Which observation in a health supervision visit leads the nurse to have concerns about the infant's mental health?

1. A 1-month-old is swaddled by the parent because of crying after an immunization.
2. A 7-month-old infant grabs her mother and cries when the nurse attempts touch.
3. A 9-month-old avoids eye contact with parents and the nurse.
4. A 10-month-old reportedly sleeps about 12 hours total per night.


3
Explanation:
1. Crying after a painful procedure, such as an immunization, is a normal reaction by the 1-month-old infant. Swaddling the infant for comfort is a normal reaction by the parent.
2. Grabbing for her mother and crying when the nurse attempts touch is a normal reaction for a 7-month-old infant.
3. The nurse should expect the 9-month-old to have eye contact with the parents and the nurse. If no eye contact is made, the nurse should implement a more detailed assessment of the infant's mental health.
4. Sleeping 12 total hours per night is considered normal behavior for a 10-month-old infant.

Nursing

You might also like to view...

Today, an abundance of information is available in the health care arena for consumers, resulting in the nurse encountering patients who have a much greater use of what?

A) Over-the-counter (OTC) therapies B) Alternative therapies C) Prescription drugs D) Off-label drugs

Nursing

When instructing a client on cleaning the ear, the nurse should instruct the client to clean:

1. only the outer ear. 2. all the way to the middle ear. 3. all parts of the ear outer, middle, and inner ear. 4. just the tympanic membrane.

Nursing

A nurse is investigating a potential bioterrorism attack. What evidence would a nurse most likely find if a bioterrorism attack occurred?

a. A large number of cases of influenza b. A case of cholera in a local politician following a trip to India c. Dengue fever in a group of students who just returned from a mission trip d. An unusual illness in a population

Nursing

The nurse is planning to teach a group of adolescents about what can happen when having unprotected sex. Which nursing action will allow effective communication with the group?

1. Offering personal opinions on the topic 2. Allowing for discussion among the participants 3. Lecturing on the topic for the allotted time without any discussion 4. Discussing sex education related to religious belief

Nursing