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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Menarche (the onset of the first menstrual period) is considered the definitive sign that puberty has been achieved, marking reproductive maturity.
B. Breast development is an early sign of puberty but indicates the beginning stages rather than completion.
C. The growth of pubic hair occurs during puberty but is a secondary sexual characteristic and not a definitive marker of completed puberty.
D. A growth spurt happens during puberty but occurs before full sexual maturity and menarche.
Correct Answer is A
Explanation
A. Pectus excavatum is the condition where the sternum grows inward, causing a sunken appearance of the chest wall.
B. Congenital scoliosis is a spinal curvature disorder, not related to rib cage deformity.
C. Pectus carinatum is characterized by a protruding breastbone, also called pigeon chest, the opposite of pectus excavatum.
D. Congenital talipes equinovarus, or clubfoot, affects the foot, not the rib cage.
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