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
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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Related Questions
Correct Answer is D
Explanation
A. While stimulation is important, the priority in this case is ensuring the infant’s safety and preventing further injury to the defect.
B. Education is vital but secondary to the immediate physical care needs of the infant.
C. Promoting bonding is important but does not take precedence over maintaining the integrity of the sac.
D. Maintaining the integrity of the sac is the highest priority to prevent infection and further neurological damage.
Correct Answer is A
Explanation
A. The nurse should notify the charge nurse of the situation to ensure that the client’s legal rights, autonomy, and best interests are considered in making decisions regarding treatment.
B. Offering an antiemetic is not the primary concern when the client is refusing treatment; the issue is the refusal of care.
C. Administering a sedative without addressing the underlying issue would not be appropriate and could violate the adolescent’s autonomy.
D. Starting the IV per the parent's request without the adolescent’s consent may violate the adolescent’s rights and should not be done without careful consideration of legal and ethical principles.
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