Which assessment finding for a 4-month-old infant would require further action by the nurse?
1. The posterior fontanel is open.
2. The infant has good head control when held upright.
3. The infant is able to roll only from abdomen to back.
4. The anterior fontanel is open and soft.
1
Explanation:
1. The posterior fontanel closes between 2 and 3 months of age.
2. Good head control is expected at 4 months of age.
3. Rolling from abdomen to back is a skill the 4-month-old infant should be learning.
4. An open anterior fontanel, which is soft, is a normal finding at 4 months.
You might also like to view...
Which patient should a nurse consider as being the most ill?
a. A 25-year-old patient with cystic fibrosis who is attending yoga classes b. A 13-year-old adolescent with newly diagnosed diabetes who does not want to check blood sugar at school c. A 43-year-old patient with breast cancer who has recently adopted a vegetarian diet d. A 77-year-old patient with alcohol hepatitis who attends weekly Alcoholics Anonymous meetings
The nurse is caring for a client diagnosed with osteoarthritis. Which intervention will the nurse advise the client to do in order to reduce discomfort?
1. Apply ice to the painful joint. 2. Immerse the painful joint in cold water. 3. Apply heat pack once a day. 4. Apply heat to the painful joint several times a day.
A young couple who have been married less than a year are having difficulty with adjusting to parenting. A contributing factor to this level of maladjustment is
A) Limited time in learning to be a marital partner B) Economic difficulties associated with parenting C) Involvement from significant others D) Stress of education, job, and parenting
A group of nurses are attending an in-service program on computerized documentation. Which of the following would the group expect to hear as the major impact of using a computerized provider order entry (CPOE) system?
A) Time saving B) Cost-effectiveness C) Enhanced understanding D) Improved patient safety