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 the correct answer. Autonomy vs. Shame and Doubt is the psychosocial developmental stage that occurs in toddlers, who are between 1 and 3 years old. It involves the development of independence and self-control, as well as the awareness of personal limitations and expectations. The nurse should encourage parents of toddlers to provide them with choices, boundaries, and praise, and to avoid overprotection, criticism, or ridicule.
Choice B reason: This is not the correct answer. Initiative vs. Guilt is the psychosocial developmental stage that occurs in preschoolers, who are between 3 and 5 years old. It involves the development of initiative and creativity, as well as the sense of responsibility and morality. The nurse should encourage parents of preschoolers to provide them with opportunities, guidance, and feedback, and to avoid discouragement, punishment, or interference.
Choice C reason: This is not the correct answer. Intimacy vs. Isolation is the psychosocial developmental stage that occurs in young adults, who are between 18 and 39 years old. It involves the development of intimacy and commitment, as well as the ability to form and maintain close relationships. The nurse should encourage young adults to explore their identity, values, and goals, and to seek and offer support, trust, and love.
Choice D reason: This is the best answer. Trust vs. Mistrust is the psychosocial developmental stage that occurs in infants, who are between birth and 1 year old. It involves the development of trust and security, as well as the attachment and bonding with the caregivers. The nurse should encourage parents of infants to feed the baby when hungry and comfort the baby when crying, as well as to provide them with consistent, responsive, and loving care.
Correct Answer is D
Explanation
Choice A reason: This is not the least likely factor. The ideal self is the person that the client wants to be or thinks they should be. It reflects the client's goals, aspirations, and values. A healthy self-concept is achieved when the ideal self is congruent with the real self, which is the person that the client actually is.
Choice B reason: This is not the least likely factor. A client's self-esteem is the degree to which the client values and respects themselves. It affects the client's confidence, satisfaction, and happiness. A healthy self-concept is associated with a high self-esteem, which means that the client accepts and appreciates themselves.
Choice C reason: This is not the least likely factor. The self-image of the client is the way that the client perceives and describes themselves. It includes the client's physical, psychological, social, and spiritual attributes. A healthy self-concept is related to a positive self-image, which means that the client has a realistic and favorable view of themselves.
Choice D reason: This is the best answer. Feelings of gender dysphoria are the distress and discomfort that some people experience when their gender identity does not match their assigned sex at birth. It is not a factor that influences the self-concept, according to Rogers' theory. However, it may affect the client's self-esteem, self-image, and ideal self, and require professional support and intervention.
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