The nurse is assessing the heart sounds of a child and notices the child has a grade II murmur. What are the characteristics of a grade II murmur? Show
3 The grading of murmurs is done based on the loudness or intensity of a murmur. Grade II murmurs are slightly louder than grade I murmurs and are audible in all positions. If the heart sound is loud and accompanied by a thrill, it is considered a grade IV murmur. If the heart sound is loud but not accompanied by a thrill, it is labeled a grade III murmur. If the heart sound is very faint and often not heard if the child is in the sitting
position, this is a grade I murmur. What explains the importance of detecting strabismus in young children? 3 Amblyopia may develop if the eyes do
not work together. Color vision depends on rods and cones in the retina, not muscle coordination. The brain may ignore the visual cues from one eye, resulting in blindness. Epicanthal folds are present at birth. Ptosis, or drooping eyelids, is not related to strabismus (or cross-eyes). In which order does the nurse take the history of the child who presents with a temperature of 102° F (38.8° C)? 1.Determining the child's identity The first step in the history-taking
process is to identify the person. Then move on to the child's chief complaints. This will determine the reason for the child and parents seeking professional health attention. The child's present illness helps to obtain all the details related to the chief complaints and to plan care accordingly. Past medical history of the child elicits information about previous illnesses or health conditions of which the health care team needs to be aware. The family medical history elicits the role of any
genetic diseases and familial tendencies, as well as to assess exposure to communicable diseases. Dietary intake and clinical examination of the nutritional status of a child elicit the adequacy and requirements of the child's nutritional needs. Which body function can be inferred from observing the balance and coordination status of a child? 4 The cerebellum controls balance and coordinated body movements. By assessing the child's balancing and coordination of body movements, the nurse can elicit the function of the cerebellum. Bones are the rigid organs that make up the frame of the body. Balance and coordination do not indicate the health of bone function. Joints are the articulation in which bones connect to each other. Cerebral
function is elicited through the testing of reflexes, not balancing. How does the nurse assess the ocular alignment for a school-age child who has come for a general examination? 2 There are a myriad of tests that are performed to assess vision. The nurse should assess for the corneal light reflex or conduct a cover test to determine ocular alignment. The purpose of ocular alignment is to detect any abnormalities such as strabismus or amblyopia. The other tests include visual acuity, peripheral vision, and color vision. Subjective data obtained from the child cannot elicit information about ocular alignment; it describes the difficulty faced with current
vision. Inspections of internal and external structures of the eye provide information related to the anatomy of the eye but not ocular alignment. In what position should the nurse place the child in order to examine the child's mouth and throat quizlet?In what position should the nurse place the child in order to examine the child's mouth and throat? The nurse tells the child to: Tilt head back slightly and take deep breaths through the mouth.
How does the nurse assess the ocular alignment for a school age child who has come for a general examination quizlet?How does the nurse assess the ocular alignment for a school-age child who has come for a general examination? There are a myriad of tests that are performed to assess vision. The nurse should assess for the corneal light reflex or conduct a cover test to determine ocular alignment.
Which assessment finding would the nurse expect when assessing a preschoolers chest?When assessing a preschooler's chest, the nurse would expect: movement of the chest wall to be symmetric bilaterally and coordinated with breathing.
Why can it be difficult to assess a child's dietary intake?Nutrients for different foods are known; it is the quantity and type of food consumed that are difficult to ascertain. The family does not need nutrition knowledge to describe what the child has eaten. The nurse is ready to begin a physical examination on an 8-month-old infant.
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Which body function can be inferred from observing the balance and coordination status of a child
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