Question

S.P. is a 3-year-old female toddler who presents to the pediatrician’s office for a yearly well visit. The child complains that her leg hurts.

SUBJECTIVE DATA

 PMH of otitis media

 Immunizations: Up to date

 No medications

 No allergies

 Pain: 3/5 on pain scale

 Attends preschool

 Unable to recall injuring leg

OBJECTIVE DATA

 Vital signs: T 37 P 92 R 18 BP 100/70

 Lungs: clear in all fields

 Heart rate and rhythm regular

 Moving all extremities

 Normal range of motion in legs and arms

 Strength 5/5 in all extremities

 No obvious deformities, bruising, redness, or wounds to the right leg

 No tenderness to palpation of the right leg

Respond to each question for the following scenario. Use rationale to support your responses.

1. What are three (3) techniques that are helpful to incorporate in assessing a patient in this age group?

2. Considering this is a well-child visit, what other assessments should the nurse make for this clinical presentation? List and provide rationale for at least two.

3. List and describe at least two (2) of the major differences in the musculoskeletal assessment and normal findings for a child compared to the musculoskeletal assessment and normal findings for an adult.

4. Provide four (4) examples of health promotion topics that are important for a patient in this age group.

Answer 1

1- we can assess the toddler by being friendly to him/her.
by reassuring the child

by make him or her to do some bodily movements in a play manner.

2- assess. For the bleeding and any kind of infection from ther ear to find out the signs of otitis media

assess for any kind of difficulty in movement to asess any kind of serious injury at the site of pain.

4- A- immunisations

B - prevention of injuries

C - healthy diet

D - peraonal hygiene