The nurse is obtaining vital signs on a 1-year-old child. What is the most appropriate site for assessing the pulse rate?
apical
radial
carotid
femoral
The Correct Answer is A
A. Apical; For infants and young children under 2 years of age, the apical pulse is the most accurate and reliable site for assessing heart rate because peripheral pulses can be difficult to palpate and may not reflect true cardiac activity.
B. Radial pulse is not as reliable in children under 2 years old because it can be weak and hard to detect.
C. Carotid pulse is typically used in emergency situations (like assessing circulation during CPR) and is not ideal for routine vital signs in infants due to the risk of compressing the airway.
D. Femoral pulse may be used to assess circulation in the lower extremities but is not the best choice for measuring pulse rate.
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Related Questions
Correct Answer is D
Explanation
A. Food intoxication refers to illness caused by consuming contaminated food, not related to selective eating.
B. Food pervasive refusal is not a recognized term in pediatric feeding behavior.
C. Food jet is not a standard term related to eating behavior.
D. Food jag describes a behavior where a child repeatedly eats only one or a limited number of foods over a period of time, which is common in toddlers and preschoolers.
Correct Answer is B
Explanation
A. The act of state doctrine refers to the principle that a nation’s courts will not question the validity of public acts performed by a recognized foreign sovereign within its own territory.
B. The mature minor doctrine allows certain minors who demonstrate sufficient maturity and understanding to consent to or refuse medical treatment without parental consent.
C. The essential facilities doctrine relates to antitrust law and competition, not medical consent.
D. The internal affairs doctrine pertains to corporate law and governance, not health care decisions.
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