The mother of 2-year-old triplets is anxious and worried because one of the children, Emily, does not seem to be at the same developmental level as her siblings.
If the following findings were found when doing a physical exam, which finding might indicate a need for further diagnostic testing to rule out mental retardation in this child?
A) She speaks loudly when asked a question.
B) She blows her nose frequently.
C) The tops of her ears are below the corners of her eyes.
D) The fontanels on her head are closed.
Question 2
A child on a cardiac monitor has been transported from the emergency room to the intensive care unit. The nurse admits the child to the unit and begins collecting data on the child.
Which of the following nursing interventions would the nurse do first?
A) Verify that the alarms on the monitor are still properly set.
B) Assess the neurologic function using the Glasgow coma scale.
C) Change the probe on the pulse oximeter.
D) Check the apical pulse rate using a pediatric stethoscope.
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