A nurse is collecting data from a 4-month-old infant who has intussusception. Which of the following findings should the nurse expect?

A. Place a stadiometer on the top of the infant's head to measure their length is incorrect. For infants, length is measured while they are lying down, not standing. A stadiometer is typically used for measuring standing height in older children and adults.

B. Measure the infant's length from the crown of the head to the heel is correct. When measuring the length of an infant, the child should be lying down, and the measurement should be taken from the crown of the head to the heel using a length board or measuring tape.

C. Cover the scale with a clean sheet of paper is not necessary for weighing an infant. Scales are typically clean, and covering them is unnecessary unless there is a specific concern for hygiene.

D. Obtain the infant's weight with the diaper on is incorrect. For the most accurate weight measurement, the diaper should be removed before weighing the infant. A diaper can add extra weight and affect the measurement.

E. Ensure the scale is balanced before weighing is correct. Before obtaining the weight, the nurse should verify that the scale is balanced and zeroed to ensure accurate measurements.

A. Prevent movement of the child's extremities is incorrect. Attempting to prevent movement during a tonic-clonic seizure is unsafe. The nurse should avoid restraining the child, as this can cause injury. The focus should be on ensuring safety during the seizure.

B. Administer magnesium sulfate to the child is incorrect. Magnesium sulfate is used for certain conditions, such as preeclampsia in pregnant women or seizures due to eclampsia, but it is not typically used to manage tonic-clonic seizures in children. Anticonvulsant medications or emergency interventions are more appropriate.

C. Put a tongue blade between the child's teeth is incorrect. Inserting a tongue blade or any object into the mouth during a seizure is dangerous, as it can lead to injury to the mouth, teeth, or airway. The nurse should not attempt to put anything in the child's mouth.

D. Place a folded blanket under the child's head is correct. The priority during a tonic-clonic seizure is to protect the child from injury. Placing a folded blanket or soft padding under the head helps prevent head trauma if the child falls to the ground during the seizure. The nurse should also ensure the environment is clear of sharp objects.