A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?
infant cannot build a tower of three or four cubes
The infant does not sit steadily without support
The infant is unable to imitate animal sounds
The infant cannot turn pages in a book
The Correct Answer is B
At 10 months of age, most infants should be able to sit steadily without support. If the infant is unable to sit without support or shows difficulty maintaining balance while sitting, it may indicate a developmental delay or potential motor coordination issues. It is important to report this finding to the healthcare provider for further evaluation and appropriate intervention if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is an evidence-based recommendation to reduce the risk of SIDS. The American Academy of Pediatrics (AAP) recommends placing infants on their back for sleep as the safest sleep position. This position has been shown to significantly reduce the incidence of SIDS. The nurse should emphasize the importance of following safe sleep practices, including placing the baby on their back, providing a firm and safe sleep surface, keeping the sleep area free of soft bedding or objects, and avoiding overheating.
Correct Answer is C
Explanation
The appropriate pain rating scale to use for a 2-month-old infant is the FLACC (Face, Legs, Activity, Cry, Consolability) scale. The FLACC scale is commonly used for infants and young children who are unable to self-report their pain. It assesses facial expression, leg movement, activity level, cry, and ability to be consoled. Each category is scored on a scale of 0 to 2, and the total score provides an indication of the infant's pain level.
The PANAD scale and OUCHER scale are more commonly used for older children, while the FACE scale is specific to assessing pain in individuals with cognitive impairments.
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