A nurse is reviewing pediatric physical assessment techniques. Which statement about performing a pediatric physical assessment is correct?
a. Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise.
b. The physical examination should be done with parents in the examining room for children of any age.
c. Measurement of head circumference is done until the child is 5 years old.
d. The physical examination is done only when the child is cooperative.
A
Physical assessment usually proceeds from head to toe; however, developmental considerations with infants and toddlers dictate that the least threatening assessments be done first to obtain accurate data. Having parents in the examining room with adolescents is not appropriate. Head circumference is routinely measured until 36 months of age. Children will not always be cooperative during the physical examination. The examiner will need to incorporate communication and play techniques to facilitate cooperation.
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