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A nurse is assessing a toddler at a well-child visit.
At what point in the physical examination should the nurse examine the child's tympanic membrane?

A.

At the beginning.

B.

Before auscultating the chest and abdomen.

C.

Before examining the head and neck.

D.

At the end.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Examining the tympanic membrane at the beginning may cause distress to the child and make the rest of the exam difficult.

 

Choice B rationale

Before auscultating the chest and abdomen, the child needs to be calm and cooperative, which might not be the case if their ear is examined first.

 

Choice C rationale

Examining the tympanic membrane before the head and neck could lead to increased anxiety and uncooperativeness in the child during the rest of the exam.

 

Choice D rationale

Examining the tympanic membrane at the end allows for a more accurate and complete examination without causing the child to become distressed early in the process.


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View Related questions

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Measles, mumps, rubella (MMR) vaccine is recommended for a 1-year-old child as it protects against these three highly contagious viral diseases. This vaccine is typically given in two doses, with the first dose administered at 12-15 months.

Choice B rationale

Tetanus, diphtheria, and pertussis (TDaP) vaccine is not typically given at 1 year of age. The primary series is given in infancy, and the TDaP booster is given at 4-6 years of age.

Choice C rationale

Inactivated polio virus (IPV) vaccine is part of the routine vaccination schedule for children. It protects against polio, a serious disease that can cause paralysis. The IPV vaccine is given in multiple doses, starting at 2 months of age.

Choice D rationale

Varicella (VAR) vaccine protects against chickenpox, a highly contagious disease. It is recommended for children at 12-15 months of age and is usually given in two doses.

Choice E rationale

Human papillomavirus (HPV) vaccine is not recommended for a 1-year-old child. It is typically given to preteens and teens to protect against HPV infections that can lead to cervical cancer and other diseases.

Correct Answer is B

Explanation

Choice A rationale

Acrocyanosis is a common and typically benign condition in newborns, characterized by bluish discoloration of the hands and feet. It is not an immediate priority.

Choice B rationale

Respiratory distress is the priority assessment for a newborn immediately following a cesarean delivery. Ensuring the newborn has a patent airway and is breathing effectively is crucial for their survival and immediate well-being.

Choice C rationale

Hypothermia is a concern for newborns, but respiratory distress takes precedence as an immediate life-threatening condition.

Choice D rationale

Accidental lacerations can occur during a cesarean delivery, but they are usually not life-threatening and can be addressed after ensuring the newborn's respiratory status is stable. .

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