1.A nurse is collecting data from a 9-month-old infant. Which of the following findings would require further intervention?
A.Positive Babinski reflex
Rationale: The Babinski reflex disappears after 1 year of age. Th
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1.A nurse is collecting data from a 9-month-old infant. Which of the following findings would require further intervention?
A.Positive Babinski reflex
Rationale: The Babinski reflex disappears after 1 year of age. Therefore, a 9-month-old infant with a positive Babinski reflex is a finding that does not require further intervention.
B. Positive Moro reflex
Rationale: The Moro reflex disappears approximately at 3-4 months of age. Therefore, a 9- month-old infant with a positive Moro reflex is a finding that requires further intervention
C. Negative Doll’s eye reflex
Rationale: A negative Doll’s eye reflex is a normal finding. Therefore, a 9-month-old infant with a negative Doll’s eye reflex is a finding that does not require further intervention.
D. Negative Crawl reflex
Rationale: A negative Crawl reflex disappears after 6 months of age. Therefore, a 9-month-old infant with a negative Crawl reflex is a finding that does not require further intervention.
2.A nurse is reinforcing teaching a parent of a child who has a fracture of the epiphyseal plate. Which of the following is an appropriate statement by the nurse?
A.“The blood supply to the bone is disrupted.”
Rationale: Children heal fractures in less time than adults because of the generous blood supply to the bone and the epiphyseal plate.
B. “Normal bone growth can be affected.”
Rationale: A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs to be detected and treated rapidly.
C. “Bone marrow can be lost though the fracture.”
Rationale: The epiphyseal plate is the cartilage growth plate. Therefore, bone marrow is not lost through this type of fracture.
D. “The healing process will take longer.”
Rationale: Children heal fractures in less time than adults because of the generous blood supply to the bone and the epiphyseal plate.
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