The nurse is assessing a small infant and notices that when the child's head is moved to the right or left, the eyes follow and do not lag behind as they normally do in a small infant. The nurse would document this finding as:
a. bilateral lag syndrome c. absence of horizontal vibratory motion
b. absence of doll's eye reflex d. follow-through visual abnormality
B
Feedback
A Incorrect. When the eyes of an infant tracks with the movement of the head, it is not described as bilateral lag syndrome.
B Correct. When the eyes of an infant tracks with the movement of the head, it is best described as absence of doll's eye reflex.
C Incorrect. When the eyes of an infant tracks with the movement of the head, it is not described as absence of horizontal vibratory motion.
D Incorrect. When the eyes of an infant tracks with the movement of the head, it is not described as follow-through visual abnormality.
You might also like to view...
Which of these statements about nutrition during adolescence is TRUE?
a. Kilocalorie requirements for girls tend to be greater than for boys. b. Nutrient needs decrease as this period begins. c. The need for vitamin D increases. d. Inadequate nutrient intake can occur because of peer and media influences.
Which of the following classifications applies to the majority of children with mental retardation?
a. mild c. severe b. moderate d. profound
A client age 46 years has been diagnosed with cancer. He has met with the oncologist and is now weighing his options to undergo chemotherapy or radiation as his treatment. This client is utilizing which ethical principle in making his decision?
a. Autonomy b. Justice c. Confidentiality d. Beneficence
The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid prescription does the nurse anticipate for this child?
1. 0.9% normal saline (NS) 2. D5 0.2% (ΒΌ) normal saline 3. D5W 4. Albumin