Author Question: The nurse is assessing a 6-month-old infant using the Denver Developmental Screening test. The test ... (Read 99 times)

Anajune7 · **on:** Jun 25, 2018

The nurse is assessing a 6-month-old infant using the Denver Developmental Screening test. The test shows that the infant is delayed in gross motor development.

What activities can the nurse implement to help the child attain appropriate developmental levels?
A) Pull the child to a sitting position and prop the child in a sitting position.
B) Encourage the child to hold a rattle or play patty-cake.
C) Talk to the child and play music.
D) Encourage the child to stand.

Question 2

A female client, from a male-dominated culture, is being discharged after a lengthy hospitalization. Which action by the nurse prior to providing discharge instructions is appropriate?

A) Assess who the decision maker is in the family.
B) Make sure that the healthcare provider gives the instructions.
C) Make sure instructions are understood by the client.
D) Ask the client when the best time for teaching would be.

jaykayy05 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

The infant at 6 months should have head control and is working on sitting without support. Pulling the child to a sitting position allows the neck muscles to support the head. Propping the child in a sitting position helps to develop self-righting behaviors. It is too early to worry about standing. Talking to the child promotes language development, not gross motor development. Handling a rattle is a fine motor behavior, a not gross motor behavior.

Answer to Question 2

Answer: A

The nurse needs to identify who has the authority to make decisions in a client's family. If the decision maker is someone other than the client, the nurse needs to include that individual in healthcare discussions. Regardless of who is present during the teaching, it is always necessary to make sure that the instructions are understood, but it is difficult to do that before instructions are given. Asking the client when the best time for teaching would be does not address the need for the decision maker of the family to be present.