During a well-baby check, the nurse recognizes the presence of what as indicative of appropriate neurological development?
Appropriate weight
Vernix caseosa
Presence of lanugo
Expected reflexes
The Correct Answer is D
Choice A reason: This is not an indicator of appropriate neurological development. Appropriate weight is a measure of the physical growth and nutritional status of the baby. It is influenced by the baby's genetics, gestational age, birth weight, feeding habits, and health conditions. Appropriate weight does not reflect the baby's brain development or function.
Choice B reason: This is not an indicator of appropriate neurological development. Vernix caseosa is a white, cheesy substance that covers the skin of the baby in the womb. It protects the skin from the amniotic fluid and helps with temperature regulation and infection prevention. Vernix caseosa is mostly shed before or during birth, and does not relate to the baby's brain development or function.
Choice C reason: This is not an indicator of appropriate neurological development. Presence of lanugo is a fine, soft hair that covers the body of the baby in the womb. It helps to keep the baby warm and hold the vernix caseosa on the skin. Presence of lanugo is usually lost before or shortly after birth, and does not indicate the baby's brain development or function.
Choice D reason: This is the best answer. Expected reflexes are involuntary movements or responses that the baby makes in reaction to certain stimuli. They are controlled by the nervous system and indicate the baby's brain development and function. Expected reflexes include the rooting, sucking, grasping, Moro, and Babinski reflexes. The nurse should assess the presence, strength, and symmetry of these reflexes during the well-baby check.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not a useful intervention for improving the self-concept of an older adult. Allowing the clothing to remain soiled after spilling may make the older adult feel dirty, embarrassed, or neglected. It may also increase the risk of infection or skin irritation. The nurse should help the older adult to change into clean clothing as soon as possible, and respect their dignity and comfort.
Choice B reason: This is not a useful intervention for improving the self-concept of an older adult. Encouraging them to wear clothes that are bigger so it is easier to put on may make the older adult feel unattractive, insecure, or incompetent. It may also affect their mobility and safety, as the clothes may be too loose or long. The nurse should help the older adult to wear clothes that fit well and suit their preferences and abilities.
Choice C reason: This is not a useful intervention for improving the self-concept of an older adult. Keeping their pajamas on when going to the dining room for breakfast, since they will have a nap when they return to their room, may make the older adult feel lazy, depressed, or isolated. It may also affect their appetite and socialization, as the pajamas may indicate a lack of interest or readiness. The nurse should help the older adult to dress appropriately for the time and place, and encourage them to participate in activities and interactions.
Choice D reason: This is the best answer. Helping them fix their hair and wear properly fitting, clean clothing is a useful intervention for improving the self-concept of an older adult. It may make the older adult feel attractive, confident, and respected. It may also enhance their physical and mental health, as the hair and clothing may reflect their hygiene and mood. The nurse should help the older adult to maintain their personal appearance and style, and support their self-esteem and self-image.
Correct Answer is A
Explanation
Choice A reason: This is the best answer. Proximodistal is the pattern of development that occurs from the center of the body to the extremities. It means that the parts of the body that are closer to the trunk develop before the parts that are farther away. For example, infants can control their arms before their hands, and their hands before their fingers.
Choice B reason: This is not the correct answer. Cephalocaudal is the pattern of development that occurs from the head to the feet. It means that the parts of the body that are higher up develop before the parts that are lower down. For example, infants can lift their head before they can walk.
Choice C reason: This is not the correct answer. Simple to Complex is the principle of development that states that skills and abilities become more sophisticated and refined over time. It means that the tasks that are easier and more basic are mastered before the tasks that are harder and more advanced. For example, infants can babble before they can talk.
Choice D reason: This is not the correct answer. Continuous Process is the concept of development that states that growth and change are gradual and ongoing throughout the lifespan. It means that there are no sudden or discrete stages or phases of development, but rather a smooth and steady progression. For example, infants do not suddenly become toddlers, but rather develop new skills and characteristics gradually.
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