The pediatric nurse is examining a newborn infant and notes a ...

[pane00]

The pediatric nurse is examining a newborn infant and notes a turning in of the foot and turning out of the toes when the sole of the foot is stroked. Which action by the nurse is most appropriate?
 
  A.
  Arrange a consultation with a developmental specialist.
  B.
  Assess the parents' family histories for genetic defects.
  C.
  Document the findings in the patient's chart.
  D.
  Instruct the parents on required follow-up care.

Question 2

A 7-year-old hospitalized for a fracture following a car crash tells the pediatric nurse God is in heaven with his angels and is looking down on me.
 
  Which stage of Fowler's spiritual development is this child exhibiting?
  A.
  Intuitive-projective stage
  B.
  Mythical-literal stage
  C.
  Synthetic-convention stage
  D.
  Undifferentiated stage

[annierak]

Answer to Question 1

ANS: C
The newborn is exhibiting the Babinski reflex, one of the normal primitive reflexes that should disappear by 9 months of age. Documentation is all that is required.

Answer to Question 2

ANS: B
In stage 0undifferentiated (infancy)the infant is learning a fund of basic trust and the relational experience of mutuality with the one(s) providing primary love and care. In stage 1intuitive-projective (ages 2 to 6 or 7)beliefs and faith are unquestioning. It is a time of fantasy and magical thinking. In stage 2mythical-literal (ages 6 to 11)the child retells the spiritual stories and takes them literally and concretely. In stage 3synthetic-convention (typically begins around 12 or 13 years)the young person begins to personalize beliefs.

[pane00]

TYSM

[skipfourms123]

Excellent