A mother is concerned because her 10-month-old infant is lethargic.
What is the best action the nurse can advise this mother to implement?
Keep the infant's room well lit.
Rub the infant's soles vigorously.
Offer the infant a pacifier.
Handle the infant slowly and gently.
The Correct Answer is D
Choice A rationale:
Keeping the infant's room well lit is not the best action to address lethargy. While adequate lighting is important, the primary concern in this situation is the infant's health and well-being, and manipulating the room lighting will not directly address the issue.
Choice B rationale:
Rubbing the infant's soles vigorously is not the most appropriate action for a lethargic infant. Lethargy may be a sign of an underlying medical issue, and vigorous rubbing of the soles is unlikely to resolve the problem.
Choice C rationale:
Offering the infant a pacifier may provide comfort in certain situations but is not the best action for a lethargic infant. Lethargy in an infant requires further assessment to determine the underlying cause and appropriate interventions.
Choice D rationale:
Handling the infant slowly and gently is the most appropriate action in this scenario. Lethargy in a 10-month-old infant can be a sign of illness or discomfort, and gentle handling is crucial to ensure the infant's well-being. The infant should be assessed for any signs of illness or distress and, if necessary, brought to a healthcare provider for further evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Being at eye level with the child is an effective guideline when speaking to a toddler. This approach helps establish a connection and creates a more comfortable and engaging environment for communication. It allows the child to feel heard and valued, fostering a positive interaction.
Choice B rationale:
Seating the child to focus on conversation is also a reasonable approach, but it may not be as effective as being at eye level. It can be challenging to maintain a toddler's attention, and this method may work in certain situations but might not be as engaging as directly interacting at their eye level.
Choice C rationale:
Holding the child by the shoulders to keep their attention is not a recommended guideline. This approach may be seen as intrusive and potentially frightening to the child, leading to a negative interaction. It's essential to respect the child's personal space and comfort.
Choice D rationale:
Speaking in a firm, strong voice is generally not the best approach when speaking to a toddler. It may come across as intimidating or authoritarian, which can create a negative atmosphere and hinder effective communication. Toddlers respond better to a gentle and patient tone.
Correct Answer is D
Explanation
The correct answer isChoice D.
Choice A rationale:
This choice suggests that the infant should weigh at least 12 pounds. However, this is not accurate.Babies grow and gain weight the fastest within the first 6 months of life.Although this can vary, babies tend to gain around 4–7 oz, or 113–200 grams (g), per week in the first 4–6 months.Weight gain then slows slightly, with an average gain of around 3–5 oz (about 85–140 g) per week when the baby is 6–18 months.Therefore, a 6-month-old baby girl in the 50th percentile weighs 16 pounds, 2 ounces (7.3 kilograms). Hence, 12 pounds is below the expected weight for a 6-month-old baby.
Choice B rationale:
This choice suggests that the infant should weigh at least 22 pounds. However, this is not accurate.The average weight for a 6-month-old baby girl is around 16 pounds, 2 ounces (7.3 kilograms). Therefore, 22 pounds is significantly above the average weight for a 6-month-old baby.
Choice C rationale:
This choice suggests that the infant should weigh at least 25 pounds. However, this is not accurate.The average weight for a 6-month-old baby girl is around 16 pounds, 2 ounces (7.3 kilograms). Therefore, 25 pounds is significantly above the average weight for a 6-month-old baby.
Choice D rationale:
This choice suggests that the infant should weigh at least 16 pounds. This is accurate.The average weight for a 6-month-old baby girl is around 16 pounds, 2 ounces (7.3 kilograms). Therefore, the nurse would expect the infant to weigh at least 16 pounds.
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