Nokea
The nurse is performing an assessment on a 10-week-old infant. The nurse understands that the developmental characteristic of hearing at this age is which?
- A. The infant responds to his own name.
- B. The infant localizes sounds by turning his head directly to the sound.
- C. The infant turns his head to the side when sound is made at the level of the ear.
- D. The infant locates sound by turning his head to the side and then looking up or down.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The mother of a 6-year-old boy who has recently had surgery for the removal of his tonsils and adenoids complains that he has begun sucking his thumb again. Which defense mechanism should the nurse include when responding to the mother?
- A. Repression
- B. Regression
- C. Rationalization
- D. Fantasy
Correct Answer: B
Rationale: The correct answer is B: Regression. Regression is a common defense mechanism where a child reverts to an earlier stage of development, such as thumb-sucking, to cope with stress. In this scenario, the 6-year-old boy is using thumb-sucking (a behavior typical of earlier developmental stages) as a way to deal with the stress of surgery. Repression (choice A) involves unconsciously blocking out thoughts or feelings, which is not applicable in this case. Rationalization (choice C) is a defense mechanism where illogical or unreasonable explanations are provided to justify behavior, which is not relevant here. Fantasy (choice D) refers to the use of imagination to escape from reality, which is also not the appropriate defense mechanism for the situation described.
Which one of the following strategies might be recommended for an infant with failure to thrive (FTT) to increase caloric intake?
- A. Vary the schedule for routine activities on a daily basis.
- B. Be persistent through 10 to 15 minutes of food refusal.
- C. Avoid solids until after the bottle is well accepted.
- D. Use developmental stimulation by a specialist during feedings.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The parents of a 4-month-old infant tell the nurse that they are getting a microwave oven and will be able to heat the baby's formula faster. What should the nurse recommend?
- A. Heat only 8 oz or more.
- B. Do not heat a plastic bottle in a microwave oven.
- C. Leave the bottle top uncovered to allow heat to escape.
- D. Shake the bottle vigorously for at least 30 seconds after heating.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What should the nurse explain about ringworm?
- A. It is not contagious
- B. It is a sign of uncleanliness
- C. It is expected to resolve spontaneously
- D. It is spread by both direct and indirect contact
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
At which age should the nurse expect most infants to begin to say mama and dada with meaning?
- A. 4 months
- B. 6 months
- C. 10 months
- D. 14 months
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.