AHA- 2nd Response Disc 2

Save Time On Research and Writing
Hire a Pro to Write You a 100% Plagiarism-Free Paper.
Get My Paper


Discussion #2 week 3 

Option 1) 

 L.G. is a 5-year-old boy being seen in the pediatric clinic for a yearly physical .

Save Time On Research and Writing
Hire a Pro to Write You a 100% Plagiarism-Free Paper.
Get My Paper

Subjective Data 

The patient is accompanied by a parent (mother) 

The mother said that the child takes no medications and is healthy. 

Patient attends preschool 

Plays T-ball 

There are no smokers in the house 

Lives with mother and father 

Objective Data 

Vital signs: T 37 P 124 R 12 BP 104/64 

Weight: 35 lb 

Height: 52 inches

Immunizations: Up to date   


  1. What should the nurse include in the general inspection of this patient? 

General inspection should begin the minute the nurse lays eyes on L.G. and his mother. The mother should be included in the general inspection because at age 5, the child relies on his mother to provide shelter, nutrition, and a safe environment.  

Four main areas should be considered for the general inspection of L.G. 

Appearance, body structure, mobility, and behavior. 

General appearance should include inspection of the head, eyes, ears, nose, neck, teeth, hair. Facial structure should be symmetric. It’s important to note symmetry of eyebrows and eyes, puffy face, goiter, flat midface, short nose, low nasal bridge etc. These can be signs of congenital hypothyroidism, down syndrome or even fetal alcohol syndrome. Skin should be free from discoloration, lesions, or wounds. 

When a child gets to 5-6 years of age, primary teeth may start to fall out. 

Clothes should be appropriate for the weather and occasion. 

Body structure should be appropriate for the age group. Limbs are equal in length bilaterally. For toddlers, it is generally normal to have a potbelly, but by the time they reach school age, the potbelly should disappear, and bodies become more proportional. In addition, the nurse should assess whether L.G. appears well nourished, undernourished, or overnourished for his age group. Also assess whether L.G.’s height and weight are appropriate for a 5-year-old. 

Mobility includes balance, gait should be steady. At this age, a 5-year-old can hop and may be able to skip, use a fork and spoon, uses the toilet independently, and can swing and climb.  

Behavior- Nurse should note that L.G. responds appropriately to stimuli, Is alert and oriented. The nurse should also assess for any signs of slow mental processes or hyperactivity. In addition, mood/affect should also be assessed. Does L.G. appear happy or withdrawn? 

How does L.G. interact with mother and other family members?  

  1. What observations are important regarding physical appearance and hygiene? 

According to the CDC’s growth chart, L.G.’s BMI is severely underweight. His calculated BMI was 9.1. This means that L.G.’s BMI for this age group is less than the first percentile, meaning his BMI is less than 99.99% of the average 5-year-old boy.  

Healthy weight for this age range and sex should range from the fifth percentile to less than the eighty fifth percentile. L.G. most likely appears undernourished for his age. The nurse should assess diet followed at home, food intolerances/ allergies, and eating patterns of the child.  

Hygiene is also important at this age and is mostly provided by parents. Evidence of good hygiene would be groomed and washed hair, and skin. Clothes that fit appropriately and are clean. Good hygiene is usually a good indicator of overall health. 

  1. How should a 5-year-old child be assessed? 

It is important to first understand differences between school-aged children and adults. This understanding will help guide strategies the nurse will need during the assessment process and plan of care.  

Differences in school-aged children include: 

  • Different developmental stages  
  • Child is part of a family unit. At this age, the nurse will speak to the child and the family. It is important to promote independence and include the child in the discussion as appropriate. 
  • Anatomical differences. Examples are that children have bigger heads and a shorter neck, thinner skin, narrow airway, and softer bones. 
  • Differences in how medications interact and are administered. Medications are weight based. 

For the assessment of a 5-year-old child, the clinical setting should provide an engaging environment appropriate for children. Books, toys, play space, and even the color of the walls can provide a more relaxing environment that can facilitate clinician and child interaction. After establishing a safe and engaging environment, the nurse should begin the general survey by observing appearance, facial expression, level of consciousness, body structure, poster and movement, behavior, and nutritional status. At this age, children want to know what is happening and may ask a lot of questions. The nurse should use play and explanation to introduce equipment. In addition, the child may feel more comfortable if they are included in their assessment. It’s important to discuss the child’s developmental milestones or any areas of concern with family. 

Assess the head for symmetry and size. Yearly measurements are recommended up to age 6. 

Musculoskeletal assessment should include balance, motor control and any involuntary movements. 

Assessment of the lungs should include inspection, auscultation, and palpitation. Assess normal chest movement, respiratory effort and rate, oxygen saturation and size and shape of chest.  

Cardiac assessment includes auscultation and palpation. Assessment of heart rate and sounds, perfusion, signs of edema and skin temperature are also important. 

Gastrointestinal/Genitourinary assessment also includes inspection of contour, bowel sounds, and palpation for tenderness or masses.  

Assess skin for any abnormalities such as rashes or lesions. 

The fifth vital sign (pain) should also be assessed. Children at this age can express pain or discomfort.  

  1. What teaching is appropriate for this age group?  

Children at this age are eager to learn new things and explore their environment. Appropriate topics for the nurse to teach for this age group include: 

  •  Nutrition and encourage healthy eating habits.  
  • Exercise and play. 
  • Dental health and hygiene.  
  • Safety  
  • Screen time  

Disabled World. (2023, September 2). Average height to weight chart: Babies to teenagers. com/calculators-charts/height-weight-teens.php#mc”>https://www.disabled-world.com/calculators-charts/height-weight-teens.php#mcLinks to an external site.   

