When performing a physical assessment on an infant, the nurse understands that which of the following techniques will aid in the ability to complete the examination? (Select all that apply)

Keeping the parents close by, so the infant can see them.

Expecting the infant’s cooperation during the physical assessment.

Auscultating heart, lung, and bowel sounds first.

Smiling and using a gentle voice when talking to the infant.

Starting the assessment at the infant’s head, beginning with the ears and eyes.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A rationale

Keeping the parents close by during a physical assessment can help to soothe and comfort the infant. The presence of a familiar face can reduce anxiety and fear, making the examination process smoother.

Choice B rationale

Expecting an infant’s cooperation during a physical assessment is not realistic. Infants are not capable of understanding the purpose of the examination and may become distressed or uncooperative.

Choice C rationale

Auscultating heart, lung, and bowel sounds first is a recommended technique when performing a physical assessment on an infant. These assessments are non-invasive and can be done quickly and quietly, which can help to keep the infant calm and relaxed.

Choice D rationale

Using a gentle voice and smiling when talking to the infant can help to create a soothing and comforting environment. This can help to reduce the infant’s anxiety and make the examination process smoother.

Choice E rationale

Starting the assessment at the infant’s head, beginning with the ears and eyes, is a recommended technique. This allows the nurse to observe the infant’s facial expressions and reactions, which can provide valuable information about the infant’s overall health and well- being.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

Explanation

Choice A rationale

At one month of age, infants are not expected to sit without support. Therefore, an inability to do so would not be a cause for concern at this age.

Choice B rationale

By one month, infants should be able to briefly raise their head when placed in a prone (on their stomach) position. If an infant is unable to do this, it could indicate a potential developmental delay or muscle weakness.

Choice C rationale

At one month, infants typically have not yet developed the coordination to bring an object to their mouth. Therefore, an inability to do so at this age would not be a cause for concern.

Choice D rationale

By one month, infants are not expected to have the fine motor skills necessary to pick up an object with their fingers. Therefore, an inability to do so would not be a cause for concern at this age.

A. Maintaining a cool, dry environment to promote airway patency. B. Having emergency tracheostomy equipment available at all times. C. Changing the tracheostomy tube per ordered frequency. D. Monitoring thickness and color of secretions.

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

Explanation

Choice A rationale

While maintaining a cool, dry environment can be comfortable for the child, it is not specifically related to tracheostomy care. Humidity can actually be beneficial for a child with a tracheostomy, as it helps to keep the airway moist and prevent mucus from becoming too thick.

Choice B rationale

Having emergency tracheostomy equipment available at all times is crucial. This should include a spare tracheostomy tube of the same size and one size smaller, suction equipment, and a bag-valve-mask device. In case of a problem with the tracheostomy tube (such as blockage or accidental dislodgement), it is important to have the necessary equipment immediately available.

Choice C rationale

Changing the tracheostomy tube at the ordered frequency is important to prevent blockage and infection. The frequency will depend on various factors, including the type of tracheostomy tube and the child’s specific condition.

Choice D rationale

Monitoring the thickness and color of secretions can help to detect infections or other complications. Changes in secretions can be an early sign of problems such as tracheitis or pneumonia.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

When performing a physical assessment on an infant, the nurse understands that which of the following techniques will aid in the ability to complete the examination? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a one-month-old infant.Which of the following findings should the nurse report to the provider?

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

Explanation

When teaching home tracheotomy care to caregivers of a child with a tracheostomy tube, which of the following topics are essential to include in teaching? Select all that apply.

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

Explanation

The nurse is providing education about age-appropriate activities to the parents of a 7-year-old child. Which of the following statements indicates a need for further teaching?

The nurse is caring for a newborn infant with a cleft lip and palate.Which of the following is the FIRST priority nursing goal when caring for this infant?

The mother of an infant who has been treated for recurrent respiratory infections asks the nurse why infants are at increased risk for respiratory infections.Which of the following is the best response by the nurse?

A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child’s breathing.Which of the following responses should the nurse include? (Select all that apply)

The nurse is reviewing the intake and output record from the previous 8 hours for an infant admitted with dehydration.The nurse also reviews the most recent lab results in the chart.Based on the information in the chart, what does the nurse determine about this patient during the shift?

A 3-year-old child is admitted to a pediatric unit with moderate dehydration.The nurse would expect to see which of the following assessment findings in this child?

Which child requires urgent emergency medical intervention?

A child is admitted to the hospital.Which of the following findings is of greatest concern?