A nurse is assessing a 5-year-old child's lymph nodes. Which area should the nurse include in the examination?
Axillary nodes only.
Inguinal nodes only.
Cervical, axillary, and inguinal nodes.
Popliteal nodes only.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. Depressed and sunken fontanelles are signs of dehydration and should be evaluated promptly.
B. Incorrect. Flat and firm fontanelles may indicate normal hydration, but slight bulging is considered normal in infants.
C. Correct. Slightly bulging fontanelles can be normal in infants due to crying, coughing, or changes in intracranial pressure. However, severely bulging or depressed fontanelles are concerning and require further evaluation.
D. Incorrect. Pulsating fontanelles are a normal finding and are related to the pulsations of blood flow in the area.
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.
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