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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A low-fiber diet is not appropriate for Hirschsprung disease, as it can worsen constipation and other symptoms.
B. Daily enemas are typically used for symptom management, but they do not address the underlying cause of the disease.
C. While a colostomy may be performed in some cases, it is usually not permanent. Surgical removal of the aganglionic portion of the colon is the primary treatment.
D. The definitive treatment for Hirschsprung disease is the surgical removal of the aganglionic portion of the colon to allow normal bowel function.
Correct Answer is D
Explanation
A. While stimulation is important, the priority in this case is ensuring the infant’s safety and preventing further injury to the defect.
B. Education is vital but secondary to the immediate physical care needs of the infant.
C. Promoting bonding is important but does not take precedence over maintaining the integrity of the sac.
D. Maintaining the integrity of the sac is the highest priority to prevent infection and further neurological damage.
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