A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?
Increased formula consumption
Increased crying episodes
Decreased respiratory rate
Decreased heart rate
The Correct Answer is B
Crying is a common behavioral response to pain in infants, and it serves as an important indicator of discomfort. Infants may cry more intensely, have a high-pitched cry, or exhibit inconsolable crying when they are in pain. It is important for the nurse to assess the infant's pain level and provide appropriate interventions to alleviate the discomfort.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
At the age of 3, children typically start to develop better balance and coordination. They may be able to stand on one foot for a short period of time, although their ability to maintain balance may vary.
Walking backward heel to toe, skipping, and hopping on one foot are typically achieved around the age of 4-5 years.
As for vocabulary, a 3-year-old child may have a vocabulary of approximately 300-500 words, although the exact number can vary. A vocabulary of 1500 words is more commonly seen in older children.
Correct Answer is D
Explanation
Walking Well: The ability to walk well typically develops around12 to 15 months. Since the child walks well, we can consider her closer to this age range.
Stating first name: By 24-30 months, most children can identify themselves by name.
Repeating Phrases (“All done” and “Go bye-bye”): Repeating phrases is common around15 to 18 months. The child’s language development aligns with this stage.
24 Deciduous Teeth: By the age of2 to 3 years, children typically have all 20 deciduous (baby) teeth. Since this child has 24 deciduous teeth, she is likely closer to the2-year-oldmark.
Closed Anterior Fontanel: The anterior fontanel (soft spot on the baby’s head) usually closes by18 months. The fact that it is closed indicates that the child is beyond this age.
Child is most likely 30 months old.
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