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: Johnson's Behavioral Systems Model focuses on how the client's behavior affects their health and well-being. It does not provide specific suggestions for enhancing caring moments.
Choice B reason: Peplau's Theory of Interpersonal Relationships emphasizes the importance of the nurse-client relationship and the role of the nurse as a counselor, teacher, and leader. It does not offer ten suggestions for maximizing caring moments.
Choice C reason: Nightingale's Environmental Theory states that the nurse's role is to manipulate the environment to promote the client's health and recovery. It does not address the concept of caring moments.
Choice D reason: Watson's Theory of Human Caring proposes that caring is the essence of nursing and that the nurse should create a caring relationship with the client. It offers ten carative factors or suggestions for maximizing caring moments, such as practicing loving-kindness, being present, cultivating spiritual practices, and creating a healing environment.
Correct Answer is D
Explanation
Choice A reason: This is not the correct stage. Trust vs mistrust is the first psychosocial stage, which occurs from birth to 18 months. The main task of this stage is to develop a sense of trust in the caregivers and the environment.
Choice B reason: This is not the correct stage. Autonomy vs shame and doubt is the second psychosocial stage, which occurs from 18 months to 3 years. The main task of this stage is to develop a sense of independence and self-control.
Choice C reason: This is not the correct stage. Initiative vs guilt is the third psychosocial stage, which occurs from 3 to 6 years. The main task of this stage is to develop a sense of initiative and creativity.
Choice D reason: This is the best answer. Industry vs inferiority is the fourth psychosocial stage, which occurs from 6 to 12 years. The main task of this stage is to develop a sense of competence and achievement in social and school activities.
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