A nurse assessing a 4-month-old infant would expect the infant to do which of the following?
a. Crawl up the stairs
b. Creep on the floor at least 30 feet
c. Walk upright with a waddling gait
d. Hold head at a 90-degree angle while prone
ANS: D
At 4 months the infant is able to hold the head up steadily to a 90-degree angle while in the prone position. Infants may crawl at 7 months and creep at about 9 months. Standing with support and walking occur at about 8 months to 15 months.
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A client voices concerns about becoming pregnant. The client reports her mother had a history of schizophrenia. The client is fearful of having a child with the same disorder. What is the best initial response by the nurse?
1. "Schizophrenia is a genetic disorder so you are right to be very concerned." 2. "Your family history does increase the risk factors but there are other variables to be considered." 3. "Schizophrenia should not be a significant concern for you." 4. "You should consider being tested before becoming pregnant."
Justin is a nurse manager in a rehabilitation unit in a small urban center. There is a high turnover rate among rehab-assistants because of the heavy work assignments
Despite his need for staff, Justin decides to review each application thoroughly and interview candidates carefully because he recognizes that it is important to hire staff who can best provide high-quality care and who will fit well with the team. Which of the following decision-making models did Justin use in making his decision? a. Subjective model b. Objective model c. Optimizing model d. Satisficing model
A physician orders the collection of a sputum specimen from a patient with a suspected bacterial infection. Which of the following accurately describes a step related to this procedure?
A) Place the patient in the dorsal recumbent position to collect the specimen. B) Have the patient clear the nose and throat and gargle with salt water before beginning the procedure. C) Instruct the patient to inhale deeply and cough. D) Discard the first sputum produced by the patient.
A nurse is discussing how beta blockers work to decrease blood pressure with a nursing student. Which statement by the student indicates a need for further teaching?
a. "Beta blockers block the actions of angiotensin II." b. "Beta blockers decrease heart rate and contractility." c. "Beta blockers decrease peripheral vascular resistance." d. "Beta blockers decrease the release of renin."