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A nurse is teaching a group of parents about expected development of gross motor skills during infancy. The nurse should teach that the following developmental tasks are expected to occur in what order? (Move the steps into the box, placing them in the order of performance. Use all the steps.)

Changes from prone to sitting

Rolls from back to abdomen

Sits steadily unsupported

Rolls from back to side

Answer and Explanation

The Correct Answer is D,B,C,A

D. Rolls from back to side usually occurs around 4 months of age as the infant begins developing trunk strength.

B. Rolls from back to abdomen typically follows at around 5 to 6 months, indicating improved coordination and strength.

C. Sits steadily unsupported usually develops around 8 months, showing advanced balance and postural control.

A. Changes from prone to sitting is a more complex skill that typically appears around 10 months, requiring significant core strength and motor planning.

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Correct Answer is A

Explanation

A. Arrange for an ethics committee meeting to address the family's concerns. An ethics committee can provide guidance in situations where there is conflict between advance directives and family wishes. This supports ethical decision-making while honoring the client’s autonomy and legal rights.
B. Complete an incident report. An incident report is used for errors or unusual events, not ethical dilemmas or conflicts over advance directives. It is not appropriate in this scenario.
C. Support the family's decision and initiate life-sustaining measures. The nurse is legally and ethically bound to follow the client’s advance directives, not the family’s wishes, especially when the client’s decisions are documented and clear.
D. Encourage the family to contact an attorney. While families have legal rights, referring them directly to an attorney does not address the immediate ethical issue or facilitate collaborative resolution in the care setting.

A. "Remain on bed rest for 24 hours following the procedure." B. "Participate in range-of-motion exercises." C. "Place a pillow under your knees while in bed." D. "Use an incentive spirometer every 4 hours."

Correct Answer is B

Explanation

A. "Remain on bed rest for 24 hours following the procedure." Prolonged bed rest increases the risk of venous thromboembolism (VTE) and pulmonary complications. Early ambulation or movement is encouraged to promote circulation and prevent complications.
B. "Participate in range-of-motion exercises." Range-of-motion (ROM) exercises help stimulate venous return, improve circulation, and prevent blood stasis, which lowers the risk of postoperative blood clots and muscle stiffness.
C. "Place a pillow under your knees while in bed." Placing a pillow under the knees can impair circulation and increase the risk of venous stasis and thrombus formation. It is not recommended for circulation promotion.
D. "Use an incentive spirometer every 4 hours." While this instruction helps prevent respiratory complications, it is not a direct intervention for improving circulatory function. It's primarily used to promote lung expansion postoperatively.

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A nurse is teaching a group of parents about expected development of gross motor skills during infancy. The nurse should teach that the following developmental tasks are expected to occur in what order? (Move the steps into the box, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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