A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?
Lateral incisors
Closed posterior fontanel
Sitting steadily without support
Uses thumb and index fingers in a pincer grasp
The Correct Answer is B
The posterior fontanel, located on the back of the head, usually closes by the age of 2-3 months. By 6 months of age, it is expected to be closed.
By 6 months of age, infants typically do not have their lateral incisors. The primary incisors, which are the central incisors in the lower and upper jaw, usually erupt first around 6-10 months of age.
At around 8 months of age, most infants are able to sit steadily without support. They can maintain an upright sitting position and may even start to reach for objects or play in a sitting position.
At 6 months of age, infants are still in the developmental stage of exploring objects and refining their motor skills. They typically use a palmar grasp, where they grasp objects with their entire hand. The pincer grasp, which involves using the thumb and index finger to pick up small objects, usually develops around 9-10 months of age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should include information that growth spurts in height occur toward the end of mid puberty. Gynecomastia is not a common change in boys during puberty, but it might occur in some cases. Changes in the voice and pubic hair growth signal the beginning of puberty. If scrotal changes have not occurred by the age of 14 years, puberty might be considered delayed.
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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