Author Question: Which of the following positions is used to evaluate jugular vein distention in older children? ... (Read 78 times)

mrsjacobs44 · **on:** Jun 27, 2018

Which of the following positions is used to evaluate jugular vein distention in older children?

a. sitting c. lying flat
b. standing d. head slightly elevated

Question 2

The nurse is assessing an infant who is 10 months old to determine if the infant is in Piaget's fourth substage of sensorimotor development called coordination of secondary schema.

Which of the following actions would indicate to the nurse that the infant is indeed in this fourth substage? a. banging a toy to produce a sound
b. looking and grasping for a favorite toy
c. putting blocks of different shapes into a container with matching holes of varied shapes
d. putting objects and substances into the mouth and spitting out those that taste bad

Toya9913 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A

Feedback
A Correct. In the older child jugular vein distention is evaluated when the child is sitting.
B Incorrect. In the older child jugular vein distention is not evaluated when the child is standing.
C Incorrect. Jugular vein distention is not evaluated when the child is lying flat.
D Incorrect. Jugular vein distention is not evaluated with the child's head slightly elevated.

Answer to Question 2

C

Feedback
A Incorrect. Piaget's third stage of sensorimotor development, between 4 and 8 months of age, the infant may repeatedly bang a toy just to produce a different sound.
B Incorrect. Piaget's second stage of sensorimotor development, between 1 and 4 months of age, as objects become more familiar, the infant will look at and grasp a favorite toy as long as it is in view.
C Correct. Piaget's fourth stage of sensorimotor development, between 8 and 12 months of age, is marked by the infant's ability to put several events together to accomplish an end result, such as putting blocks of different shapes into a container with matching holes of varied shapes.
D Incorrect. Piaget's first stage of sensorimotor development, between birth to 1 month, the infant will use involuntary reflexes such as rooting, sucking to explore its environment; this will include putting objects and substances into the mouth and spitting out those that taste bad.