A nurse is preparing to administer a hepatitis B immunization to an infant who is 9 months old.
Which site should the nurse administer the immunization?

Ventrogluteal.

Deltoid.

Vastus lateralis.

Dorsogluteal.

Answer and Explanation

The Correct Answer is C

Choice A rationale

The ventrogluteal site is not typically used for immunizations in infants. This site is often used in older children and adults, but it is not the preferred site for infants due to their small muscle mass.

Choice B rationale

The deltoid site is not typically used for immunizations in infants. This site is often used in older children and adults, but it is not the preferred site for infants due to their small muscle mass.

Choice C rationale

The vastus lateralis is the preferred site for administering immunizations in infants. This muscle is located in the thigh and is large enough to accommodate the injection. It is also away from major nerves and blood vessels, making it a safe site for injections.

Choice D rationale

The dorsogluteal site is not recommended for immunizations in any age group. This site has a number of large blood vessels and nerves, as well as a layer of fat, which can make injections less effective and potentially harmful.

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Correct Answer is A

Explanation

Choice A rationale

A bulging fontanel is a common sign of increased intracranial pressure (ICP) in infants. The fontanels, or soft spots on an infant’s head, allow for brain growth. When there is increased pressure, as in conditions that cause increased ICP, it can cause the fontanels to bulge outwards.

Choice B rationale

Insomnia is not typically associated with increased ICP in infants. Changes in consciousness, such as irritability or lethargy, may be seen, but these are not the same as insomnia.

Choice C rationale

A low-pitched cry is not typically associated with increased ICP in infants. Changes in cry might occur, but they are not specific to increased ICP4.

Choice D rationale

A positive Babinski reflex is normal in infants up to about 12 months of age. It is not specifically associated with increased ICP4.

A. Facial paralysis. B. Ear infections. C. Increased intracranial pressure. D. Drooling.

Correct Answer is C

Explanation

Choice A rationale

While facial paralysis is a serious condition, it is not typically associated with a cleft palate.

Choice B rationale

Ear infections are a common complication of a cleft palate, but they are not typically a sign of an immediate, serious problem.

Choice C rationale

Increased intracranial pressure is not a common complication of a cleft palate, but it is a serious condition that requires immediate medical attention.

Choice D rationale

Drooling is common in children with a cleft palate and is not typically a sign of a serious problem.

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A nurse is preparing to administer a hepatitis B immunization to an infant who is 9 months old.Which site should the nurse administer the immunization?

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Correct Answer is C

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A nurse is preparing to administer a hepatitis B immunization to an infant who is 9 months old.
Which site should the nurse administer the immunization?