A nurse is collecting data from an 8-month-old infant. Which of the following findings indicates expected growth and development?
Inability to hold a bottle
Uses palmar grasp
Sits unsupported
Forces tongue outward when it is touched
The Correct Answer is C
Rationale:
A) Inability to hold a bottle is typically achieved by 4-6 months, so it might indicate a developmental delay.
B) Palmar grasp is a primitive reflex typically seen in newborns, and it should be replaced by more voluntary grasping patterns by 8 months.
C) Sitting unsupported is a milestone typically achieved by 6-8 months, indicating expected growth and development at 8 months.
D) Forcing the tongue outward when touched might indicate tongue thrust reflex, which should typically disappear around 4-6 months.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A) Heliox may be used in the management of severe asthma exacerbations, but albuterol via nebulizer is typically administered first for rapid bronchodilation.
B) Albuterol is a short-acting beta agonist bronchodilator used as the first-line treatment in acute asthma exacerbations to relieve bronchospasm and improve airflow.
C) Prednisone, an oral corticosteroid, may be indicated in the treatment of status asthmaticus, but it is not the first medication administered.
D) 0.9% sodium chloride via IV bolus is not indicated as the initial treatment for status asthmaticus.
Correct Answer is C
Explanation
Rationale:
A) A tepid bath may cause shivering, which can increase the temperature.
B) Aspirin is contraindicated in children due to the risk of Reye's syndrome.
C) Removing the toddler's extra clothing can help lower the body temperature by allowing heat to escape through the skin.
D) Cooling blankets are typically reserved for severe cases of hyperthermia and may not be appropriate or safe for use in a toddler with a moderately elevated temperature.
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