The nurse would suspect a hearing impairment in an infant who demonstrates which behavior?

Lack of eye contact when being spoken to

Lack of gesturing to indicate wants after age 15 months

Absence of babbling by age 7 months

Absence of the Moro reflex

Answer and Explanation

The Correct Answer is C

A. Lack of eye contact can indicate a developmental concern, but it is not specific to hearing impairment.

B. Lack of gesturing by 15 months could be concerning, but it is more related to social development than to hearing.

C. By 7 months, infants should begin babbling. The absence of babbling at this age is a red flag for potential hearing issues.

D. The absence of the Moro reflex is expected after the first few months of life, so it is not a sign of hearing impairment.

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Correct Answer is A

Explanation

A. "I am going to listen to your heart" is the most appropriate way to introduce the process of taking vital signs, as it is non-threatening and familiar to the child.

B. "Can you stand still while I feel how warm you are?" may be confusing to a toddler, as they might not understand what "feeling warm" means.

C. "Can I listen to your lungs?" might sound unfamiliar or intimidating to a toddler.

D. "Can I take your blood pressure now?" is a more advanced procedure that may cause anxiety and should be introduced after explaining the other vital signs.

A. Buying toys for a hospitalized child B. Asking questions if families are not participating in the care C. Clarifying information for families D. Spending off-duty time with children and families E. Learning about the family's religious preferences

Correct Answer is ["B","C","E"]

Explanation

A. Buying toys for a child may be a kind gesture, but it does not directly contribute to building a therapeutic relationship.

B. Asking questions if families are not participating in care helps engage them and supports their involvement in the child’s care.

C. Clarifying information for families ensures that they understand their child's condition and care plan, fostering trust and communication.

D. Spending off-duty time with families may blur professional boundaries and is not recommended for maintaining a therapeutic relationship.

E. Learning about the family’s religious preferences helps the nurse provide culturally sensitive care and supports the family’s needs.

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The nurse would suspect a hearing impairment in an infant who demonstrates which behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?

Correct Answer is A

Explanation

Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a male infant who has a palpable mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings?

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