A nurse is gathering data on a 10-month-old infant. Which of the following findings should be reported to the provider?

The infant does not sit steadily without support.

The infant will not play peek-a-boo.

The infant is unable to imitate animal sounds.

The infant cannot turn the pages in a book.

Answer and Explanation

The Correct Answer is A

A. By 9 months, infants should be able to sit steadily without support. If the infant is not able to do this by 10 months, it could indicate developmental delay and should be reported to the provider.

B. Playing peek-a-boo typically develops between 6-8 months, and while it may be expected by 10 months, not playing this game alone may not be an immediate concern.

C. Imitating animal sounds is generally a skill that develops closer to 12-15 months, so the infant not being able to do this at 10 months is not concerning.

D. Turning pages in a book is generally a skill developed around 12 months, so the inability to do this at 10 months is not unusual.

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Correct Answer is A

Explanation

A. Elevating the casted arm helps reduce swelling and promotes circulation. The arm should be elevated above the heart level when resting to minimize swelling.

B. Immobilizing the shoulder is unnecessary unless specifically instructed, as immobilizing the shoulder is not required for most arm fractures.

C. Swelling of the fingers can occur with a cast, but it should not last longer than 24 hours. Prolonged swelling should be reported.

D. Allowing the limb to hang down may increase swelling and should be avoided.

A. Weak femoral pulses B. High blood pressure C. Dysrhythmias D. Loud, harsh murmur

Correct Answer is D

Explanation

A. Weak femoral pulses may be seen in other congenital heart defects but are not typically associated with VSD.

B. High blood pressure is not a typical finding in VSD, as the defect usually leads to increased blood flow to the lungs rather than systemic hypertension.

C. Dysrhythmias are not commonly associated with VSD unless there are other complicating factors.

D. A loud, harsh murmur is a classic finding in infants with a ventricular septal defect (VSD), due to the abnormal flow of blood through the hole in the septum.

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A nurse is gathering data on a 10-month-old infant. Which of the following findings should be reported to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm and is being discharged with a cast. Which instruction would be included in the teaching?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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