1. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board CONCEPT Nursing: A Concept-Based Approach to Learning Volume Two Assessment 32

2. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

3. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

4. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

5. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

6. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board TABLE 32–3 (continued) Client Positions and Body Areas Assessed

7. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Figure 32-1 The position of the hand for light palpation.

8. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

9. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Figure 32-2 The position of the hands for deep bimanual palpation.

10. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Figure 32-3 Deep palpation using the lower hand to support the body while the upper hand palpates the organ.

11. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Figure 32-4 Direct percussion. Using one hand to strike the surface of the body.

12. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Figure 32-5 Indirect percussion. Using the finger of one hand to tap the finger of the other hand.

13. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

14. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

15. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board TABLE 32–5 (continued) Tools Used for a Health Examination

16. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Figure 32-6 It is often helpful to have a young child sit on his or her mother’s lap when possible during the assessment.

17. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Figure 32-7 A nurse allows her client to play with with her stethoscope before using it to assess his heart.

18. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

19. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board TABLE 32–6 (continued) Instruments to Assess Growth and Development

20. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Figure 32-8 This mother is interacting with her baby while the nurse performs the examination.

21. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Figure 32-9 Toddlers can generally feed themselves.

22. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

23. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Box 32–3 (continued) Health Considerations: Birth to 10 Years

24. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Figure 32-10 This school-age child enjoys sorting his collection of action figures.

25. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Figure 32-11 Young adults, meeting in a casual office, strive to advance their careers.

26. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

27. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Box 32–4 (continued) Health Considerations: Ages 11–24 Years

28. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

29. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Box 32–5 (continued) Health Considerations: Ages 25–64 Years

30. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board

31. Copyright ©2011 by Pearson Education, Inc. All rights reserved. Nursing: A Concept-Based Approach to Learning, Volume Two North Carolina Concept-Based Learning Editorial Board Box 32–6 (continued) Health Considerations: Ages 65 and Older