A nurse is collecting data from a 10-month-old infant.
Which of the following findings should the nurse report to the provider?
The infant is unable to recognize objects by name.
The infant cannot turn the pages in a book.
The infant will not play peek-a-boo.
The infant does not sit steadily without support.
The Correct Answer is D
Choice A rationale
At 10 months, it is normal for an infant to not be able to recognize objects by name. Language development varies greatly among children, and many do not start to understand and respond to simple requests and recognize common objects until around 12 months.
Choice B rationale
The ability to turn pages in a book is a fine motor skill that typically develops around 12 to 18 months. Therefore, it is normal for a 10-month-old infant to not have this ability.
Choice C rationale
Peek-a-boo is a common game that many infants enjoy. However, not all infants may show interest in this game. Lack of interest in peek-a-boo is not necessarily a cause for concern.
Choice D rationale
By 10 months, most infants can sit without support. If a 10-month-old infant does not sit steadily without support, it could indicate a delay in motor development and should be reported to the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Measuring from the back of the head to the forehead is not the correct method for measuring head circumference in an infant. The measurement should be taken around the widest part of the head, which is typically above the eyebrows and ears.
Choice B rationale
Placing the measuring tape above the eyebrows and around the widest part of the head is the correct method for measuring head circumference in an infant. The tape should be wrapped around the head at the points just above the eyebrows, above the ears, and around the back where the head slopes up prominently from the neck.
Choice C rationale
Measuring from the chin to the top of the head is not the correct method for measuring head circumference in an infant. The measurement should be taken around the widest part of the head, which is typically above the eyebrows and ears.
Choice D rationale
Wrapping the measuring tape tightly around the neck is not the correct method for measuring head circumference in an infant. The measurement should be taken around the widest part of the head, which is typically above the eyebrows and ears.
Correct Answer is A
Explanation
Choice A rationale
Lethargy in a child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt could indicate a serious problem such as shunt malfunction or infection, and should be the priority.
Choice B rationale
A respiratory rate of 20/min is within the normal range for a 4-year-old child and is not typically a cause for concern.
Choice C rationale
Lying flat on the unaffected side is not typically a cause for concern following ventriculoperitoneal shunt surgery.
Choice D rationale
A urine output of 50 mL in 2 hr is within the normal range for a 4-year-old child and is not typically a cause for concern.
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