A nurse is assisting with teaching a class about motor skills that develop in the first year of life. The nurse should include that which of the following motor skills develops first?

Sitting upright unsupported

Standing holding on to furniture

Transferring an object from hand to hand

Rolling from side to side

Answer and Explanation

The Correct Answer is D

Choice A reason : Sitting upright unsupported is a motor skill that typically develops after a baby has gained enough strength and balance, which usually occurs around 6 months of age. Before they can sit unsupported, infants need to develop control over their head and neck muscles, as well as their upper body strength.

Choice B reason : Standing while holding on to furniture, also known as cruising, is a skill that comes later in the first year of life, usually after the infant has mastered sitting and crawling. This skill is often seen around 9 to 12 months of age as the infant's leg and core muscles become strong enough to support their weight in an upright position.

Choice C reason : Transferring an object from hand to hand is a fine motor skill that develops as an infant's hand-eye coordination improves. This skill typically emerges around 4 to 6 months of age, after the infant has developed the ability to grasp objects and has begun to explore their environment more actively with their hands.

Choice D reason : Rolling from side to side is one of the first gross motor skills that infants develop, usually occurring around 2 to 4 months of age. This skill is an important precursor to more complex movements such as sitting, crawling, and walking. It begins with the infant learning to control their head movements and then progresses to rolling over from their stomach to their back and vice versa.

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Correct Answer is D

Explanation

The correct answer is D. Wash the client’s body. This is a standard part of postmortem care to ensure the body is clean and presentable for the family and any further procedures.

Choice A reason:

Remove the client’s dentures. This statement is incorrect because dentures should be left in place to maintain the shape of the face and ensure a natural appearance for viewing by the family.

Choice B reason:

Increase the lights in the client’s room. This statement is incorrect because dim lighting is often preferred to create a calm and respectful environment for the family.

Choice C reason:

Place the head of the client’s bed flat. This statement is incorrect because the head should be elevated to prevent discoloration and pooling of blood.

Choice D reason:

Wash the client’s body. This is correct as it is a standard part of postmortem care to ensure the body is clean and presentable for the family and any further procedures.

A. Continue to talk to the client as if they are awake. B. Whisper when talking in the client's room. C. Limit the client's visitors to one at a time D. Avoid touching the client.

Correct Answer is A

Explanation

Choice A reason : Continue to talk to the client as if they are awake.Even when a client is unresponsive, they may still be able to hear and benefit from hearing a familiar voice. Continuing to talk to the client can provide comfort and reassurance during the end-of-life stage⁷.

Choice B reason : Whisper when talking in the client's room.Whispering can create a sense of secrecy and exclusion. It is important to communicate in a normal tone, respecting the client's presence and dignity⁷.

Choice C reason : Limit the client's visitors to one at a time.Limiting visitors can be appropriate in certain situations to maintain a calm environment; however, it should be based on the client's wishes and needs, not as a general practice⁷.

Choice D reason : Avoid touching the client.Appropriate touch can be comforting to an unresponsive client, conveying care and presence. It should not be avoided unless there is a specific reason to do so, such as pain or discomfort⁷.

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A nurse is assisting with teaching a class about motor skills that develop in the first year of life. The nurse should include that which of the following motor skills develops first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing postmortem care for a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who is at the end of life and is unresponsive. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who states, "I am under a great deal of stress at work, but I am able to forget my work and concentrate on my family when I get home at night." The nurse should identify that the client is demonstrating which of the following defense mechanisms?

A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take?

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A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?

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