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    Ati nurs 4355 paediatrics proctored exam

    A nurse is instructing a newly licensed nurse on how to conduct head and neck assessments in pediatric patients. Which statement by the newly licensed nurse indicates a correct understanding of the assessment process?

    Explanation & Rationale

    A. "An infant's lymph nodes may be large and tender at 2 months of age.": While lymph nodes can be slightly enlarged in infants, tenderness or significant enlargement at 2 months may indicate infection or another underlying condition and is not considered a normal finding. B. "Infants should be able to hold their head steady without support by 3 months of age.": Most infants develop good head control by 4 months, not 3 months. Expecting full head steadiness at 3 months is premature and reflects misunderstanding of typical developmental milestones. C. "Facial drooping during assessment is a normal finding and does not require further action.": Facial drooping is abnormal at any age and may indicate neurologic compromise, such as cranial nerve VII palsy. It warrants immediate evaluation rather than being considered normal. D. "Inspection and palpation should be used to evaluate the skull, eyes, ears, nose, mouth, throat, and neck structures.": This statement correctly describes the comprehensive approach to pediatric head and neck assessment. Both inspection and palpation are essential for identifying abnormalities in structure, symmetry, and function.

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