A nurse is assessing a 3-month-old infant. Which of the following findings should the nurse report to the provider?
Inability to bring an object to her mouth.
Inability to raise head when in the prone position.
Inability to pick up an object with her fingers.
Inability to sit without support.
The Correct Answer is B
A. At 3 months, infants might not consistently bring objects to their mouths, and this skill might still be developing, so it might not be a cause for immediate concern.
B. By 3 months, most infants should be able to raise their head when placed in a prone position; failure to do so might indicate a developmental delay.
C. Picking up objects with fingers is a skill that typically develops closer to 6 to 9 months; thus, it's not expected at 3 months.
D. Sitting without support usually begins around 6 to 7 months, so it's not an expected skill at 3 months and wouldn't necessarily be concerning yet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. At 3 months, infants might not consistently bring objects to their mouths, and this skill might still be developing, so it might not be a cause for immediate concern.
B. By 3 months, most infants should be able to raise their head when placed in a prone position; failure to do so might indicate a developmental delay.
C. Picking up objects with fingers is a skill that typically develops closer to 6 to 9 months; thus, it's not expected at 3 months.
D. Sitting without support usually begins around 6 to 7 months, so it's not an expected skill at 3 months and wouldn't necessarily be concerning yet.
Correct Answer is A
Explanation
A. Encouraging the parents to rock the infant provides comfort and soothing without risking trauma to the surgical site. It also promotes bonding and emotional reassurance.
B. Positioning the infant on the abdomen is contraindicated because it can put pressure on the surgical site, increasing the risk of complications. The infant should be positioned on their back or side to protect the repair.
C. Administering ibuprofen is not appropriate for a 2-month-old infant due to the risk of gastrointestinal and renal complications. Acetaminophen is typically used for pain management at this age.
D. Offering a pacifier is not recommended because sucking motions could disrupt the surgical repair and delay healing. Alternative soothing methods should be used instead.
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