A nurse is collecting data from a 4-month-old infant at a well-child visit. For which of the following findings should the nurse notify the provider?
Anterior fontanel closed
Plays with toes
Posterior fontanel closed
Moves objects to mouth
The Correct Answer is A
The correct answer is A. Anterior fontanel closed. The anterior fontanel is one of two soft spots on an infant's skull that allow for brain growth and development. The anterior fontanel normally closes between 9 and 18 months of age. If it closes earlier than expected, it may indicate a condition called craniosynostosis, which is when the skull bones fuse prematurely and restrict brain growth. This can lead to increased intracranial pressure, developmental delays, and abnormal head shape. Therefore, if a nurse observes that a 4-month-old infant has a closed anterior fontanel, they should notify the provider for further evaluation. The other options are normal developmental milestones for a 4-month-old
infant and do not require notification of the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is C. Observe the client during and after meals. Bulimia nervosa is an eating disorder characterized by binge eating followed by purging or fasting, and excessive concern with body shape and weight. The nurse should monitor the client for signs of purging, such as frequent trips to the bathroom, and provide support and supervision during and after meals to prevent this behavior . This is a priority intervention that addresses the client's physical health and safety.
Correct Answer is B
Explanation
The correct answer is choice b. Write the information at an 8th-grade reading level.
Choice A rationale:
While explaining medical terminology using basic, one-syllable words can help in understanding, it is not always practical or necessary. Medical terms often require more than one syllable to convey accurate information.
Choice B rationale:
Writing the information at an 8th-grade reading level ensures that the brochure is accessible to a broad audience. This readability level is recommended for health education materials to ensure comprehension by the general public.
Choice C rationale:
Presenting information from complex to simple can confuse readers. It is generally more effective to start with simple concepts and gradually introduce more complex information.
Choice D rationale:
Using a 12-point font size is important for readability, but it is not the most critical factor in ensuring the brochure is understandable. The content’s readability level is more crucial.
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