Prep U Unit 1
A mother is concerned about her infant's spitting up. Which suggestion would be mostappropriate?
"Keep the baby sitting up for about 30 minutes afterward."
A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information?
"This is a primitive reflex known as the palmar grasp."
An 8-month-old infant in being held by her mother and the nurse needs to obtain her vital signs. Which approach would most likely ensure accurate readings?
Allow the mother to continue to hold the infant, listen to the child's heart rate, count respirations by the abdominal rise, then take an axillary temperature.
The nurse is caring for a 1-year-old boy who was a premature infant. What must the nurse do to attain accurate developmental assessment data?
Assess for developmental progress based on the child's corrected or adjusted age.
The nursing student identifies which technique as the correct one to use when giving oral medications to an infant?
Use a dropper and slowly inject the liquid into the side of the infant's mouth.
Anticipatory guidance for an infant for the 4th month should include the fact that the infant will be able to achieve which developmental milestone? -develop a fear of strangers -be able to turn over onto the back -insist on things being done the infant's way -have many "blue" or moody periods
be able to turn over onto back
A nurse is assessing a Babinski reflex in a 2-day-old newborn. Which finding by the nurse would indicate a positive finding?
Fanning of the infant's toes
The nurse is assessing development of a 4-month-old boy during a well-child visit. Which observation needs further investigation?
The infant responds to his mother when he sees her but not at other times when she is near
The nurse caring for a 28-week preterm infant prepares to obtain a capillary blood specimen for a routine bilirubin test via heel stick. The parents are at the bedside and ask the nurse if their infant will feel pain when he is stuck. Which response by the nurse would be most appropriate?
"Your son will experience pain for a brief moment when his heel is stuck."
