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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Keep a night light on in your child's room." - This option addresses the child's fear of
monsters by providing a solution that offers comfort and reassurance without dismissing the child's concerns outright.
B. "Let your child sleep in your bed with you." - While this may temporarily alleviate the child's fear, it doesn't address the underlying issue or help the child learn coping mechanisms for dealing with fear.
C. "Tell your child that monsters are not real." - This response invalidates the child's feelings and may increase anxiety by dismissing their fears as irrational.
D. "Stay with your child until the child is asleep." - While staying with the child may provide comfort initially, it doesn't offer a long-term solution and may reinforce the fear by implying that there is something to be afraid of.
Correct Answer is A
Explanation
A. A premature newborn: Premature infants are at higher risk for iron deficiency anemia because they have lower iron stores at birth compared to full-term infants. Additionally, premature infants may not have had sufficient time in utero to accumulate adequate iron stores from maternal
transfusions.
B. A postterm newborn: Postterm infants, born after 42 weeks of gestation, are not typically at increased risk for iron deficiency anemia solely based on gestational age.
C. A newborn born to a diabetic mother: While infants born to diabetic mothers may have other health risks, they are not inherently at higher risk for iron deficiency anemia unless there are other complicating factors such as prematurity or inadequate iron intake.
D. A term newborn with jaundicE. Jaundice in a term newborn is typically caused by elevated
levels of bilirubin and is not directly associated with an increased risk of iron deficiency anemia.
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