A nurse is collecting data from a 9-month-old infant.

Which of the following findings requires a nursing intervention?

Positive Moro reflex.

Negative Doll's eye reflex.

Positive Babinski reflex.

Negative Crawl reflex.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is B

Explanation

The nurse should instruct the parents to bring the infant’s favorite blanket to the hospital.
This can provide comfort and a sense of familiarity for the infant during their hospital stay.
Choice A is incorrect because reading a story about hospitalization to an 8- month-old infant may not be developmentally appropriate.
Choice C is incorrect because parents are usually allowed to stay with their infant during hospitalization.
Choice D is incorrect because manipulating the infant’s bedtime based on the hospital’s visiting hours is not necessary.

A. Chadwick's sign. B. Hegar's sign. C. Positive office pregnancy test. D. Fetal movement felt by examiner.

Correct Answer is C

Explanation

The proof of pregnancy is in the pregnancy test.
A positive office pregnancy test would confirm the pregnancy.

Choice A, Chadwick’s sign, is not correct because it is not a definitive sign of pregnancy.
Choice B, Hegar’s sign, is also not correct because it is not a definitive sign of pregnancy.
Choice D, Fetal movement felt by the examiner, is not correct because it is not a definitive sign of pregnancy.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the parents of an 8-month-old infant who will be admitted for surgery. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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A nurse is collecting data from a 9-month-old infant.

Which of the following findings requires a nursing intervention?