TEACH FOR NURSES LESSON PLAN
Chapter 29: The Complete Physical Assessment: Infant, Young Child, and Adolescent
CHAPTER OBJECTIVES
1. Use recommended techniques to perform a complete history and physical examination.
STUDENT RESOURCES
understand
• Textbook Chapter 29
• Sherpath for Medical-Surgical Nursing*
• Animations (Evolve website)
apply
• Case Studies (Evolve)
• Elsevier Adaptive Quizzing*
• HESI Case Studies*
• NCLEX Review Questions (Evolve)
• Study Guide*
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INSTRUCTOR RESOURCES
before class
• Nursing Curriculum Standards (below)
in class
• PowerPoint Presentations (Evolve)
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
THE NEONATE AND
INFANT
Vital Signs
Discuss how the order of a
neonate or infant
examination may be
rearranged according to
baby’s behavior. Examine
• Discussion Topic: Discuss the importance of keeping the neonate or infant at a stable body
temperature during the examination.
• Activity: Have students work with a preceptor in different health care settings, such as pediatric
settings, to experience and compare the differences in developmental care for the various young age
groups.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Nose
Mouth and Throat
Neck
Spine and Rectum
Final Procedures
Review the connections
between certain parts of
the examination (e.g.,
nutrition and sucking
reflex).
Examine why the nurse
should save the otoscopic
examination until the end
that the nurse must be
General Appearance
Measurement
Explain that it is best to let
it seem as if the young
child has choices during
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Mouth and Throat
Ears
Thorax and Breath Sounds
Discuss the importance of
the parent’s cooperation
and support during the
examination.
THE ADOLESCENT
Position Sitting Up
Position Supine
Ask the students if they
remember the first
complete examination
they had as an adolescent.
Ask them to share their
• Discussion Topic: Discuss ways to make the adolescent at ease during the examination.
IN-CLASS/ONLINE CASE STUDY
J.P. is a 12-year-old boy who presents to the pediatric office for his annual visit.
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Subjective Data
Lives with mother and father, both present for visit
Objective Data
Vital signs within normal limits
Height and weight within normal limits
Immunizations up to date
No medications
No allergies
Physical exam within normal limits
Questions
1. What special considerations should the nurse keep in mind regarding the physical exam with this age group?
2. What similarities does the assessment of this age group have compared with an adult exam?
3. What are the expected findings for the following systems: skin, hair, and nails and musculoskeletal system?
4. What are some abnormal findings for the following systems: skin, hair, and nails and musculoskeletal system?
5. How should the nurse assess the reproductive system for boys in this age group?
6. In which stage of development is this patient using the Tanner stages for boys?
Answers
2. The following systems are similar to the adult exam in the adolescent patient:
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9. The male exam: Procedures and techniques include the genitalia assessment. This assessment is important to ensure that maturational
development is progressing according to sexual maturity ratings (Tanner stages [see Table 26.1]) and because testicular cancer occurs in this age
NURSING CURRICULUM STANDARDS
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QSEN/NLN COMPETENCIES
• Patient-Centered Care/Human Flourishing
NURSING CONCEPTS
The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
BSN ESSENTIALS
• Essential IX: Baccalaureate Generalist Nursing Practice