A nurse is collecting data from a 6-month-old infant in the well-child clinic.

Which of the following findings should the nurse expect?

Lateral incisors are present.

Posterior fontanel is closed.

Infant's birth weight is tripled.

Infant sits well without support.

Answer and Explanation

The Correct Answer is B

A. Lateral incisors are present: At 6 months, infants typically begin teething, but the lateral incisors usually do not appear until around 9 to 13 months. The first teeth to emerge are usually the lower central incisors.

B. Posterior fontanel is closed: The posterior fontanel, or the soft spot at the back of the baby's head, typically closes by 2 to 3 months of age. Therefore, it is expected to be closed by the time the infant is 6 months old.

C. Infant's birth weight is tripled: By 6 months, infants generally double their birth weight. Tripling of birth weight is more commonly expected by the end of the first year.

D. Infant sits well without support: Most infants begin to sit without support around 7 to 9 months. At 6 months, they may sit with some support but are not yet expected to sit well independently.

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Correct Answer is C

Explanation

A nurse caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand should report immediately to the charge nurse if the fingers on the right hand have a capillary refill of 4 seconds.
This could indicate that there is a problem with circulation.
Choice A is not an answer because it is not unusual for a child to not attempt to move her right arm or fingers after having a cast applied.
Choice B is not an answer because it is not unusual for the fingertips of the right hand to be swollen and bruised after having a cast applied.
Choice D is not an answer because it is not unusual for a child to not keep their arm elevated on a pillow after having a cast applied.

A. Positive Moro reflex. B. Negative Doll's eye reflex. C. Positive Babinski reflex. D. Negative Crawl reflex.

Correct Answer is A

Explanation

The correct answer is a. Positive Moro reflex.

Choice A reason:

Positive Moro reflex: This reflex should disappear by 6 months of age. Its presence at 9 months indicates potential neurological issues.

Choice B reason:

Negative Doll’s eye reflex: This reflex, indicating brainstem function, should be positive in infants. A negative result suggests severe brainstem dysfunction

Choice C reason:

Positive Babinski reflex: This reflex is normal up to 2 years of age. It indicates normal neurological development in infants.

Choice D reason:

Negative Crawl reflex: Crawling typically develops between 6-10 months. A negative crawl reflex at 9 months could indicate developmental delays

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A nurse is collecting data from a 6-month-old infant in the well-child clinic. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand. Which of the following findings should the nurse report immediately to the charge nurse?

Correct Answer is C

Explanation

A nurse is collecting data from a 9-month-old infant. Which of the following findings requires a nursing intervention?

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?

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The nurse observes Brittny who is hospitalized with Anorexia during meal times for 2 hours after eating due to:

An infant suffered from a fracture of the humerus and requires traction that uses pins, wires, and tongs. What type of traction is this?

A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that if the fragments of the fractured bone are separated, the fracture is said to be:

A nurse is collecting data from a 6-month-old infant in the well-child clinic.

Which of the following findings should the nurse expect?