While assessing an eight-month-old infant, the best strategy for ...

[casperchen82]

While assessing an eight-month-old infant, the best strategy for the nurse to use to promote communication with the infant would be to:
 
  1. Use touch, patting, and cuddling the infant.
  2. Speak to the infant in low-pitched, soft tones.
  3. Place the infant out of the parents' view to decrease distraction.
  4. Lean over the infant's face and talk with forceful tones.

Question 2

During the newborn examination, the nurse assesses the infant for signs of developmental dysplasia of the hip. A finding that would strongly indicate this disorder would be:
 
  1. Soles are flat with prominent fat pads.
 
  2. Positive Babinski's reflex.
 
  3. Metatarsus varus.
 
  4. Asymmetric thigh and gluteal folds.

[juicepod]

Answer to Question 1

1
Rationale 1: Infants thrive on touch, and it is a significant form of communication for them.
Rationale 2: Infants prefer high-pitched, soft tones.
Rationale 3: Infants do not like to be separated from their parents.
Rationale 4: It can be scary for an unfamiliar adult to lean over an infant's face.
Global Rationale:

Answer to Question 2

4

Rationale:

1. Flat soles are normal in newborns.
2. A positive Babinski's reflex is a normal finding in a newborn.
3. Metatarsus varus is an in-toeing of the feet that usually occurs secondary to intrauterine positioning and frequently resolves on its own, but approximately 10 of infants with metatarsus varus also have developmental dysplasia of the hip.
4. Asymmetric thigh and gluteal folds are a positive finding for developmental dysplasia of the hip, requiring follow-up with ultrasound.