A nurse is preparing to measure an infant’s vital signs. The nurse should use which of the following sites to assess a heart rate?
Radial artery
Brachial artery
Apex of the heart
Carotid artery
The Correct Answer is C
A. The radial artery is commonly used for assessing the pulse in older children and adults but is less reliable in infants.
B. The brachial artery is often used to measure blood pressure in infants, but it may not be as accurate for heart rate assessment.
C. The apex of the heart (apical pulse) is the preferred site for assessing the heart rate in infants.
It is located at the point of maximal impulse (PMI).
D. The carotid artery is typically not used for routine assessment of the heart rate in infants
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Breastfeeding is an option for infants with gastroesophageal reflux. It does not necessarily require a switch to formula feeding.
B. Keeping the baby in an upright position after feedings helps prevent gastroesophageal reflux by allowing gravity to assist in keeping stomach contents down.
C. Thickening formula with oatmeal is a potential intervention for infants with gastroesophageal reflux, but this is not the primary recommendation in this scenario.
D. Positioning the baby side-lying during sleep can increase the risk of aspiration and is not recommended. The baby should be placed on the back to sleep to reduce the risk of sudden infant death syndrome (SIDS).
Correct Answer is C
Explanation
A. Blaming the family may increase the child's sense of guilt or shame. It's important to focus on supporting the child rather than blaming the family outright.
B. Promising not to tell anyone may compromise the child's safety. Reporting abuse is essential to protect the child.
C. Affirming that it is not the child's fault helps to alleviate potential feelings of guilt or responsibility. This statement supports the child emotionally.
D. Discussing the incident with the family directly may not be safe for the child. Reporting suspicions of abuse to the appropriate authorities is necessary.
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