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 C

Explanation

A. Abdominal pain rated 4 is moderate and should be managed but is not as immediately critical as hypotension.

B. A respiratory rate of 20/min is within normal limits for an adolescent and is not a priority finding.

C. Low blood pressure (hypotension) following blunt abdominal trauma is a concern for internal bleeding or hemorrhage. This is the priority finding and requires immediate intervention.

D. A heart rate of 72/min is normal and does not indicate immediate concern.

A. An anxiety reaction B. Developing autonomy C. Regression D. Resentment toward the mother

Correct Answer is A

Explanation

A. The toddler’s behavior—sitting quietly and turning away from the nurse—suggests anxiety due to separation from the mother. This is typical of toddlers who experience distress when separated from caregivers.

B. Developing autonomy is a developmental task of toddlers, but the behavior described (turning away from the nurse and seeking comfort through thumb-sucking) indicates distress rather than an expression of independence.

C. Regression can occur in toddlers when they experience stress, but the behavior here seems more related to anxiety than a return to earlier developmental behaviors.

D. Resentment toward the mother is unlikely in this situation; the behavior is more indicative of separation anxiety.

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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

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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