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A nurse is assessing a 5-year-old child's lymph nodes. Which area should the nurse include in the examination?

A.

Axillary nodes only.

B.

Inguinal nodes only.

C.

Cervical, axillary, and inguinal nodes.

D.

Popliteal nodes only.

Answer and Explanation

The Correct Answer is C

A. Incorrect. Assessing only axillary nodes would miss important areas for lymph node examination in a child.

B. Incorrect. Assessing only inguinal nodes would miss important areas for lymph node examination in a child.

C. Correct. When assessing lymph nodes in a child, it's important to include the cervical (neck), axillary (armpits), and inguinal (groin) nodes in the examination.

D. Incorrect. Popliteal nodes are not typically assessed in a routine pediatric examination.


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Related Questions

Correct Answer is A

Explanation

A. Correct. The Ortolani maneuver is used to assess for developmental dysplasia of the hip (DDH) in infants. It involves gently abducting the hips while applying gentle pressure to feel for any instability.

B. Incorrect. The Barlow maneuver is also used to assess for DDH, but it involves adducting the hips.

C. Incorrect. The Phalen maneuver is used to assess for carpal tunnel syndrome, which is not relevant to hip stability.

D. Incorrect. Tinel's sign is used to assess for nerve compression, typically in the wrist, and is not relevant to hip stability.

Correct Answer is B

Explanation

A. Incorrect. The Babinski reflex, where the big toe extends and the other toes fan out, is normal in infants but typically disappears by the age of 2.

B. Correct. The Moro reflex is a normal startle response in newborns. It involves symmetrically spreading the arms and then bringing them back to the body when the infant experiences a sudden change in position or stimulation.

C. Incorrect. The tonic neck reflex, also known as the "fencing" reflex, is a normal infantile reflex but typically disappears by 6 months.

D. Incorrect. The plantar grasp reflex, where the toes curl in when the sole of the foot is touched, is normal in infants but typically disappears by 9 months.

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