Which would be least effective in gaining the cooperation of a toddler during a physical examination?

Tell the child that another child the same age wasn't afraid.

Permit the child to sit on the parent's lap during the examination.

Offer immediate praise for holding still or doing what was asked.

Allow the child to touch and hold the equipment when possible.

Answer and Explanation

The Correct Answer is A

A. Tell the child that another child the same age wasn't afraiD. This approach may backfire as toddlers may not fully understand or relate to the concept of comparison with other children. Additionally, it could potentially increase the child's anxiety by implying that being afraid is abnormal.

B. Permit the child to sit on the parent's lap during the examination: Allowing the child to stay close to their caregiver can provide comfort and security, promoting cooperation during the examination.

C. Offer immediate praise for holding still or doing what was askeD. Positive reinforcement can encourage desired behavior and cooperation by reinforcing the child's efforts to comply with the examination process.

D. Allow the child to touch and hold the equipment when possiblE. Giving the child a sense of control and familiarity with the examination tools can help alleviate fear and increase cooperation during the examination.

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Correct Answer is A

Explanation

A. The toddler's anterior fontanel is not fully closeD. The closure of the anterior fontanel typically occurs by around 18 months of age. If the fontanel is still open at 3 years old, it may indicate a delay in normal development and could be a cause for concern. The nurse should further assess this finding and consider follow-up with the healthcare provider.

B. The toddler gained 3 in in height since last year: Growth in height is expected during early childhood, and a gain of 3 inches over a year is within the normal range for a 3-year-old.

C. The toddler gained 4 lb in weight since last year: Weight gain is also expected during early childhood, and a gain of 4 pounds over a year is within the normal range for a 3-year-old.

D. The circumference of the child's head increased 1 in since last year: Head circumference typically increases during early childhood as the brain grows, and a 1-inch increase over a year is within the normal range for a 3-year-old.

A. At the beginning B. Before auscultating the chest and abdomen C. Before examining the head and neck D. At the end

Correct Answer is D

Explanation

A. At the beginning: It is not necessary to examine the tympanic membrane at the very beginning of the physical examination.

B. Before auscultating the chest and abdomen: While the tympanic membrane examination may precede auscultation of the chest and abdomen, it is not typically performed before all other components of the physical examination.

C. Before examining the head and neck: Examination of the tympanic membrane is usually part of the head and neck assessment, so it would not occur before examining these areas.

D. At the enD. Examination of the tympanic membrane is typically performed towards the end of the physical examination, after other components such as inspection, palpation, and auscultation have been completed. This sequence allows the nurse to maintain the flow of the examination and ensures a thorough assessment of all body systems.

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Which would be least effective in gaining the cooperation of a toddler during a physical examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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