At which age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?
a. 1 month
b. 2 months
c. 3 months
d. 4 months
ANS: B
At age 2 months, the infant has a social, responsive smile. A reflex smile is usually present at age 1 month. A 3-month-old infant can recognize familiar faces. At age 4 months, infants can enjoy social interactions.
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Which statement is correct regarding breathing?
a. Before inspiration, the pressure inside the chest cavity is higher than atmospheric pressure. b. During expiration, the intrathoracic pressure rises to allow the air to escape into the atmosphere. c. When the chest wall moves, the lungs move. d. During inspiration, the chest wall is com-pressed.
The nurse is caring for a patient who is anxious and dizzy following a traumatic experience. The ABG findings include: pH 7.48, PaO2 110, PaCO2 25, and HCO3 24. The nurse would anticipate which initial intervention to correct this problem?
1. Encourage the patient to breathe in and out slowly into a paper bag. 2. Immediately administer oxygen via a mask and monitor oxygen saturation. 3. Prepare to start intravenous fluid bolus using isotonic fluids. 4. Anticipate the administration of sodium bicarbonate via the IV route.
The client responds to a question with unrelated information during the nursing assessment. Which should the nurse implement first?
1. Ask for more detailed responses. 2. Provide more detailed commands. 3. Speak directly in front of the client. 4. Complete a neurological assessment.
A child with growth hormone deficiency is receiving growth hormone. What result would the nurse interpret as indicating effectiveness of this therapy?
A) Rapid weight gain B) Complaints of headaches C) Height increase of 4 inches D) Growth plate closure