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student.atitesting.com A nurse is caring for a 4-month-old infant in a pediatric unit of a hospital. Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 History and Physical Chief Complaint: Fever of unknown origin Medical History: Client was delivered via vaginal birth at 41 weeks without complication. Birth weight 3.5 kg (7 lb 11 02) in the SOth percentile. Birth length 51 cm (20 in) in the SOth percentile. Head circumference 34.5 cm (13.5 in) in the 50th percentile. 1-minute Apgar score 8. 5-minute Apgar score 9. Admitted 3 days ago for fever of unknown origin. Physical Examination: General: Awake, alert, lying in bed without distress Weight 5.4 kg (11 Ib 14 ounces) (5th percentile) Length 62 cm (24.5 in) (25th percentile) Head circumference 40 cm (15.75 in) (10th percentile) Anterior and posterior fontanelles open Pupils are equal, round, and reactive to light and accommodation Ears symmetrical, no discharge or drainage No nasal congestion, no nasal flaring Positive suck and swallow without difficulty Cardiac: Regular rate and rhythm, no rubs, murmurs or gallops Respiratory: Clear to auscultation, no retractions, no nasal flaring Gastrointestinal: Abdomen soft and full, positive bowel sounds throughout Genitourinary: Diapered Neurological/Development: Bobs the head when sitting 20% of time hands are open and unfisted Hits at objects close to the body Follows movement in a room Does not react or startle to sound or voice Cries despite caregiver speaking to them SF 245% ) Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again. 9 0 Re 0 6 Cee ee ete a Physical Examination: General: Awake, alert, lying in bed without distress Weight 5.4 kg (11 Ib 14 ounces) (Sth percentile) Length 62 cm (24.5 in) (25th percentile) Head circumference 40 cm (15.75 in) (10th percentile) Anterior and posterior fontanelles open Pupils are equal, round, and reactive to light and accommodation Ears symmetrical, no discharge or drainage No nasal congestion, no nasal flaring Positive suck and swallow without difficulty Cardiac: Regular rate and rhythm, no rubs, murmurs or gallops Respiratory: Clear to auscultation, no retractions, no nasal flaring Gastrointestinal: Abdomen soft and full, positive bowel sounds throughout Genitourinary: Diapered Neurological/Development: Bobs the head when sitting 50% of time hands are open and unfisted Hits at objects close to the body Follows movement in a room Does not react or startle to sound or voice Cries despite caregiver speaking to them