The nurse is teaching parents about expected language development ...

[Themember4]

The nurse is teaching parents about expected language development for their 6-month-old infant. The nurse recognizes the parents understand the teaching if they make which statement?
 
  a. Our baby should comprehend the word no.'
  b. Our baby knows the meaning of saying mama.'
  c. Our baby should be able to say three to five words.
  d. Our baby should begin to combine syllables, such as dada.'

Question 2

Decreasing the demands on the heart is a priority in care for the infant with heart failure (HF). In evaluating the infant's status, which finding is indicative of achieving this goal?
 
  a. Irritability when awake
  b. Capillary refill of more than 5 seconds
  c. Appropriate weight gain for age
  d. Positioned in high Fowler position to maintain oxygen saturation at 90

[tandmlomax84]

Answer to Question 1

ANS: D
By 6 months, infants imitate sounds; add the consonants t, d, and w; and combine syllables (e.g., dada), but they do not ascribe meaning to the word until 10 to 11 months of age. By 9 to 10 months, they comprehend the meaning of the word no and obey simple commands accompanied by gestures. By age 1 year, they can say three to five words with meaning and may understand as many as 100 words.

Answer to Question 2

ANS: C
Appropriate weight gain for an infant is indicative of successful feeding and a reduction in caloric loss secondary to the HF. Irritability is a symptom of HF. The child also uses additional energy when irritable. Capillary refill should be brisk and within 2 to 3 seconds. The child needs to be positioned upright to maintain oxygen saturation at 90. Positioning is helping to decrease respiratory effort, but the infant is still having difficulty with oxygenation.