Which statement made by a parent would be consistent with a ...

[jwb375]

Which statement made by a parent would be consistent with a developmental delay?
 
  a. I have noticed that my 9-month-old infant responds consistently to the sound of his name..
  b. I have noticed that my 12-month-old child does not get herself to a sitting position or pull to stand..
  c. I am so happy when my 1 1/2-month-old infant smiles at me..
  d. My 5-month-old infant is not rolling over in both directions yet..

Question 2

Which interventions should the nurse implement for a child in skeletal traction to prevent complications of immobility? Select all that apply.
 
  a. Reposition the child every 2 hours.
  b. Avoid use of an egg-crate or sheepskin mattress.
  c. Limit fluid intake.
  d. Administer stool softeners as prescribed.
  e. Encourage coughing and deep breathing.

[Mochi]

Answer to Question 1

B
Critical developmental milestones for gross motor development in a 12 month old include standing briefly without support, getting to a sitting position, and pulling to stand. If a 12-month-old child does not perform these activities, it may be indicative of a developmental delay. An infant who responds to his name at 9 months of age is demonstrating abilities to both hear and interpret sound. A social smile is present by 2 months of age. Rolling over in both directions is not a critical milestone for gross motor development until the child reaches 6 months of age.

Answer to Question 2

A, D, E
Complications of immobility can affect the skin, the gastrointestinal system, and the respiratory system. The child should be repositioned every 2 hours to prevent skin breakdown. Stool softeners should be administered to avoid constipation and the child should cough and deep breathe to maintain respiratory function. Egg-crate or sheep skin mattresses can be useful in preventing skin breakdown and fluids should be increased to prevent constipation, not decreased.