The nurse is performing an assessment of a 7-month-old. Which ...

[pane00]

The nurse is performing an assessment of a 7-month-old. Which finding would require further assessment?
 
  1. The anterior fontanelle is closed.
  2. The posterior fontanelle is closed.
  3. The head is disproportionately large in comparison to the body.
  4. There are two baby teeth present.

Question 2

The nurse is performing an assessment on an adolescent client. Which finding would be unexpected?
 
  1. Apical heart rate of 110 beats per minute.
  2. Respiratory rate of 14 breaths per minute.
  3. Blood pressure of 98/58 mmHg.
  4. Temperature of 98.8 F.

[morganmarie791]

Answer to Question 1

Correct Answer: 1
The anterior fontanelle usually closes when the infant is between 9 and 18 months of age. It is an unexpected finding to determine the infant's anterior fontanelle is already closed at the age of 7 months. The posterior fontanelle usually closes by the age of 2 months. The head remains disproportionately large in comparison to the body until approximately 5 years of age. The child should have at least one tooth present in the mouth by 15 months of age.

Answer to Question 2

Correct Answer: 3
An adolescent's blood pressure usually ranges from 110 to 131 mm Hg (systolic), and 64 to 84 mm Hg (diastolic). This adolescent's blood pressure is low. An adolescent's heart rate normally ranges from 65 to 120 beats per minute. An adolescent's respiratory rate normally ranges from 14 to 20 breaths per minute. The adolescent's temperature is within normal limits.

[pane00]

Thanks for the timely response, appreciate it

[daiying98]

Gracias!