A nurse is preparing to perform a heel stick using a spring-loaded automatic puncture device on a 1-week-old infant. In which of the following locations should the nurse puncture the infant's foot? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Answer and Explanation

The Correct Answer is "{\"xRanges\":[93.828125,113.828125],\"yRanges\":[223,243]}"

A. Lateral aspect: The preferred location for performing a heel stick on a neonate is the lateral (outer) aspect of the heel, avoiding the central area and the arch of the foot. This area contains fewer nerve endings and less tissue, making it safer and less painful for the infant. It also minimizes the risk of injury to the underlying bones, blood vessels, and nerves.

B. Heel: The heel is not recommended as a puncture site because it contains fat, bone, and nerves, and puncturing the heel could cause injury or complications such as osteochondritis (bone infection). This site also carries a higher risk of injury to blood vessels and tendons.

C. Medial aspect: The medial (inner) aspect of the heel is also not recommended because it is near the medial plantar artery and nerves. Puncturing this area could result in damage to these structures, leading to complications. The lateral aspect is a safer, preferred location.

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Correct Answer is A

Explanation

A. This response reassures the child that they are not to blame for the abuse and provides emotional support. It also establishes a sense of safety for the child to express their feelings.

B. Telling the child that they should have spoken up earlier may cause shame or guilt, which can further harm the child’s emotional well-being.

C. Promising not to tell anyone would be unethical because it is necessary to report suspected abuse to the appropriate authorities for the child's safety.

D. While this response acknowledges the injustice of the situation, it doesn't validate the child's feelings of fear or confusion in a way that encourages trust and healing.

A. Crude pincer grasp B. Shakes head for "no" C. Uses two-word phrases D. Builds a four-block tower

Correct Answer is A

Explanation

A. A 9-month-old infant is expected to demonstrate a crude pincer grasp, which involves picking up small objects between the thumb and forefinger. This is a developmental milestone for this age.

B. While infants may shake their heads by this age, it is typically not used in the context of saying "no." This action is usually a sign of exploration or reaction to stimulation.

C. A 9-month-old typically does not use two-word phrases. By this age, infants are usually babbling and may say single words like "mama" or "dada."

D. A 9-month-old is not expected to build a tower of four blocks. By 12-15 months, infants may begin to stack blocks.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is collecting data from a 9-month-old infant. Which of the following developmental findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is preparing to collect data from a toddler during a well-child visit. Which of the following actions should the nurse plan to take?

A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?

A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?

A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?

. A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

A nurse is assisting with the care of an adolescent client who is in skeletal traction for the treatment of a fractured femur. Which of the following actions should the nurse take?

A school nurse is assisting with health screenings for school-age children during a health fair. The nurse should identify that which of the following findings indicates scoliosis?