A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response to this observation?
"This is normal behavior for infants unless the stool passed is black or green."
"This is normal behavior for infants due to the immaturity of the gastrointestinal system."
"This is normal behavior for infants unless the stool passed is hard and dry."
"This indicates a blockage in the intestine and must be reported to the health care provider."
The Correct Answer is B
A. "This is normal behavior for infants unless the stool passed is black or green.": While black or green stools may indicate potential issues, grunting and crying during bowel movements are common behaviors in infants and are not necessarily indicative of a problem.
B. "This is normal behavior for infants due to the immaturity of the gastrointestinal system.": Grunting and crying during bowel movements are typical behaviors in infants, especially during the first few months of life. This is because the infant's gastrointestinal system is still developing and they may have difficulty coordinating their muscles to pass stool smoothly.
C. "This is normal behavior for infants unless the stool passed is hard and dry.": While hard and dry stools may indicate constipation, grunting and crying during bowel movements can still be normal behaviors in infants, regardless of the consistency of the stool.
D. "This indicates a blockage in the intestine and must be reported to the health care provider.": Grunting and crying during bowel movements are not necessarily indicative of a blockage in the intestine. These behaviors are common in infants and usually resolve as the infant's gastrointestinal system matures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. They follow rules out of a sense of being a "good person.": According to Kohlberg, at the conventional stage of moral development, individuals are motivated to follow rules and laws to maintain social order and to be perceived as good members of society.

B. They follow rules out of fear of being punisheD. Fear of punishment is more characteristic of the preconventional stage of moral development, where individuals make moral decisions based on avoiding punishment or seeking reward.
C. They follow rules in order to receive praise from caretakers: Seeking praise from caretakers may influence behavior, but it does not reflect the underlying motivation for following rules according to Kohlberg's theory.
D. They follow rules because it is in their nature to do so: While some individuals may have a predisposition to follow rules, Kohlberg's theory focuses on the moral reasoning behind rule- following rather than inherent tendencies
Correct Answer is A
Explanation
A. "Keep a night light on in your child's room." - This option addresses the child's fear of
monsters by providing a solution that offers comfort and reassurance without dismissing the child's concerns outright.
B. "Let your child sleep in your bed with you." - While this may temporarily alleviate the child's fear, it doesn't address the underlying issue or help the child learn coping mechanisms for dealing with fear.
C. "Tell your child that monsters are not real." - This response invalidates the child's feelings and may increase anxiety by dismissing their fears as irrational.
D. "Stay with your child until the child is asleep." - While staying with the child may provide comfort initially, it doesn't offer a long-term solution and may reinforce the fear by implying that there is something to be afraid of.
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