A nurse in a clinic is assessing a 9-month-old infant. Which of the following findings requires further intervention?

Negative Doll's eye reflex

Positive Moro reflex

Positive Babinski reflex

Negative Crawl reflex

Answer and Explanation

The Correct Answer is B

A. The negative Doll's eye reflex is normal in infants after a few weeks of life as the reflex should disappear by 2-3 months.
B. The Moro reflex typically disappears by 4-6 months of age. Persistence beyond this age may indicate neurological issues and requires further intervention.
C. The Babinski reflex is normal in infants up to 2 years of age.
D. The crawl reflex may not be consistently present at 9 months, but it is not as concerning as the persistence of the Moro reflex.

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Correct Answer is C

Explanation

A. Cranberry juice is acidic and can irritate the throat, causing discomfort and potential bleeding.
B. Orange juice is also acidic and can cause similar irritation and discomfort.
C. Crushed ice is soothing, non-acidic, and helps keep the throat moist without irritating it, making it an appropriate choice post-tonsillectomy.
D. A vanilla milkshake, while not acidic, is thick and dairy-based, which can increase mucus production and may not be well tolerated initially after surgery.

A. Developing autonomy B. An anxiety reaction C. Regression D. Resentment toward the mother

Correct Answer is B

Explanation

A. Developing autonomy would involve behaviors like exploring the environment and showing independence, not withdrawing and sucking the thumb.
B. Anxiety reactions are common in toddlers who are hospitalized or experience separation from their primary caregivers. It is a normal response to unfamiliar and potentially stressful situations. Toddlers at this age are still developing a sense of security and trust in their environment, and being in the hospital can disrupt their routine and comfort.
C. While regression can occur due to stress, the specific behaviors described (sitting quietly, thumb-sucking) are more typical of regression related to developmental delays or changes in routine.
D. Resentment toward the mother would be more complex and not typically seen in an 18-month-old who is still highly dependent on the primary caregiver.

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A nurse in a clinic is assessing a 9-month-old infant. Which of the following findings requires further intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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