Which of the following physical assessment findings indicates a need for further evaluation?
1. Absence of the rooting reflex
2. Flexion of extremities
3. Brisk knee jerk
4. Plantar flexion
1. Absence of the rooting reflex
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You are bottle-feeding a baby. Which will not promote comfort and safety?
a. Assume a comfortable position. b. Hold the baby close to you. c. Tilt the bottle so the neck of the bottle and the nipple are always full. d. Prop the bottle and lay the baby down for the feeding.
A nurse assesses the pain of an older adult. Which of the following findings indicates the presence of persistent pain?
A) The client's vital signs are unchanged. B) The client is asleep in the chair. C) The client has not reported pain to the nurse. D) The client rubs hands together.
The mother of a child newly diagnosed with mental retardation tells the nurse that her partner disagrees with the diagnosis and believes that the child is perfectly normal
The mother shares with the nurse that she finds this reaction frustrating and confusing. Which of the following would be appropriate in supporting this mother? The nurse should: A) reassure the mother that her partner's reaction is a normal stage in the grieving process. B) offer to speak with the partner to explain how the diagnosis was reached. C) suggest that the couple get a second opinion about the child's condition. D) recommend that the couple consider placing the child in foster care until they adjust to the diagnosis.
When assessing the temperature of newborns and children, the nurse decides to utilize a temporal artery thermometer. Why is this preferable to methods used for adults?
a. It is accurate even when the forehead is covered with hair. b. It is not affected by skin moisture. c. It reflects rapid changes in radiant temperature. d. There is no risk of injury to patient or nurse.