Which milestone is developmentally appropriate for a 2-month-old ...

[dbose]

Which milestone is developmentally appropriate for a 2-month-old infant?
 
  a. Pulled to a sitting position, head lag is absent.
  b. Pulled to a sitting position, the infant is able to support the head when the trunk is
  lifted.
  c. The infant can lift his or her head from the prone position and briefly hold the
  head erect.
  d. In the prone position, the infant is fully able to support and hold the head in a
  straight line.

Question 2

A nurse is instructing the nursing students about the procedure for vitamin K administration. What information should be included? Select all that apply.
 
  1. Gently massage the site after injection.
  2. Use a 22 gauge 1-inch needle.
  3. Inject in the vastus lateralis muscle.
  4. Cleanse site with alcohol prior to injection.
  5. Inject at a 45-degree angle.
  6. Do not aspirate.
  Correct

[prumorgan]

Answer to Question 1

C
Feedback
A A 2-month-old infant's neck muscles are stronger than those of a newborn;
however, head lag is present when pulled to a sitting position.
B A 2-month-old infant continues to have some head lag when pulled to a sitting
position.
C A 2-month-old infant is able to briefly hold the head erect when in a prone
position. If a parent were holding the infant against the parent's shoulder, the
infant would be able to lift his or her head briefly.
D It is not until 4 months of age that the infant can easily lift his or her head and
hold it steadily erect when in the prone position.

Answer to Question 2

1; 3; 4
Rationale:
1. Vitamin K is given IM in the vastus lateralis muscle using a 25 gauge, 5/8-inch needle at a 90-degree angle. Aspirate, then slowly inject the solution, remove the needle, and gently massage the site with an alcohol swab.
2. Vitamin K is given IM in the vastus lateralis muscle using a 25 gauge, 5/8-inch needle at a 90-degree angle. Aspirate, then slowly inject the solution, remove the needle, and gently massage the site with an alcohol swab.
3. Vitamin K is given IM in the vastus lateralis muscle using a 25 gauge, 5/8-inch needle at a 90-degree angle. Aspirate, then slowly inject the solution, remove the needle, and gently massage the site with an alcohol swab.
4. Vitamin K is given IM in the vastus lateralis muscle using a 25 gauge, 5/8-inch needle at a 90-degree angle. Aspirate, then slowly inject the solution, remove the needle, and gently massage the site with an alcohol swab.
5. Vitamin K is given IM in the vastus lateralis muscle using a 25 gauge, 5/8-inch needle at a 90-degree angle. Aspirate, then slowly inject the solution, remove the needle, and gently massage the site with an alcohol swab.
6. Vitamin K is given IM in the vastus lateralis muscle using a 25 gauge, 5/8-inch needle at a 90-degree angle. Aspirate, then slowly inject the solution, remove the needle, and gently massage the site with an alcohol swab.