A nurse is admitting an unidentified female infant who was brought to the emergency department. Based on the assessment findings, the nurse should estimate the infant's age to be which of the following? (Click on the "Exhibit" button below for additional client information. There are three tabs that contain separate categories of data)
3 months
6 months
9 months
12 months
The Correct Answer is B
A. 3 months: At 3 months, infants typically have a smaller head circumference, weigh less (around 12–13 lb), have fewer teeth, and have not yet demonstrated standing or significant weight-bearing when held. The developmental milestones observed in this infant exceed those expected at 3 months.
B. 6 months: The infant’s weight (14.5 lb), height (24 inches), presence of two lower central incisors, ability to bear weight when held in a standing position, hold a bottle, and exhibit a social smile align with typical developmental milestones for a 6-month-old. Neurologic reflexes such as Moro and tonic neck reflexes usually disappear by this age.
C. 9 months: By 9 months, infants are usually able to sit without support, may begin crawling, and have more teeth. The inability to sit unsupported indicates the infant is younger than 9 months.
D. 12 months: At 12 months, infants generally are able to stand independently, may begin walking, and have more advanced fine motor skills and additional teeth. The developmental abilities and physical measurements of this infant suggest she is younger than 12 months.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Administer supplemental oxygen: Providing oxygen is important for tissue perfusion and preventing hypoxia, but airway and spinal stability take priority in trauma care to prevent further injury.
B. Initiate access: Establishing IV access is essential for fluid resuscitation and medication administration, but it comes after ensuring airway, breathing, and spinal stability.
C. Stabilize the cervical spine: Spinal stabilization is the first action because the client was involved in a motor-vehicle crash and is at risk for cervical spine injury. Preventing further spinal cord damage takes precedence according to the ABCs (Airway, Breathing, Circulation) and trauma protocols.
D. Apply a warming blanket: Maintaining body temperature is important for trauma clients, but it is a lower priority compared with protecting the spine and ensuring airway and oxygenation.
Correct Answer is D
Explanation
A. Take on an empty stomach: Taking pancrelipase on an empty stomach would reduce its effectiveness because the enzymes need food in the stomach and small intestine to aid in digestion. Without food, nutrient absorption would remain impaired.
B. Take 1 hr before meals: Administering pancrelipase one hour before eating may result in the enzymes passing through the stomach without adequately mixing with food, decreasing digestive efficiency. Timing too far in advance is not recommended.
C. Take 1 hr after meals: Taking the enzyme an hour after eating delays digestion, as nutrients have already moved through the stomach and small intestine. This would reduce the effectiveness of the medication in aiding nutrient absorption.
D. Take with meals: Pancrelipase should be taken during meals or snacks to ensure the enzymes mix with food and facilitate proper digestion and absorption of nutrients. This timing maximizes the therapeutic benefit and helps prevent malnutrition associated with cystic fibrosis.
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