the purpose of the pediatric assessment triangle is to

ATI LPN

LPN Pediatrics

1. What is the purpose of the pediatric assessment triangle?

A. Detect immediate life threats through a quick hands-on assessment.
B. Identify if the child has a medical condition or a traumatic injury.
C. Determine if the child's problem is respiratory or circulatory in nature.
D. Form a general impression of the child without touching them.

Correct answer: D

Rationale: The pediatric assessment triangle is used to form a rapid, hands-off general impression of the child's condition without directly touching them. This visual assessment helps in identifying children who require immediate attention and further evaluation.

2. A new parent is concerned because their newborn's stools are loose and yellow. The healthcare provider should explain that this is:

A. A sign of dehydration
B. A normal finding in breastfed infants
C. Indicative of an infection
D. Due to lactose intolerance

Correct answer: B

Rationale: Loose, yellow stools are a normal finding in breastfed infants. Breastfed infants often have loose, yellow stools due to the composition of breast milk. It is not typically a sign of dehydration, infection, or lactose intolerance in this context.

3. During your assessment of a woman in labor, you see the baby's arm protruding from the vagina. The mother tells you that she needs to push. You should:

A. gently push the protruding arm back into the vagina.
B. encourage the mother to push and give her high-flow oxygen.
C. insert your gloved fingers into the vagina and try to turn the baby.
D. cover the arm with a sterile towel and transport immediately.

Correct answer: D

Rationale: When encountering a protruding limb during delivery, it is crucial to recognize this as an emergency situation. The correct action is to cover the limb with a sterile towel to prevent injury and transport the mother immediately to a medical facility. Attempting to push the limb back into the vagina or trying to manipulate the baby's position can be harmful and delay necessary medical intervention. Encouraging the mother to push and providing high-flow oxygen is not appropriate in this scenario as immediate transport is essential to ensure the safety of both the mother and the baby.

4. Physical abuse of a 4-year-old child should be suspected if you observe:

A. purple and yellow bruises on the thighs.
B. bruises on the anterior tibial area.
C. the child clinging to his or her parent.
D. curious siblings watching you.

Correct answer: A

Rationale: Purple and yellow bruises on protected areas like the thighs are concerning as they indicate bruises in various stages of healing, which is a red flag for physical abuse. Bruises on the anterior tibial area or a child clinging to a parent are not specific signs of physical abuse. Siblings watching you is unrelated to the suspicion of physical abuse in this scenario.

5. The healthcare provider is providing postpartum care to a client who had a vaginal delivery. Which finding would require further assessment?

A. Perineal swelling
B. Moderate lochia serosa
C. Headache unrelieved by analgesics
D. Breast engorgement

Correct answer: C

Rationale: A headache unrelieved by analgesics can be a sign of a serious condition such as preeclampsia, which is a life-threatening condition characterized by high blood pressure and often protein in the urine. Prompt assessment and intervention are crucial to prevent complications for both the mother and baby.