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. The influenza vaccine is typically recommended annually but might not be specifically administered during a pre-college physical unless it's flu season.
B. Meningococcal vaccine is often required for college admission due to the risk of meningitis outbreaks in communal living settings like college dormitories.
C. BCG vaccine is primarily used in countries with a higher prevalence of tuberculosis and is not routinely administered in most places for college entry.
D. Pneumococcal vaccine might be recommended for certain health conditions or specific circumstances but is not typically administered routinely during pre-college physicals.
Correct Answer is B
Explanation
A. Clear drainage from the affected ear is not a typical finding in otitis media; instead, it might indicate other conditions such as a ruptured eardrum.
B. Otitis media commonly presents with erythema (redness) and edema (swelling) of the affected ear.
C. Pain when manipulating the affected ear lobe might be present but is not exclusive to otitis media.
D. Tugging on the affected ear lobe can be a sign of ear discomfort but isn't a specific indicator of otitis media.
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