Anticipatory guidance for an infant for the 4th month should include the fact that the infant will be able to achieve which developmental milestone?
Be able to turn over onto the back
Have many "blue" or moody periods
Insist on things being done the infant's way
Develop a fear of strangers
The Correct Answer is A
A. Be able to turn over onto the back: At around 4 months of age, many infants develop the ability to roll over, typically from the front to the back. This is a key developmental milestone that occurs around this time.
B. Have many "blue" or moody periods: While infants can experience some moodiness especially during growth spurts or teething, this is not a key milestone at 4 months. "Blue" periods are more characteristic of later stages when infants develop more complex emotions.
C. Insist on things being done the infant's way: At 4 months, infants are still in the early stages of development and do not yet exhibit behaviors like insisting on things being done their way. Such behaviors typically develop much later, around the toddler years.
D. Develop a fear of strangers: Fear of strangers typically develops later, around 6 to 8 months of age, as part of the infant's attachment process. It is not generally expected at 4 months.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Be careful that it doesn't scratch them: While it’s important to avoid scratches that could lead to infections, this is not the primary concern for a pregnant woman with a cat. The main concern revolves around parasitic infection.
B. Refrain from cleaning the cat's food bowl: There is no specific risk to the pregnant client from cleaning the cat's food bowl. The primary concern is handling the cat's litter box, not its food bowl.
C. Ask someone else to change the cat litter: Pregnant women should avoid changing cat litter due to the risk of toxoplasmosis, an infection caused by the Toxoplasma parasite that can be found in cat feces. This infection can harm the fetus.
D. Give it away until after delivery: There is no need to give away the cat during pregnancy as long as the woman avoids cleaning the litter box and practices good hygiene. Toxoplasmosis can generally be avoided with proper precautions.
Correct Answer is B
Explanation
A. Cerebrovascular accident: A cerebrovascular accident (stroke) is not commonly associated with surgery for myelomeningocele. While neurological complications can occur, a stroke is not a primary concern in the immediate postoperative period for this condition.
B. Hydrocephalus: Hydrocephalus is a common condition in infants with myelomeningocele. It occurs due to the impaired flow of cerebrospinal fluid (CSF) as a result of the neural tube defect, leading to increased pressure within the ventricles of the brain.
C. Dehydration: While dehydration is a concern for many surgical patients, it is not specifically related to surgery for myelomeningocele. The primary postoperative concerns would involve the neurological status, including the presence of hydrocephalus.
D. Urinary tract infection: Although urinary tract infections can occur in infants, especially in those with neural tube defects, they are not the most immediate concern following surgery for myelomeningocele. The focus is more on monitoring for neurological complications.
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