A nurse is obtaining the length and weight of a 6-month-old infant.
Which of the following actions should the nurse take? (Select all that apply.)
Ensure the scale is balanced prior to use
Place a disposable covering on the scale
Use a stadiometer to measure the infant
Weigh the infant in a diaper
Correct Answer : A,B,D,E
E. The nurse should ensure the scale is balanced prior to use [A], place a disposable covering on the scale [B], weigh the infant in a diaper [D], and measure the infant from the crown of the head to the heels of the feet [E].
Choice C is incorrect because a stadiometer is used to measure standing height and is not appropriate for measuring the length of an infant who cannot stand.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
“The most common drug used by teenagers is alcohol.” According to the National Institute on Drug Abuse (NIDA), alcohol is one of the most commonly used drugs among teenagers.
Choice B is incorrect because tobacco use can have harmful effects on teenagers.
Choice C is incorrect because using substances as a release from pressure is not a healthy coping mechanism.
Choice D is incorrect because not every teenager experiments with substances.
Correct Answer is A
Explanation
A positive urine hCG test is a priority assessment to assess for a possible pregnancy.
The human chorionic gonadotropin (hCG) hormone is produced by the placenta after implantation and can be detected in the urine of pregnant women.
A urine hCG test is a common method used to confirm pregnancy.

Choice B is not an answer because changes in uterine size and shape occur later in pregnancy and are not a priority assessment for early pregnancy detection.
Choice C is not an answer because a fetal heartbeat can usually be detected at around 6-7 weeks of pregnancy and is not a priority assessment for early pregnancy detection.
Choice D is not an answer because Chadwick’s sign, which refers to the bluish discoloration of the cervix, vagina, and vulva due to increased blood flow, occurs later in pregnancy and is not a priority assessment for early pregnancy detection.
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