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A nurse is assessing a 7-month-old infant who has Down syndrome. Which of the following developmental milestones should the nurse expect?

Uses a spoon

Crawls short distances

Speaks five to eight words

Stands with assistance

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A 7-month-old infant with Down syndrome is less likely to use a spoon.

Choice B rationale:

Crawling short distances is a developmental milestone that can be expected at this age.

Choice C rationale:

Speaking five to eight words is not an appropriate milestone for a 7-month-old infant.

Choice D rationale:

Standing with assistance usually occurs around 9-12 months, which might be delayed in infants with Down syndrome.

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Correct Answer is C

Explanation

Choice A rationale:

Shaking the auto-injector is not recommended as it could disrupt the medication's effectiveness. Epinephrine auto-injectors contain two separate components that need to be mixed upon injection.

Choice B rationale:

Massaging the injection site after using the auto-injector can actually help disperse the medication and promote absorption and reduce pain and swelling.

Choice C rationale:

Injecting the medication into the top of the thigh is the correct administration site and technique for an epinephrine auto-injector. It's a large muscle area that allows for rapid absorption.

Choice D rationale:

Epinephrine auto-injectors should not be refrigerated, as extreme temperatures can affect their functionality. The client should store the device at room temperature away from light and heat sources.

A. Assign an Apgar score to the newborn. B. Dry the newborn. C. Weigh the newborn. D. Place an identification bracelet on the newborn.

Correct Answer is B

Explanation

Choice A rationale:

Assigning an Apgar score is important, but drying the newborn and promoting warmth are immediate priorities.

Choice B rationale:

Drying the newborn and providing warmth help prevent heat loss and maintain the newborn's body temperature, which is essential for their well-being.

Choice C rationale:

Weighing the newborn is important, but maintaining their body temperature takes precedence immediately after birth.

Choice D rationale:

Placing an identification bracelet on the newborn is important for proper identification, but ensuring the newborn's immediate well-being and comfort is the priority.

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A nurse is assessing a 7-month-old infant who has Down syndrome. Which of the following developmental milestones should the nurse expect?

Nursing Test Bank

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