The nurse is checking reflexes on a 7-month-old infant. When the ...

[jasdeep_brar]

The nurse is checking reflexes on a 7-month-old infant. When the infant is suspended in a horizontal prone position, the head is raised and the legs and spine are extended. Which reflex is this?
 
  a. Landau
  b. Parachute
  c. Body righting
  d. Labyrinth righting

Question 2

A 6-year-old child is scheduled for a cardiac catheterization. What consideration is most important in planning preoperative teaching?
 
  a. Preoperative teaching should be directed at his parents because he is too young to understand.
  b. Preoperative teaching should be adapted to his level of development so that he can understand.
  c. Preoperative teaching should be done several days before the procedure so he will be prepared.
  d. Preoperative teaching should provide details about the actual procedures so he will know what to expect.

[mirabriestensky]

Answer to Question 1

ANS: A
When the infant is suspended in a horizontal prone position, the head is raised and the legs and spine are extended; this describes the Landau reflex. It appears at 6 to 8 months and persists until 12 to 24 months. The parachute reflex occurs when the infant is suspended in a horizontal prone position and suddenly thrust downward; the infant extends the hands and fingers forward as if to protect against falling. This appears at age 7 to 9 months and lasts indefinitely. Body righting occurs when turning the hips and shoulders to one side causes all other body parts to follow. It appears at 6 months of age and persists until 24 to 36 months. The labyrinth-righting reflex appears at 2 months and is strongest at 10 months. This reflex involves holding infants in the prone or supine position. They are able to raise their heads.

Answer to Question 2

ANS: B
Preoperative teaching should always be directed to the child's stage of development. The caregivers also benefit from these explanations. The parents may ask additional questions, which should be answered, but the child needs to receive the information based on developmental level. This age group will not understand in-depth descriptions. School-age children should be prepared close to the time of the cardiac catheterization.

[jasdeep_brar]

Thank you

[mirabriestensky]

Happy to help you