A head circumference is being measured at a 4 month old's ...

[mynx]

A head circumference is being measured at a 4 month old's well-baby checkup. It is noted that the head circumference has not grown since the previous assessment. The nurse should:
 
  1. Ask the mother about the child's nutrition.
   2. Notify the doctor.
   3. Re-measure the head circumference, check developmental milestones, assess the nutritional status, and discuss the findings with the doctor.
   4. Document the normal findings.

Question 2

The nurse caring for a preterm infant who is at risk for hypoglycemia would be alert for signs of a dropping blood sugar, such as:
 
  a. Hyperactivity
  b. Twitching
  c. Pallor
  d. Sweating

[amcvicar]

Answer to Question 1

3
Feedback
1. Nutritional assessment is important, but not the priority intervention at this time.
2. The doctor will receive the information after a re-measurement is taken to validate the findings.
3. Re-measurement is needed to validate findings, and assessing milestones will indicate the cognitive and physical abilities of the child. Nutritional information will indicate if adequate nutrition is being given. The doctor will be able to prescribe the best course of action after this information is reported.
4. The findings are abnormal, and further investigation is needed.

Answer to Question 2

B
The signs of hypoglycemia are twitching, feeding difficulty, hunger, lethargy, apnea, irregular respiratory effort, cyanosis, and a weak high-pitched cry.