Which figure depicts an expected developmental milestone for a ...

[clmills979]

Which figure depicts an expected developmental milestone for a 7-month-old infant?
 
  a. c.
  b. d.

Question 2

A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. The nurse should explain that:
 
  a. this cannot be prevented.
  b. infants do not feel pain as adults do.
  c. this is not a good reason for refusing immunizations.
  d. a topical anesthetic, EMLA, can be applied before injections are given.

[SVictor]

Answer to Question 1

ANS: A
By 6 to 7 months of age, infants are able to bear all their weight on their legs with assistance. Infants can stand holding on to furniture at 9 months. While standing, the infant takes a deliberate step at 10 months. Crawling (propelling forward with the belly on the floor) progresses to creeping on hands and knees (with the belly off of the floor) by 9 months.

Answer to Question 2

ANS: D
Several topical anesthetic agents can be used to minimize the discomfort associated with immunization injections. These include EMLA (eutectic mixture of local anesthetic) and vapor coolant sprays. Pain associated with many procedures can be prevented and minimized by using the principles of atraumatic care. With preparation, the injection site can be properly anesthetized to decrease the amount of pain felt by the infant. Infants have the neural pathways to feel pain. Numerous research studies have indicated that infants perceive and react to pain in the same manner as do children and adults. The mother should be allowed to discuss her concerns and the alternatives available. This is part of the informed consent process.

[clmills979]

Thank you

[SVictor]

Happy to help you