CHILD AND FAMILY ASSESSMENT AND PREPARATION Perform external assessment of the child’s eyes and lids. Use the ABC checklist for vision, as appropriate: A = appearance: eyes turning in or out, ptosis, swelling, differently sized pupils B = behavior: head tilting, squinting, excessive stumbling, fumbling, or
awkwardness C = child’s statement: headaches, blurry vision, cannot see the board, double vision Obtain ocular history: Inquire about relevant familial eye disorders such as childhood cataracts or glaucoma, strabismus, amblyopia, and parental or sibling history of wearing glasses in preschool or early childhood. Explain the procedure to the family and the child in an age-appropriate manner and in the primary language (see
Table 117-1 for common vision screening tests and their purpose). Assure them that the procedures are painless.
Jul 9, 2020 | Posted by in NURSING | Comments Off on Vision Screening
19.The nurse is assessing a 4-year-old child’s visual acuity. The results indicate a visual acuity of 20/40 inboth eyes. The child’s father asks the nurse about his son’s results. Which response, if made by the nurse, is correct?
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20.When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones.This should be considered
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21.Which cranial nerve is assessed when the child is asked to imitate the examiner’s wrinkled frown,wrinkled forehead, smile, and raised eyebrow?
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22.Which assessment finding is considered a neurologic soft sign in a 7-year-old child?
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23.Which parameter correlates best with measurements of the body’s total muscle mass–to-fat ratio?
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24.Which tool measures body fat most accurately?
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25.When palpating the child’s cervical lymph nodes, the nurse notes that they are tender, enlarged, andwarm. What is the best explanation for this?
7.Which chart should the nurse use to assess the visual acuity of an 8-year-old child?a.Lea chartb.Snellen chartc.HOTV chartd.Tumbling E chartANS: BFeedbackAThe Lea chart tests vision using four different symbols designed for use with
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preschool children.BThe Snellen chart is used to assess the vision of children older than 6 years ofage.CThe HOTV chart tests vision by using graduated letters and is designed for usewith children ages 3 to 6 years.DThe tumbling E chart uses the letter E in various directions and is designed foruse with children ages 3 to 6 years.PTS:1DIF:Cognitive Level: ComprehensionREF:p. 817 | Box 33-8OBJ:Nursing Process: ImplementationMSC:Client Needs: Health Promotion and Maintenance8.Which action is appropriate when the nurse is assessing breath sounds of an 18-month-oldcrying child?
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PTS:1DIF:Cognitive Level: ApplicationREF:p. 805OBJ:Nursing Process: ImplementationMSC:Client Needs: Health Promotion and Maintenance9.The nurse is obtaining vital signs on a 1-year-old child. What is the most appropriate site forassessing the pulse rate?
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PTS:1DIF:Cognitive Level: ApplicationREF:p. 809
OBJ:Nursing Process: AssessmentMSC:Client Needs: Health Promotion and Maintenance10.A nurse is reviewing pediatric physical assessment techniques. Which statement aboutperforming a pediatric physical assessment is correct?
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Nursing, Cognitive Level, Physical examination