Your teeth (for kids) – nemours kidshealth. (n.d.-b). https://kidshealth.org/en/kids/teeth.htmlLinks to an external site. 

Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019, January). Clinical practice guidelines for assessment of children and adolescents. Indian journal of psychiatry. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345125/Links to an external site. 

Potbellies and toddlers. Mount Sinai Health System. (n.d.). https://www.mountsinai.org/health-library/special-topic/potbellies-and-toddlers#:~:text=It%20is%20generally%20normal%20for,feel%20soft%20and%20NOT%20tenderLinks to an external site.

Centers for Disease Control and Prevention. (2023, September 14). BMI Calculator Child and teen. Centers for Disease Control and Prevention. https://www.cdc.gov/healthyweight/bmi/calculator.htmlLinks to an external site. 

Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019, January). Clinical practice guidelines for assessment of children and adolescents. Indian journal of psychiatry. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345125/Links to an external site. 

Your 5-year-old. ucsfbenioffchildrens.org. (n.d.). https://www.ucsfbenioffchildrens.org/education/your-5-year-old

What Will You Get?

We provide professional writing services to help you score straight A’s by submitting custom written assignments that mirror your guidelines.

Premium Quality

Get result-oriented writing and never worry about grades anymore. We follow the highest quality standards to make sure that you get perfect assignments.

Experienced Writers

Our writers have experience in dealing with papers of every educational level. You can surely rely on the expertise of our qualified professionals.

On-Time Delivery

Your deadline is our threshold for success and we take it very seriously. We make sure you receive your papers before your predefined time.

24/7 Customer Support

Someone from our customer support team is always here to respond to your questions. So, hit us up if you have got any ambiguity or concern.

Complete Confidentiality

Sit back and relax while we help you out with writing your papers. We have an ultimate policy for keeping your personal and order-related details a secret.

Authentic Sources

We assure you that your document will be thoroughly checked for plagiarism and grammatical errors as we use highly authentic and licit sources.

Moneyback Guarantee

Still reluctant about placing an order? Our 100% Moneyback Guarantee backs you up on rare occasions where you aren’t satisfied with the writing.

Order Tracking

You don’t have to wait for an update for hours; you can track the progress of your order any time you want. We share the status after each step.


Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.

Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.


Trusted Partner of 9650+ Students for Writing

From brainstorming your paper's outline to perfecting its grammar, we perform every step carefully to make your paper worthy of A grade.

Preferred Writer

Hire your preferred writer anytime. Simply specify if you want your preferred expert to write your paper and we’ll make that happen.

Grammar Check Report

Get an elaborate and authentic grammar check report with your work to have the grammar goodness sealed in your document.

One Page Summary

You can purchase this feature if you want our writers to sum up your paper in the form of a concise and well-articulated summary.

Plagiarism Report

You don’t have to worry about plagiarism anymore. Get a plagiarism report to certify the uniqueness of your work.

Free Features $66FREE

  • Most Qualified Writer $10FREE
  • Plagiarism Scan Report $10FREE
  • Unlimited Revisions $08FREE
  • Paper Formatting $05FREE
  • Cover Page $05FREE
  • Referencing & Bibliography $10FREE
  • Dedicated User Area $08FREE
  • 24/7 Order Tracking $05FREE
  • Periodic Email Alerts $05FREE

Services offered

Join us for the best experience while seeking writing assistance in your college life. A good grade is all you need to boost up your academic excellence and we are all about it.

  • On-time Delivery
  • 24/7 Order Tracking
  • Access to Authentic Sources
Academic Writing

We create perfect papers according to the guidelines.

Professional Editing

We seamlessly edit out errors from your papers.

Thorough Proofreading

We thoroughly read your final draft to identify errors.


Delegate Your Challenging Writing Tasks to Experienced Professionals

Work with ultimate peace of mind because we ensure that your academic work is our responsibility and your grades are a top concern for us!

Check Out Our Sample Work

Dedication. Quality. Commitment. Punctuality

All samples
Essay (any type)
Essay (any type)
The Value of a Nursing Degree
Undergrad. (yrs 3-4)
View this sample

It May Not Be Much, but It’s Honest Work!

Here is what we have achieved so far. These numbers are evidence that we go the extra mile to make your college journey successful.


Happy Clients


Words Written This Week


Ongoing Orders


Customer Satisfaction Rate

Process as Fine as Brewed Coffee

We have the most intuitive and minimalistic process so that you can easily place an order. Just follow a few steps to unlock success.

See How We Helped 9000+ Students Achieve Success


We Analyze Your Problem and Offer Customized Writing

We understand your guidelines first before delivering any writing service. You can discuss your writing needs and we will have them evaluated by our dedicated team.

  • Clear elicitation of your requirements.
  • Customized writing as per your needs.

We Mirror Your Guidelines to Deliver Quality Services

We write your papers in a standardized way. We complete your work in such a way that it turns out to be a perfect description of your guidelines.

  • Proactive analysis of your writing.
  • Active communication to understand requirements.

We Handle Your Writing Tasks to Ensure Excellent Grades

We promise you excellent grades and academic excellence that you always longed for. Our writers stay in touch with you via email.

  • Thorough research and analysis for every order.
  • Deliverance of reliable writing service to improve your grades.
Place an Order Start Chat Now

Order your essay today and save 30% with the discount code ESSAYHELP