Author Question: The nurse assesses the hearing of a 7-month-old by clapping hands. What is the expected response? ... (Read 66 times)

Beheh · **on:** Jun 25, 2018

The nurse assesses the hearing of a 7-month-old by clapping hands. What is the expected response? The infant:

a. Turns his or her head to localize the sound.
b. Shows no obvious response to the noise.
c. Shows a startle and acoustic blink reflex.
d. Stops any movement, and appears to listen for the sound.

Question 2

The nurse is preparing to perform an otoscopic examination of a newborn infant. Which statement is true regarding this examination?

a. Immobility of the drum is a normal finding.
b. An injected membrane would indicate an infection.
c. The normal membrane may appear thick and opaque.
d. The appearance of the membrane is identical to that of an adult.

mcabuhat · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
With a loud sudden noise, the nurse should notice the infant turning his or her head to localize the sound and to respond to his or her own name. A startle reflex and acoustic blink reflex is expected in newborns; at age 3 to 4 months, the infant stops any movement and appears to listen.

Answer to Question 2

ANS: C
During the first few days after the birth, the tympanic membrane of a newborn often appears thickened and opaque. It may look injected and have a mild redness from increased vascularity. The other statements are not correct.