A nurse is planning to assess a 10 month-old infant and bases the assessment on which rationale?
Begin with taking all the vital signs.
Use the Faces scale to rate their pain
Start with less intrusive methods.
Be systematic and go in head to toe order.
The Correct Answer is C
A. Begin with taking all the vital signs.
This is not the preferred approach for assessing a 10-month-old infant. Vital signs may be intimidating and intrusive, and starting with less invasive methods is generally recommended.
B. Use the Faces scale to rate their pain.
The Faces scale is typically used for older children who can express themselves verbally. It may not be suitable for a 10-month-old infant.
C. Start with less intrusive methods.
This is the correct choice. Beginning with less intrusive methods, such as observation and gentle interactions, helps build trust and ensures the infant is comfortable during the assessment.
D. Be systematic and go in a head-to-toe order.
While being systematic is important, starting with less intrusive methods and adapting the approach based on the infant's response is generally more appropriate than a strict head-to-toe order.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An abnormal finding-indicates the need for developmental assessment.
This is not accurate. The closure of the anterior fontanel within the expected age range does not indicate an abnormal finding or the need for additional developmental assessment.
B. A normal finding.
This is the correct interpretation. The anterior fontanel normally closes between 12 to 18 months, and closure by 19 months is within the expected developmental range.
C. An abnormal finding-indicates the need for immediate referral to a practitioner.
This is not necessary based on the information provided. The closure of the anterior fontanel within the expected timeframe is a normal finding.
D. A questionable finding-the infant should be rechecked in 1 month.
There's no need for rechecking in 1 month. The closure of the anterior fontanel at 19 months is considered normal.
Correct Answer is C
Explanation
A. Magical thinking
Magical thinking is a cognitive characteristic commonly observed in preschool-aged children. It involves believing that one's thoughts, wishes, or actions can influence events, even when there is no logical or causal connection. For example, a preschooler might believe that simply thinking about a toy can make it appear.
B. Thoughts are all-powerful
The belief that thoughts have omnipotent power is often seen in the preoperational stage of cognitive development, which occurs in early childhood. Children in this stage may think that their thoughts alone can cause significant changes or events.
C. Ability to conserve
Conservation is a cognitive skill associated with the concrete operational stage of development, typically occurring around 7 to 11 years of age. Children at this stage understand that certain properties of objects remain the same despite changes in appearance. For example, they recognize that the amount of liquid stays the same when poured into a differently shaped container.
D. Animism
Animism is a concept observed in the preoperational stage, where children attribute life-like qualities to inanimate objects. For instance, a child might believe that a stuffed animal has feelings or thoughts.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today