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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Instilling 2 mL of 0.9% sodium chloride is not recommended as it can cause discomfort and does not improve the effectiveness of suctioning.
B. Sterile technique, not clean technique, should be used when suctioning a tracheostomy to prevent infection.
C. Applying suction in 3 to 4 second increments is appropriate to clear the occlusion effectively without causing trauma to the trachea.
D. The catheter should not fit snugly into the tracheostomy tube; it should be small enough to fit comfortably to avoid trauma and ensure effective suctioning.
Correct Answer is D
Explanation
A. Bedrest is not specifically required for children with varicella; activity should be based on the child's energy levels and comfort.
B. Bathing can be done carefully even with crusted lesions. Good hygiene can help prevent secondary infections.
C. If the guardian has had chickenpox, they are usually immune and do not need to wear a mask. The concern is more for immunocompromised individuals.
D. The child is no longer contagious once all the lesions have crusted over, making it safe to take them to the playroom.
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