The nurse would suspect a hearing impairment in an infant who demonstrates which behavior?

Lack of eye contact when being spoken to

Lack of gesturing to indicate wants after age 15 months

Absence of babbling by age 7 months

Absence of the Moro reflex

Answer and Explanation

The Correct Answer is C

A. Lack of eye contact can indicate a developmental concern, but it is not specific to hearing impairment.

B. Lack of gesturing by 15 months could be concerning, but it is more related to social development than to hearing.

C. By 7 months, infants should begin babbling. The absence of babbling at this age is a red flag for potential hearing issues.

D. The absence of the Moro reflex is expected after the first few months of life, so it is not a sign of hearing impairment.

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Correct Answer is A

Explanation

A. A normal urinary output in infants is approximately 1-2 mL/kg/hr. An output of 2 mL/kg/hr would indicate that the fluid imbalance is being corrected.

B. An output of 7.5 mL/kg/hr is excessive and may indicate overhydration or other complications.

C. An output of 0.5 mL/kg/hr is too low and suggests that the fluid imbalance is not yet corrected.

D. An output of 15 mL/kg/hr is too high and could indicate a possible issue such as overhydration.

A. Measure weight and height. B. Insert an indwelling urinary catheter. C. Initiate IV access. D. Maintain ECG monitoring.

Correct Answer is C

Explanation

A. Measuring weight and height is not an immediate priority in the management of shock.

B. Inserting an indwelling urinary catheter is not a priority in the early management of shock.

C. Initiating IV access is crucial for fluid resuscitation and medication administration in a child with shock.

D. While ECG monitoring is important, it is not as immediately necessary as establishing IV access for shock management.

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The nurse would suspect a hearing impairment in an infant who demonstrates which behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a 6-month-old infant who has dehydration. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?

Correct Answer is A

Explanation

A nurse is assessing an 8-year-old child who has early indications of shock. After establishing and stabilizing the child's respirations, which of the following actions should the nurse take next?

Correct Answer is C

Explanation

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