A nurse is collecting data from a 9-month-old infant.

Which of the following findings requires a nursing intervention?

Positive Moro reflex.

Negative Doll's eye reflex.

Positive Babinski reflex.

Negative Crawl reflex.

Answer and Explanation

The Correct Answer is A

The correct answer is a. Positive Moro reflex.

Choice A reason:

Positive Moro reflex: This reflex should disappear by 6 months of age. Its presence at 9 months indicates potential neurological issues.

Choice B reason:

Negative Doll’s eye reflex: This reflex, indicating brainstem function, should be positive in infants. A negative result suggests severe brainstem dysfunction

Choice C reason:

Positive Babinski reflex: This reflex is normal up to 2 years of age. It indicates normal neurological development in infants.

Choice D reason:

Negative Crawl reflex: Crawling typically develops between 6-10 months. A negative crawl reflex at 9 months could indicate developmental delays

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Correct Answer is B

Explanation

The priority intervention for a newly-admitted client who has acute osteomyelitis is antibiotic therapy.

Choice A is incorrect because antipyretic therapy is not the priority intervention.
Choice C is incorrect because optimal nutrition and hydration are not the priority intervention.
Choice D is incorrect because surgical debridement of necrotic tissue is not the priority intervention.

A. It provides oxygen to the fetus. B. This is how the baby is fed. C. It helps cushion the baby. D. It prevents viruses from passing to the baby.

Correct Answer is C

Explanation

Amniotic fluid helps cushion the baby12.
It acts as a shock absorber and protects the fetus from injury should the mother’s abdomen be subject to trauma or sudden impact.
Choice A is incorrect because the amniotic fluid does not provide oxygen to the fetus.
Oxygen is provided to the fetus through the umbilical cord.
Choice B is incorrect because amniotic fluid is not how the baby is fed. The baby receives nutrients through the umbilical cord.
Choice D is incorrect because while amniotic fluid does have some antibacterial properties2, it does not prevent viruses from passing to the baby.

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A nurse is collecting data from a 9-month-old infant. Which of the following findings requires a nursing intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a newly-admitted client who has acute osteomyelitis. Which of the following interventions is the priority for the nurse to implement?

Correct Answer is B

Explanation

The nurse is teaching a prenatal class on the functions of the various structures involved with pregnancy. The nurse determines the class is successful when the class correctly chooses which function of amniotic fluid.

Correct Answer is C

Explanation

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A nurse is collecting data from a 9-month-old infant.

Which of the following findings requires a nursing intervention?