Other Questions by the Nurse
First, the child could be examined while on the parent’s lap so that the parent could assist in holding or supporting the child appropriately (Jarvis, 2016). Second, the child should be examined without any clothing except the underpants (the underpants can be removed during genital inspection). Additionally, the preschooler should be allowed to play with items in the office and to increase their levels of cooperation, they can be distracted by asking them to count or describe an interesting event they know or witnessed.
Major differences in assessment
At this age the child is more cooperative to the process and willing to undress for the checkup. Additionally, parts like the valgus have to be re-assessed and normalcy confirmed (Jarvis, 2016). Lastly, the possibility of bending arms, hip dislocation, alignment and bowing of the legs are critical and must be applied in this assessment (Jarvis, 2016).
Things to be included in plan of care
Use of safety gear while playing especially when riding a bicycle. Routine checkup for increasing deformities and reporting of any injuries or pains (“growing pains”) (Jarvis, 2016).
Most likely cause of leg pains
Leg pains are also referred to as “growing pains” at this age and are most likely due to: bruises, broken bones, sprains or strains.
Ganel, A., Dudkiewicz, I., & Grogan, D. P. (2003). Pediatric orthopedic physical examination
of the infant: A 5–minute assessment. Journal of Pdiatric Health Care, 17(1), 39–41.
Jarvis, C. (2016). Physical Examination & Health Assessment. St. Louis, Missouri: Saunders.
Pediatric Assessment (2006): Media Link. Online Source. Available at: http://www.prenhall.com/london2e/pages/london_final_ch35.pdf
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