Which observation in a health supervision visit leads nurse to ...

[segrsyd]

Which observation in a health supervision visit leads nurse to have concerns about the infant's mental health?
 
  1. When the nurse reaches for a 9-month-old, the infant grabs her mother and cries.
  2. The parent swaddles her 1-month-old, who is crying after an immunization.
  3. A 10-month-old reportedly sleeps about 12 hour total per night.
  4. A 9-month-old avoids eye contact with parents and the nurse.

Question 2

Indications that the placenta has separated from the uterine endometrium include which of the following?
 
  a. firmly contracting fundus
  b. tearing sound from the uterus
  c. globular shape of the uterus as the separated placenta descends into the lower uterine segment
  d. small spurt of blood from the vagina
  e. expulsion of the fetus from the uterus
  f. lengthening of the umbilical cord at the in-troitus as the placenta descends into the lower uterine segment

[Carliemb17]

Answer to Question 1

4
Rationale:
1. This is normal behavior for a child of this age.
2. This is normal behavior for a child of this age.
3. This is normal behavior for a child of this age.
4. The nurse should expect the 9-month-old to have eye contact with the parents and the nurse. If no eye contact is made, the nurse should implement a more detailed assessment of the infant's mental health.

Answer to Question 2

A, C, D, F
Indications that the placenta has separated from the uterine endometrium include a firmly contracting fundus, globular shape of the uterus as the separated placenta descends into the lower uterine segment; a small spurt of blood from the vagina, and lengthening of the umbilical cord at the introitus as the placenta descends into the lower uterine segment. There is no tearing sound heard from the uterus. The fetus is delivered before the placenta separates from the uterine endometrium.