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?

Carotid artery

Radial artery

Apex of the heart

Brachial artery

Answer and Explanation

The Correct Answer is C

A. Carotid artery: The carotid artery is not typically used to assess heart rate in infants due to its location and difficulty in palpation.

B. Radial artery: The radial artery is not typically used to assess heart rate in infants, especially in non-cooperative or newborn infants.

C. Apex of the heart: Assessing the heart rate by auscultating the apex of the heart with a stethoscope is the most accurate method for infants.

D. Brachial artery: The brachial artery is not typically used to assess heart rate in infants. It is commonly used to measure blood pressure.

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Correct Answer is C

Explanation

A. Discouraging daily fruit juice intakE. While excessive fruit juice intake can contribute to weight gain and dental caries, it's not the priority nursing intervention in this scenario.

B. Increasing the number of breastfeedings: Breastfeeding frequency may be appropriate, but without more information about the child's current feeding patterns and growth trajectory, it's not the priority intervention.

C. Discussing the child's feeding patterns: This is the priority intervention because it allows the nurse to assess the child's current feeding habits, including frequency, duration, and type of feedings, to determine if they are appropriate for the child's growth and development.

D. Talking about solid food consumption: Solid food introduction is typically recommended around 6 months of age, but the priority in this scenario is to assess the current feeding

patterns before discussing solid food introduction.

A. An infant's rate is 90 bpm. B. A toddler's rate is 150 bpm. C. A preschooler's rate is 130 bpm. D. A school-age child's rate is 50 bpm.

Correct Answer is A

Explanation

A. An infant's rate is 90 bpm.

An infant's normal heart rate typically ranges from 70 to 150

B. A toddler's rate is 150 bpm.

The normal heart rate for a toddler usually ranges from 70 to 130. Therefore a rate of 150 bpm would be considered tachycardia in a toddler.

C. A preschooler's rate is 130 bpm.

The normal heart rate for a preschooler typically ranges from 80 to 120 bpm, with an average rate around 100-110 bpm. A rate of 130 bpm would be considered tachycardia in a preschooler.

D. A school-age child's rate is 50 bpm.

The normal heart rate for a school-age child usually ranges from 75 to 118 bpm. A rate of 50 bpm would be considered bradycardia in a school-age child.

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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?

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