A nurse is reinforcing teaching with a caregiver of a 2-month-old infant about developmentally appropriate toys. which of the following toys should the nurse include in the teaching?
Rubber duck
Nesting cups
Crib mobile
Plastic keys
The Correct Answer is C
A) Rubber duck:
A rubber duck may be a suitable toy for a 2-month-old infant during bath time, but it is not considered the most developmentally appropriate for this age. At 2 months, infants are beginning to focus their vision on objects but have limited ability to manipulate toys. Toys such as a rubber duck do not provide the most stimulating developmental experience for an infant at this age.
B) Nesting cups:
Nesting cups are not the most appropriate for a 2-month-old infant. At this stage of development, babies are still in the early stages of hand-eye coordination and grasping skills. Nesting cups are more suitable for older infants (around 6-9 months) who are beginning to explore stacking, nesting, and grasping objects with more precision.
C) Crib mobile:
A crib mobile is an excellent developmentally appropriate toy for a 2-month-old infant. At this age, infants are developing visual tracking skills and are attracted to high-contrast patterns or moving objects. A crib mobile offers visual stimulation and can help an infant focus their eyes on objects, encouraging visual tracking and early sensory development. It is also safe for use in the crib environment.
D) Plastic keys:
Plastic keys can be a good toy for older infants as they begin developing their grasping and mouthing skills, but a 2-month-old infant is not yet able to hold objects or bring them to their mouth with coordination. Toys like these would not offer much benefit in terms of developmental stimulation at this age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Weight loss: Weight loss is not a typical manifestation of nicotine withdrawal. While some individuals may experience changes in appetite, particularly an increase in appetite leading to weight gain, weight loss is not a common symptom associated with quitting smoking.
B) Diaphoresis: Diaphoresis, or excessive sweating, is not typically associated with nicotine withdrawal. While some individuals may experience mild symptoms like irritability or nervousness, sweating is not a prominent feature of withdrawal from nicotine.
C) Diarrhea: Diarrhea is not a characteristic symptom of nicotine withdrawal. Some gastrointestinal disturbances such as constipation or changes in appetite may occur, but diarrhea is not a common withdrawal symptom.
D) Insomnia: Insomnia is a well-documented symptom of nicotine withdrawal. Nicotine has stimulating properties, and when an individual stops using nicotine, they may experience difficulty sleeping. This can lead to trouble falling or staying asleep and is a common part of the withdrawal process.
Correct Answer is C
Explanation
A) Wait 1 min between suctioning attempts: The nurse should wait 20 to 30 seconds between suctioning attempts, not a full minute. Waiting too long between attempts can cause the patient unnecessary distress. The goal is to allow for oxygenation and recovery of the airway in between suctioning attempts.
B) Apply intermittent suction for 30 seconds: Suctioning should be limited to 10 to 15 seconds at a time to prevent hypoxia and damage to the mucous membranes. Applying suction for 30 seconds could lead to complications such as hypoxia, mucosal trauma, and increased risk of infection.
C) Insert the catheter 10 cm (4 in.): This is the correct technique. For an adult client, the catheter should be inserted 10 cm (4 inches) into the airway. Inserting the catheter too far can cause trauma to the airway, while inserting it too shallow may not effectively clear secretions.
D) Apply suction while inserting the catheter: Suction should not be applied while inserting the catheter. Suctioning should only be applied while withdrawing the catheter, not while inserting it, to prevent mucosal trauma and to ensure effective clearance of secretions. Suctioning during insertion could damage the airway and increase discomfort for the client.
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