The nurse must assess 10-month-old infant. The infant is sitting ...

[Yolanda]

The nurse must assess 10-month-old infant. The infant is sitting on the father's lap and appears to be afraid of the nurse and of what may happen next. Which initial action by the nurse would be most appropriate?
 
  a. Initiate a game of peek-a-boo.
  b. Ask the father to place the infant on the examination table.
  c. Undress the infant while he is still sitting on his father's lap.
  d. Talk softly to the infant while taking him from his father.

Question 2

Kimberly is having a checkup before starting kindergarten. The nurse asks her to do the finger-to-nose test. The nurse is testing for:
 
  a. Deep tendon reflexes. c. Sensory discrimination.
  b. Cerebellar function. d. Ability to follow directions.

[blakcmamba]

Answer to Question 1

ANS: A
Peek-a-boo is an excellent means of initiating communication with infants while maintaining a safe, nonthreatening distance. The child will most likely become upset if separated from his father. As much of the assessment as possible should be done while the child is on the father's lap. The nurse should have the father undress the child as needed for the examination.

Answer to Question 2

ANS: B
The finger-to-nose-test is an indication of cerebellar function. This test checks balance and coordination. Each deep tendon reflex is tested separately. Each sense is tested separately. Although this test enables the nurse to evaluate the child's ability to follow directions, it is used primarily for cerebellar function.

[Yolanda]

TYSM

[amandalm]

Gracias!