A nurse is collecting data from a 3-month-old infant.

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

The infant is unable to roll from the back to the abdomen.

The infant is unable to use a pincer grasp to pick up objects.

The infant is unable to raise his head when in a prone position.

The infant is unable to sit without support.

Answer and Explanation

The Correct Answer is C

By 3 months old, most babies can lift their heads and chest up from a belly-down position.
Choice A is not correct because it is normal for a 3-month-old infant to be unable to roll from back to abdomen.
Choice B is not correct because it is normal for a 3-month-old infant to be unable to use a pincer grasp to pick up objects.
Choice D is not correct because it is normal for a 3-month-old infant to be unable to sit without support.

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Correct Answer is A

Explanation

This statement shows empathy and support for the client.
It also encourages the client to engage in self-care activities and promotes independence.
Choice B is not appropriate because it is a threat and does not show empathy or support for the client.
Choice C is not appropriate because it encourages the client to remain passive and does not promote independence.
Choice D is not appropriate because it is confrontational and does not show empathy or support for the client.

A. Report the client's temperature elevation. B. Encourage the client to nurse more frequently so her milk will come in. C. Ask the client to empty her bladder. D. Increase IV fluids.

Correct Answer is C

Explanation

A full bladder can displace the uterus and cause it to deviate to one side.
Choice A is not correct because a temperature of 37.7° C (100° F) is within the normal range for a postpartum client.
Choice B is not correct because the client’s milk production is not related to the findings noted by the nurse.
Choice D is not correct because there is no indication that the client needs an increase in IV fluids.

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A nurse is collecting data from a 3-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 caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F); pulse rate 88/min; respiratory rate 18/min. Which of the following actions should the nurse perform?

Correct Answer is C

Explanation

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A nurse is collecting data from a 3-month-old infant.

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