A nurse is completing an assessment of a 2-month-old. Which of the following developmental skills is an expected finding?

Grasps objects

Follows objects with eyes

Laughs and squeals

Rolls from back to side

Answer and Explanation

The Correct Answer is B

A. At 2 months old, infants typically do not have the fine motor skills necessary to grasp objects intentionally. This skill usually develops around 4 to 6 months of age.
B. By 2 months of age, infants are expected to follow objects with their eyes as their visual tracking improves. This is a normal developmental milestone for this age.
C. Laughing and squealing are typically seen later, around 4 to 6 months of age. At 2 months, infants may coo and make other vocalizations but not laugh or squeal.
D. Rolling from back to side usually begins around 4 to 6 months of age. At 2 months, infants are generally not yet capable of this movement.

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Correct Answer is D

Explanation

A. Ankylosis refers to the fusion of bones in a joint, leading to stiffness and immobility, but it does not specifically describe a "hunchback" curvature of the spine.
B. Scoliosis involves an abnormal lateral curvature of the spine, not a "hunchback" appearance.
C. Lordosis is characterized by an excessive inward curvature of the lumbar spine, not the outward curvature seen in a "hunchback."
D. Kyphosis is the condition characterized by an abnormal outward curvature of the thoracic spine, leading to a "hunchback" appearance. This is common in older adults, often associated with osteoporosis and loss of bone density.

Correct Answer is ["245"]

Explanation

To calculate the total fluid intake in milliliters, convert all quantities to mL and then sum them:

- Juice: 1/2 cup = 120 mL

- Gelatin: 3 oz = 90 mL (since 1 oz = 30 mL)

- Ice pop: 1 oz = 30 mL

- Ginger ale: 20 mL

Adding these amounts together: 120 mL + 90 mL + 30 mL + 20 mL = 260 mL. The total fluid intake is 260 mL.

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A nurse is completing an assessment of a 2-month-old. Which of the following developmental skills is an expected finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an older adult client who has experienced some loss of bone density. The nurse observes a "hunchback" curvature of the client's spine. The nurse should expect the provider to document which of the following disorders?

Correct Answer is D

Explanation

A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 1/2 cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?

Correct Answer is ["245"]

Explanation

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