Which of the following steps is correct when measuring head circumference in an infant?
Measure from the back of the head to the forehead.
Place the measuring tape above the eyebrows and around the widest part of the head.
Measure from the chin to the top of the head.
Wrap the measuring tape tightly around the neck.
The Correct Answer is B
Choice A rationale
Measuring from the back of the head to the forehead is not the correct method for measuring head circumference in an infant. The measurement should be taken around the widest part of the head, which is typically above the eyebrows and ears.
Choice B rationale
Placing the measuring tape above the eyebrows and around the widest part of the head is the correct method for measuring head circumference in an infant. The tape should be wrapped around the head at the points just above the eyebrows, above the ears, and around the back where the head slopes up prominently from the neck.
Choice C rationale
Measuring from the chin to the top of the head is not the correct method for measuring head circumference in an infant. The measurement should be taken around the widest part of the head, which is typically above the eyebrows and ears.
Choice D rationale
Wrapping the measuring tape tightly around the neck is not the correct method for measuring head circumference in an infant. The measurement should be taken around the widest part of the head, which is typically above the eyebrows and ears.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The American Academy of Pediatrics and the Dietary Guidelines for Americans recommend that children be introduced to foods other than breast milk or infant formula when they are about 6 months old. The first foods to be introduced should be single-ingredient foods that contain no sugar or salt. Among the first foods to be introduced are infant cereals. Iron-fortified cereals are particularly important because iron is a crucial nutrient in the second half of a baby’s first year.
Choice B rationale
While strained fruits are a common food to introduce early on, they are typically not the first food to be introduced. The first food is usually an iron-fortified cereal due to the importance of iron in a baby’s diet.
Choice C rationale
Pureed meats are also a good source of iron and can be introduced early on. However, they are not typically the first food to be introduced.
Choice D rationale
Cooked egg whites are not typically one of the first foods introduced to infants. There is also a risk of allergic reactions with egg whites, so they should be introduced with caution and not as the first food.
Correct Answer is B
Explanation
Choice A rationale
Feeding an infant with spina bifida through an NG tube may not be necessary unless the child has specific feeding difficulties or other health issues. Spina bifida does not typically affect a child’s ability to eat or swallow.
Choice B rationale
Placing an infant with spina bifida in a prone position can help protect and care for the lesion on their back. It can also help prevent pressure sores and promote comfort.
Choice C rationale
Covering the infant’s lesion with a dry cloth is not typically recommended. The lesion should be kept clean and moist to promote healing and prevent infection.
Choice D rationale
While physical therapy and exercises can be beneficial for children with spina bifida, performing range-of-motion exercises to the infant’s hips may not be necessary unless specifically recommended by a healthcare provider.
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