According to the mother, Susan has been a healthy child and has received all required immunizations. She had the chicken pox at age 4 without any complications. Jody reports that she has been concerned about Susan lately. Jody also reports that Susan wakes up frequently with nightmares. Her present weight is 70 pounds, and height is 47 inches.
Lung sounds are clear with equal inspiration and expiration.
Bowel sounds are active in all quadrants. Skin is smooth, without lesions. Muscle tone is firm. At the end of the physical examination, Marilyn, RN informs Jody and Susan that a blood and urine sample will need to be obtained for analysis. With this knowledge, Susan responds with unending questions about the blood test and how it will be obtained.