Author Question: A nurse is weighing a 2-month-old infant in the clinic. To ensure safety, which action is most ... (Read 87 times)

nevelica · **on:** Jun 28, 2018

A nurse is weighing a 2-month-old infant in the clinic. To ensure safety, which action is most appropriate?

A.
Have the parent hold the child while standing on an adult scale.
B.
Place the baby in the scale and place one hand on top of the baby.
C.
Place the baby in the scale and hold one hand just over the baby.
D.
Prop the infant sitting up in the scale, then weigh the prop separately.

Question 2

A child has had eye testing. The nurse reads in the child's chart that the Hirschberg test demonstrated displacement of light reflection in one eye. What does this indicate to the nurse?

A.
Color blindness
B.
Normal ocular alignment
C.
Presence of cataracts
D.
Presence of strabismus

Tonyam972 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
To protect a child from an accidental fall from the infant scale, the nurse places the baby in the scale and holds one hand just over the baby. Weighing the adult and baby, then subtracting the adult's weight is not as accurate as using the infant scale, which reads in smaller increments. Placing a hand on top of the baby will add weight. Propping up a 2-month old-infant is not as safe as laying the infant down.

Answer to Question 2

ANS: D
Ocular alignment is demonstrated through the Hirschberg test. When a light is shone directly into the child's eyes, the reflection should fall in the same location on the cornea of both eyes. Displacement of the corneal light reflection is indicative of strabismus. Color blindness is assessed with the Ishihara pseudochromatic charts. Cataracts are assessed via the red reflex.