decrease fear and anxiety.
Build on their one- or two-word sentences to form a complete
sentence so they know that you understand them and help them
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build their vocabulary.
Give concise directions and only one direction at a time.—Ans:
Toddlers
May also like to have a parent or a security object nearby during
physical examination.
Choose words carefully as preschoolers have many fears.
Include in the encounter by speaking to them and asking them
basic questions.
Answer questions with simple, short, concrete explanations.
May also want to handle equipment to lessen fear.
Can incorporate their imaginations into care—Ans: Preschooler
Communications
Offer choices, when possible.
Ask about favorite music group, friends, and interests.
Listen more than you talk.
Use nonjudgmental listening and responses.
Do not use popular jargon when speaking with adolescents.

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Allow private time during healthcare visit, without parent present.
Explain parts of physical examination and reasons for asking
sensitive questions.
Encourage questions.—Ans: Adolescent Communication
Be flexible and patient
Talk to parent first before approaching child
Include child in conversation
Examine child on parent's lap, eye level with child
Do not ask young children for permission
Make it a game
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Distraction
If older sibling, let older child go first—Ans: Young Children
Physical Exam
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Shy about bodies
Teach about anatomy, posters in exam room
Ask permission when examining breasts or genitals (with
chaperone in room)
Approach based on age and development
Young children usually save head (ears and mouth last)
Older children and teens can move head to toe with saving most
embarrassing parts of exam for last—Ans: Teens
What is most important during a teenagers physical exam?—Ans:
Perform least distressing aspect of exam first and most
embarrassing, intrusive, and painful portion last
Very important to monitor growth
Length until age 2, then switch to standing "height" at age 2
Weight
Double birth weight by 6 months
Triple birth weight by 12 months

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Quadruple birth weight by 2 years
Very rough estimate for all. Prematurity matters. *Follow the growth
curve*—Ans: Growth expectations
Normal falls between 5th and 95th percentile
Measure until age 2—Ans: Head Circumference
Larger than 95th percentile
Usually genetic—Ans: Macrocephaly
Smaller than 5th percentile—Ans: Microcephaly
Why do you compare femoral and radial pulses at least once in a
newborn?—Ans: Assess coarctation of aorta and make sure it is
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symmetric.
What kind of arrhythmia is common and why?—Ans: Sinus
arrhythmia as the pulse increases with inspiration and decreases
with expiration
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Rate, rhythm, depth, and effort
While child is quiet
1 full minute in infants
Obligatory nose breathers until about 2-4 months
- nasal suction in younger children—Ans: Respirations
When do you start BP screening in children?—Ans: Age 3 or
sooner if risk.
What is the goal of a sports physical exam?—Ans: To identify any
health conditions affecting ability to participate in vigorous
physical activity.
Main focus on:
Cardiovascular
Cardiac Exam: murmur; extra heart sounds, supine and upright
position, squat-stand maneuver to detect murmur of subaortic
stenosis; femoral pulses to detect coarctation of aorta; signs of
Marfan syndrome: kyphoscoliosis, pectus excavatum or pectus

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