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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Maintaining elbow restraints on the toddler after a cleft palate repair is a common practice. This is done to prevent the child from touching the surgical site and causing damage to the delicate repair.

Choice B rationale

Providing soft foods for the toddler after a cleft palate repair may seem like a good idea, but it is not the most appropriate intervention immediately after surgery. The surgical site in the mouth needs time to heal, and introducing foods too soon could disrupt the healing process.

Choice C rationale

Suctioning the toddler’s nose and mouth every hour after a cleft palate repair is not typically recommended. This could potentially damage the surgical site and disrupt the healing process.

Choice D rationale

Giving the toddler a hard-tipped sippy cup to drink liquids after a cleft palate repair is not typically recommended. The hard tip could potentially damage the surgical site and disrupt the healing process.

A. Up and back. B. Down and out. C. Down and back. D. Up and out.

Correct Answer is C

Explanation

Choice A rationale

Pulling the earlobe up and back is the correct method for administering ear drops in adults, not in children.

Choice B rationale

Pulling the earlobe down and out is not the correct method for administering ear drops.

Choice C rationale

For children, the earlobe should be pulled down and back to straighten the ear canal. The medication can then be dropped into the ear canal, and the ear should remain facing up for about 1 or 2 minutes to allow the medication to come into contact with the infection.

Choice D rationale

Pulling the earlobe up and out is not the correct method for administering ear drops.

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Which of the following steps is correct when measuring head circumference in an infant?

Nursing Test Bank

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A nurse is contributing to the plan of care of a 14-month-old toddler who is 24 hr postoperative following a cleft palate repair.Which of the following interventions should the nurse include in the plan?

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