A parent asks a nurse about toys to provide for a 10-month-old infant. Which of the following toys should the nurse suggest?
Coloring book with crayons
Large-piece puzzles
Crib gym
Put-in take-out toy
The Correct Answer is C
A. Coloring book with crayons:
Coloring activities with crayons are typically more suitable for older children who have developed fine motor skills and hand-eye coordination. At 10 months old, infants are still in the early stages of motor development and may not have the dexterity to hold and manipulate crayons effectively. Additionally, infants at this age are more likely to put objects in their mouths, which poses a choking hazard with crayons.
B. Large-piece puzzles:
Puzzles with large pieces can be beneficial for older children's cognitive development by promoting problem-solving skills and hand-eye coordination. However, at 10 months old, infants are still developing their motor skills and may not have the ability to manipulate puzzle pieces effectively. Puzzles with small pieces can also pose a choking hazard for infants.
C. Crib gym:
A crib gym is a suitable toy for a 10-month-old infant as it provides opportunities for visual stimulation, reaching, grasping, and hand-eye coordination development. Crib gyms typically consist of hanging toys or objects that the infant can bat at or grasp while lying in their crib or playpen. This type of toy encourages exploration and interaction while ensuring safety within the confines of the crib.
D. Put-in take-out toy:
Put-in take-out toys involve placing objects into a container and then removing them, which can be engaging for infants. However, while this type of toy may provide some entertainment for a 10-month-old, it may not offer as much visual and tactile stimulation as a crib gym. Additionally, some put-in take-out toys may have smaller parts that pose a choking hazard for infants, so careful supervision is necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Restrain the toddler for 1 hr after the procedure:
This choice involves restraining the toddler for a period of time after the lumbar puncture procedure. However, restraining a toddler for such a prolonged period is not typically necessary and may cause distress and discomfort to the child. Moreover, prolonged restraint is not recommended as it can hinder the child's mobility and may lead to emotional distress.
B. Swaddle the toddler in a warm blanket:
Swaddling a toddler in a warm blanket may provide comfort, but it is not directly relevant to the lumbar puncture procedure itself. While comfort measures are important for overall patient care, they should not replace or interfere with the specific positioning requirements for medical procedures like a lumbar puncture.
C. Ask another nurse to assist with holding the toddler in a prone position:
This choice involves having another nurse assist in holding the toddler in a prone (face-down) position during the lumbar puncture procedure. However, the prone position is not typically used for lumbar punctures in toddlers. Placing the toddler in a prone position might make the procedure more challenging and less safe for both the child and the healthcare provider.
D. Place the toddler in a side-lying knee-chest position:
Placing the toddler in a side-lying knee-chest position is the correct action for a lumbar puncture procedure in a toddler. This position maximizes the space between the vertebrae, making it easier for the healthcare provider to access the lumbar area safely and accurately. It also helps minimize the risk of injury and discomfort for the toddler during the procedure. Therefore, this choice is the most appropriate for ensuring the success and safety of the lumbar puncture procedure.
Correct Answer is B
Explanation
A. Applying suction for 20 seconds:
Suctioning for 20 seconds is within the recommended duration for endotracheal suctioning in children. It allows adequate time for removing secretions without causing excessive trauma to the airway.
B. Introducing the catheter without suction:
This action is incorrect. When performing endotracheal suctioning, the catheter should be introduced into the endotracheal tube while applying suction. Introducing the catheter without suction may not effectively remove secretions and can lead to ineffective suctioning.
C. Rotating the catheter between the thumb and forefinger while suctioning:
Rotating the catheter between the thumb and forefinger while suctioning helps to prevent the catheter from sticking to the airway walls and facilitates the removal of secretions. This action is appropriate and helps ensure effective suctioning.
D. Allowing the child to rest for 30 to 60 seconds between suctioning passes:
Allowing the child to rest between suctioning passes helps minimize hypoxia and discomfort during the procedure. This action is appropriate and ensures that the child has adequate time to recover before the next suctioning pass.
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