A nurse is collecting data from a 10-month-old infant.

Which of the following findings should the nurse report to the provider?

The infant does not sit steadily without support.

The infant will not play peek-a-boo.

The infant cannot turn the pages in a book.

The infant is unable to recognize objects by name.

Answer and Explanation

The Correct Answer is A

At 10 months old, infants are typically able to sit steadily without support.
This is a developmental milestone that should be reported to the provider if not met.

Choice B is not an answer because playing peek-a-boo is not a typical milestone for a 10-month-old infant.
Choice C is not an answer because turning pages in a book is not a typical milestone for a 10-month-old infant.
Choice D is not an answer because recognizing objects by name is not a typical milestone for a 10-month-old infant.

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Free Nursing Study Resources

Correct Answer is ["A","B","D","E"]

Explanation

E. The nurse should ensure the scale is balanced prior to use [A], place a disposable covering on the scale [B], weigh the infant in a diaper [D], and measure the infant from the crown of the head to the heels of the feet [E].
Choice C is incorrect because a stadiometer is used to measure standing height and is not appropriate for measuring the length of an infant who cannot stand.

A. Position the weights on the traction so they are touching the head of the client's bed B. Encourage isometric exercises every 8 hr C. Administer pain medication to the client before performing pin care D. Assist the client to shift position every 4 hr.

Correct Answer is D

Explanation

The nurse should assist the client to shift position every 4 hours to prevent complications such as pressure ulcers and pneumonia.
Choice A is incorrect because the weights on the traction should be freely hanging and not touching any part of the bed.
Choice B is incorrect because isometric exercises may not be appropriate for a client with a femur fracture and should be prescribed by a healthcare provider.
Choice C is incorrect because administering pain medication before performing pin care may not be necessary and should be based on the client’s level of pain and the healthcare provider’s orders.

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A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining the length and weight of a 6-month-old infant. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is caring for a client who has skeletal traction for the treatment of a femur fracture. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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A nurse is collecting data from a 10-month-old infant.

Which of the following findings should the nurse report to the provider?