A nurse is collecting data from an infant.
Which of the following sites is the most reliable location to check the infant’s pulse?
Carotid.
Dorsalis pedis.
Temporal.
Apical.
The Correct Answer is D
Choice A rationale
The carotid pulse is not the most reliable location to check an infant’s pulse because it can be difficult to locate and can cause discomfort to the infant.
Choice B rationale
The dorsalis pedis pulse is not the most reliable location to check an infant’s pulse because it can be difficult to locate in small infants.
Choice C rationale
The temporal pulse is not the most reliable location to check an infant’s pulse because it can be affected by external factors such as temperature and can be difficult to locate in small infants.
Choice D rationale
The apical pulse is the most reliable location to check an infant’s pulse. It is located at the apex of the heart and can be easily heard using a stethoscope. It provides the most accurate assessment of the heart rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Understanding the cause of illness is a complex cognitive task that typically develops later in childhood. Preschool-aged children are still developing their understanding of cause and effect, and their thinking is often more concrete than abstract.
Choice B rationale
Describing manifestations of illness is also a complex task that requires a certain level of cognitive and language development. While preschool-aged children are developing their language skills rapidly, their ability to describe complex phenomena such as the manifestations of illness is still developing.
Choice C rationale
Awareness of body functioning is a concept that typically develops later in childhood. Preschool-aged children are still learning about their bodies and how they work. Their understanding of body functioning is often concrete and based on what they can see and feel.
Choice D rationale
Relating fears to magical thinking is a characteristic of preschool-aged children’s cognitive development. At this age, children’s thinking is often dominated by fantasy and magic. They may attribute events or experiences to magical causes, and their fears may be related to these magical beliefs.
Correct Answer is B
Explanation
Choice A rationale
A set of blocks to build a block tower may not be suitable for a 7-month-old infant. At this age, infants are still developing their fine motor skills and may not have the dexterity to stack blocks effectively. Moreover, there’s a risk of the infant putting small blocks in their mouth, posing a choking hazard.
Choice B rationale
A soft toy that squeaks or crackles when squeezed is an excellent choice for a 7-month-old infant. At this age, infants are exploring their environment through touch and sound. A soft toy that makes noise when squeezed can provide sensory stimulation and help develop their grasp reflex.
Choice C rationale
A colorful rib mobile that plays music might be more suitable for younger infants. By 7 months, infants are often able to sit up and may not spend as much time lying down looking at a mobile. Additionally, they may try to pull on the mobile, posing a safety risk.
Choice D rationale
A wooden farm animal puzzle with large pieces is typically more appropriate for older toddlers who have more advanced fine motor skills and cognitive abilities. A 7-month-old infant may not have the ability to understand the concept of a puzzle.
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