The nurse is examining a 10-month-old boy who was born 10 weeks early. Which finding is cause for concern?
The child exhibits plantar grasp reflex.
The child has doubled his birth weight.
No primary teeth have erupted yet.
The child's head circumference is 49.53 cm.
The Correct Answer is C
A. The child exhibits plantar grasp reflex: The presence of the plantar grasp reflex at 10 months
is appropriate and not cause for concern. This reflex typically diminishes by around 9 months but can persist slightly longer in premature infants.
B. The child has doubled his birth weight: Doubling birth weight by around 6 months is a normal developmental milestone, and achieving this by 10 months is appropriate, indicating healthy growth.
C. No primary teeth have erupted yet: The absence of primary teeth by 10 months, especially in a preterm infant, may indicate a delay in dental development and should prompt further evaluation by a healthcare provider.
D. The child's head circumference is 49.53 cm: The head circumference of 49.53 cm falls within the typical range for a 10-month-old infant and is not inherently concerning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. JaundicE. Jaundice is not specifically related to race and can occur in infants of any ethnicity. It is characterized by yellowing of the skin and eyes due to elevated bilirubin levels and can have various underlying causes.
B. Iron deficiency: Iron deficiency anemia is more prevalent in African-American infants compared to other racial groups. Therefore, African-American infants should be monitored for iron deficiency and receive appropriate iron supplementation as recommended by healthcare providers.
C. Gastroesophageal reflux disease (GERD): GERD is not specifically related to race and can occur in infants of any ethnicity. It is characterized by reflux of stomach contents into the esophagus and can cause symptoms such as spitting up, irritability, and feeding difficulties.
D. Lactose intolerancE. Lactose intolerance is not typically a concern in infants, as they are usually able to digest lactose-containing milk without difficulty. It is more commonly diagnosed later in childhood or adulthood.
Correct Answer is D
Explanation
A. Crush the pill and add it to applesaucE. Crushing a pill and mixing it with food or drink without consulting a healthcare provider or pharmacist can alter the medication's efficacy or cause adverse effects. This should only be done under professional guidance.
B. Ask the child to try swallowing the pill and offer a choice of drinks to take with it: While encouraging the child to attempt swallowing the pill with various drinks may be helpful, it may not address the underlying issue of pill-swallowing difficulty.
C. Call the pharmacy and ask if the pill can be crusheD. Contacting the pharmacy to inquire about crushing the pill is a reasonable step, but ultimately, the decision should involve the healthcare provider who prescribed the medication.
D. Request that the healthcare provider prescribe the medication in liquid form: This is the best response because liquid medications are often easier for children to swallow, especially if they have difficulty swallowing pills. The healthcare provider can consider alternative formulations or dosage forms to accommodate the child's needs.
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