The nurse is assessing a 1-year-old infant in the pediatric office.
What finding should the nurse report to the physician immediately?
Fussy behavior.
Minimal verbalization.
Pulse rate of 100 beats/minute.
Respiratory rate of 60 breaths/minute.
The Correct Answer is D
Choice A rationale:
Fussy behavior in a 1-year-old infant can be a normal response to discomfort, hunger, or unfamiliar surroundings. It is not typically an immediate concern and does not warrant reporting to the physician immediately.
Choice B rationale:
Minimal verbalization is also common in a 1-year-old infant as they are still in the early stages of language development. It is not typically a finding that requires immediate reporting to the physician.
Choice C rationale:
A pulse rate of 100 beats/minute in a 1-year-old infant can be within the normal range. The normal pulse rate for infants can vary, but it generally falls between 100-160 beats/minute. While it may warrant further observation, it is not an immediate concern that requires reporting to the physician.
Choice D rationale:
A respiratory rate of 60 breaths/minute in a 1-year-old infant is significantly lower than the normal range. The normal respiratory rate for infants is typically between 20-40 breaths per minute. A respiratory rate of 60 may indicate respiratory distress or other underlying issues, which should be reported to the physician immediately for further evaluation and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The lower central incisors are the first deciduous (baby) teeth to erupt in most infants. They typically appear around 6-10 months of age. Explaining that the lower central incisors are the first to come in is accurate and aligns with typical dental development.
Choice B rationale:
Upper lateral incisors are not the first deciduous teeth to erupt. While they do come in after the central incisors, they are not the first teeth to appear in most cases.
Choice C rationale:
Upper central incisors come in after the lower central incisors but before the upper lateral incisors. They are not the first deciduous teeth to erupt, so this choice is not accurate in the context of the question.
Choice D rationale:
Lower lateral incisors are not the first deciduous teeth to erupt. They come in later, after the central incisors. This choice is not accurate with respect to the question about the first teeth to erupt.
Correct Answer is ["A","D"]
Explanation
Choice A rationale:
Offering foods that are varied and colorful is a good approach to support a toddler's desire to self-feed. Colorful foods are visually appealing to children and can encourage their interest in trying new foods. A variety of foods also provides a balanced diet.
Choice B rationale:
Foods in colorful dishes are not directly related to supporting a toddler's self-feeding. While colorful dishes can make mealtimes more appealing, the focus should be on the variety and type of foods being offered.
Choice C rationale:
Pureed foods are not typically offered to support a toddler's self-feeding. Toddlers are generally transitioning to solid foods and finger foods to develop their motor skills. Pureed foods are more suitable for infants.
Choice D rationale:
Offering finger foods is an appropriate choice for supporting a toddler's self-feeding. Finger foods allow toddlers to practice their fine motor skills and become more independent in feeding themselves. It's a crucial developmental milestone for them.
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