A nurse is gathering data on a 10-month-old infant. Which of the following findings should be reported to the provider?
The infant does not sit steadily without support.
The infant will not play peek-a-boo.
The infant is unable to imitate animal sounds.
The infant cannot turn the pages in a book.
The Correct Answer is A
A. By 9 months, infants should be able to sit steadily without support. If the infant is not able to do this by 10 months, it could indicate developmental delay and should be reported to the provider.
B. Playing peek-a-boo typically develops between 6-8 months, and while it may be expected by 10 months, not playing this game alone may not be an immediate concern.
C. Imitating animal sounds is generally a skill that develops closer to 12-15 months, so the infant not being able to do this at 10 months is not concerning.
D. Turning pages in a book is generally a skill developed around 12 months, so the inability to do this at 10 months is not unusual.
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Correct Answer is D
Explanation
A. Palliative care can begin at any stage of a serious illness, not just when a prognosis of 6 months or less is given.
B. Palliative care addresses not only physical and mental needs but also social, emotional, and spiritual needs to improve the overall quality of life.
C. While the child's preferences are important, palliative care decisions are often made collaboratively with the family and healthcare team, rather than the child having the final say.
D. The primary goal of palliative care is to improve the quality of life for children and their families by managing symptoms and providing support.
Correct Answer is C
Explanation
A. Rather than helping the child accept a loss of control, atraumatic care focuses on empowering the child and promoting a sense of control through participation in care and decision-making.
B. While pain management is crucial, the goal is not to have the child "accept" pain but to minimize it through interventions like distraction, pharmacologic pain relief, and comfort measures.
C. Preparing the child for unfamiliar treatments or procedures aligns with the principles of atraumatic care, which aim to reduce fear, anxiety, and physical and emotional distress. By offering developmentally appropriate explanations, the nurse helps the child feel more in control and reduces the traumatic impact of the experience.
D. Atraumatic care emphasizes maintaining parental involvement during hospitalization whenever possible. Preparing the child for separation does not align with atraumatic care principles, as separation is a source of stress that should be minimized.
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