A nurse is collecting data from a 3-month-old infant. Which of the following is an expected developmental finding?
Rolls from back to side
Able to hold a rattle
Holds arms out to be picked up
Displays fear toward strangers
The Correct Answer is B
A. Rolling from back to side typically occurs around 4 to 5 months of age.
B. At 3 months, an infant is expected to be able to hold a rattle.
C. Holding arms out to be picked up usually develops around 7 to 9 months of age.
D. Fear toward strangers, known as stranger anxiety, typically begins around 6 to 8 months of age.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. After administering otic medication, the child should be kept in a side-lying position on the opposite side (unaffected side) to allow the medication to flow into the ear canal properly.
B. Allowing the medication to reach room temperature before administration prevents dizziness and discomfort that can occur with cold drops. This is important for ensuring the child is comfortable and cooperates with the procedure.
C. For a 2-year-old, the ear should be gently pulled down and back to straighten the ear canal for proper administration of the medication.
D. Administering the medication with the child in an upright position is not the best method. The side-lying position allows better access to the ear canal and proper absorption of the medication.
Correct Answer is B
Explanation
A. Fiber intake should be maintained or increased to prevent constipation due to immobility.
B. Protective padding at the pin sites helps prevent infection and irritation.
C. Traction weights should never be lifted or removed unless ordered by a physician as it can disrupt alignment.
D. Passive range-of-motion exercises are important but should be performed on the unaffected extremity. Active or passive movement of the affected extremity should be done according to medical orders.
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