A mother tells the nurse she is concerned because her 8 month old ...

[karen]

A mother tells the nurse she is concerned because her 8 month old infant sleeps all day and night and is only awake about 2-3 hours per day. What is the nurse's best response?
 
  a. This sleep pattern is very normal for an infant at this age.
  b. Adding an additional feeding will keep the child awake more.
  c. I recommend that you notify the child's pediatrician.
  d. Be sure you are laying the child on his back to sleep at night.

Question 2

The nurse would incorporate which of the following into the plan of care as a primary prevention strategy for reduction of the risk for cancer?
 
  a. Yearly mammography for women aged 40 years and older
  b. Using skin protection during sun exposure while at the beach
  c. Colonoscopy at age 50 and every 10 years as follow-up
  d. Yearly prostate specific antigen (PSA) and digital rectal exam for men aged 50 and over

[jojobee318]

Answer to Question 1

ANS: C
By approximately 6 months of age, the infant should sleep through the night with at least one nap during the day. 23 hours of wakefulness per day is not an expected finding at age 8 months and should be reported to the pediatrician to determine the underlying cause. An additional feeding may be warranted; however the pediatrician should be notified first. Lying on infant on the back to sleep is recommended to prevent sudden infant death syndrome; however the priority concern is the length of time the child is sleeping.

Answer to Question 2

ANS: B
Primary prevention of cancer involves avoidance to known causes of cancer, such as sun exposure. Secondary screening involves physical and diagnostic examination.

[karen]

Excellent

[jackie]

Thanks for the timely response, appreciate it