# The primary health care assessment

The primary health care assessment
A nurse in a day-care center is observing a 2-yearold child during recess. Which of the following
actions would the nurse expect the child to perform?
1. Ride a tricycle
2. Kick a ball
3. Climb the rungs of a ladder
4. Build a sand castle
6. A mother asks which toy the nurse would suggest
she purchase for her 15-month-old child. Which of
the following would be appropriate for the nurse to
recommend?
1. Model kit
2. Rattle
3. Toy shopping cart
4. Board game
7. A mother asks the nursery school nurse, “Whenever
she is playing with other children in the playground,
my 2½-year-old keeps throwing sand in other kids’
faces. What am I to do?” Which of the following
disciplinary methods would be most appropriate for
the nurse to recommend?
1. Inform the child that she will be grounded from
going to the playground for 7 days.
2. Spank the child on her buttocks.
3. Th row sand in the child’s face.
4. Make the child sit on a bench away from the
playground for 2 to 3 minutes.
8. A 2½-year-old boy is being seen by the primary
health-care provider for a well-child checkup. Which
of the following statements by the mother would
indicate a need for teaching?
1. “I bought a potty seat and put it into the
bathroom next to the toilet. Johnny sits in it
sometimes.”
2. “I worry that Johnny will get too close to the hot
oven, so I put him in his playroom and have him
play by himself with his toys while I’m making
dinner.”
3. “When Johnny has a bottle with him in his crib,
he goes to bed so much more easily. He drinks the
water, and it helps him to go to sleep.”
4. “My husband and I converted Johnny’s crib into a
toddler bed because he climbed out of the crib
twice last week.”
9. An 18-month-old boy is being seen by the primary
health-care provider for a well-child checkup. Refer
to the growth charts in Appendix A. Which of the
following assessments would indicate a need for
further investigation?
1. Head circumference of 18¾ in.
2. Height of 32¼ in.
3. Weight of 31¼ lb.

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