A nurse is preparing to administer a hepatitis B immunization to an infant who is 9 months old.
Which site should the nurse administer the immunization?

Ventrogluteal.

Deltoid.

Vastus lateralis.

Dorsogluteal.

Answer and Explanation

The Correct Answer is C

Choice A rationale

The ventrogluteal site is not typically used for immunizations in infants. This site is often used in older children and adults, but it is not the preferred site for infants due to their small muscle mass.

Choice B rationale

The deltoid site is not typically used for immunizations in infants. This site is often used in older children and adults, but it is not the preferred site for infants due to their small muscle mass.

Choice C rationale

The vastus lateralis is the preferred site for administering immunizations in infants. This muscle is located in the thigh and is large enough to accommodate the injection. It is also away from major nerves and blood vessels, making it a safe site for injections.

Choice D rationale

The dorsogluteal site is not recommended for immunizations in any age group. This site has a number of large blood vessels and nerves, as well as a layer of fat, which can make injections less effective and potentially harmful.

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Free Nursing Study Resources

Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale

Pursed lips are not typically a sign of pain in an infant.

Choice B rationale

Pushing away stimuli can be a sign that an infant is in pain.

Choice C rationale

A loud cry can be a sign of pain in an infant.

Choice D rationale

A rigid body can be a sign of pain in an infant.

Choice E rationale

Furrowed eyebrows can be a sign of pain in an infant.

A. Asymmetric thigh folds. B. Inwardly turned foot on the affected side. C. Absent plantar reflexes. D. Lengthened thigh on the affected side.

Correct Answer is A

Explanation

Choice A rationale:

Developmental dysplasia of the hip (DDH) is a condition in which the hip joint is not properly formed or is unstable. Asymmetric thigh folds are a common finding in infants with DDH, as the affected hip may be dislocated or subluxated, leading to a difference in thigh fold appearance.

Choice B rationale:

An inwardly turned foot is not a specific indication of DDH. Instead, it may suggest other conditions, such as clubfoot or metatarsus adductus (no reference).

Choice C rationale:

Absent plantar reflexes are not associated with DDH. This finding might indicate a neurological issue or spinal cord injury (no reference).

Choice D rationale:

A lengthened thigh is not a typical finding in DDH. Instead, a shortened thigh on the affected side might be present due to the displacement of the femoral head (no reference).

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A nurse is preparing to administer a hepatitis B immunization to an infant who is 9 months old.Which site should the nurse administer the immunization?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an infant who has otitis media.Which of the following findings should the nurse identify as manifestations of pain in an infant? (Select all that apply)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is collecting data from an infant who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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A nurse is preparing to administer a hepatitis B immunization to an infant who is 9 months old.
Which site should the nurse administer the immunization?