Head, Neck, Eyes, Ears, Nose, Mouth, and Throat Assessment

For the person described in the following situation, discuss the developmental, age, socioeconomic, and cross-cultural factors that should be considered during subjective and objective data gathering and provision of health care. B. D., aged 9.5 months, has come for her first well-baby checkup at this facility. The family has recently moved to the United States from Japan. An assistant obtained the following screening information. Height: 27 in; Weight: 20 lbs., 9 oz. and Head circumference: 46 cm. Bossing of the forehead is noted, and the sclerae are visible above the pupils. Palpation of the anterior fontanel reveals bulging. As you observe the client, you note that her left eye tends to “wander” as she gazes toward the door. She has been refusing to eat. Examination of the mouth reveals inflammation of the gums with bleeding and multiple caries in the teeth. The child’s breath is fetid. The mother states that her daughter woke up crying in the middle of the night two nights ago. She gave the child ibuprofen, and the child went back to sleep. Last night she woke up in pain and was inconsolable. Subjective Data Attends daycare Lives with 19-year-old single mother and her parents Father estranged Objective Data TM appears inflamed and red, and may be bulging and immobile T = 100.3 Last ibuprofen given three hours ago Address all of the following: When performing the physical assessment, discuss what objective data the nurse should inspect. Explain how the nurse should palpate for the head and neck. The nurse is assessing the patient’s eyes through the ophthalmoscope. Discuss the structures that can be viewed through the scope. Discuss risk factors associated with earaches for this age group. Explain how the physical examination varies according to the patient’s age. identify available community resources for this patient.