Author Question: A nurse is using the proximodistal pattern to assess an infant's growth and development as normal. ... (Read 77 times)

storky111 · **on:** Jul 22, 2018

A nurse is using the proximodistal pattern to assess an infant's growth and development as normal. Which assessment finding will the nurse determine as normal?

a. Bangs objects before turns
b. Lifts head before grasps
c. Walks before crawls
d. Laughs before coos

Question 2

Which question will be most appropriate for a nurse to ask when assessing an adult patient for growth and developmental delays?

a. How many times per week do you exercise?
b. Are you able to stand on one foot for 5 seconds?
c. Would you please describe your usual activities during the day?
d. How many hours a day do you spend watching television or sitting in front of a computer?

meltdown117 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: B
Lifting the head before grasping is a normal finding according to proximodistal growth. The proximodistal growth pattern starts at the center of the body and moves toward the extremities (e.g., organ systems in the trunk of the body develop before arms and legs). The infant should turn before banging objects and crawl before walking according to the proximodistal pattern of growth. The infant should coo before laughing, but this is not an example of proximodistal; this is an example of language development.

Answer to Question 2

ANS: C
Asking the patient to describe usual daily activities will provide the nurse with useful information about the patient's current patterns. Understanding normal growth and development helps nurses predict, prevent, and detect deviations from patients' own expected patterns. How many hours are spent watching television or in front of a computer and how many times the patient exercises in a week would not provide the nurse with as much information about the patient's expected patterns when stated patterns are compared with expected patterns for the patient's age group to detect delays. The question about standing on one foot is for a child, not an adult.