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1. A 2-month-old infant is brought to the clinic for a routine check-up.
The nurse assesses the infant's growth and development using the
Denver II Developmental Screening Test. Which of the following
findings would indicate a need for further evaluation?
a) The infant can lift head 45 degrees when prone.
b) The infant can follow a moving object past midline.
c) The infant can smile spontaneously and responsively.
d) The infant can grasp a rattle when placed in hand.*
Rationale: The correct answer is d. The ability to grasp a rattle when
placed in hand is a fine motor skill that is expected at 4 months of age,
not 2 months. The other options are normal developmental milestones
for a 2-month-old infant.
2. A 6-month-old infant is diagnosed with bronchiolitis caused by
respiratory syncytial virus (RSV). The nurse provides education to the
parents about the management of the condition at home. Which of the
following statements by the parents indicates a need for further
teaching?
a) "We will keep our baby well hyd with breast milk or formula."
b) "We will use a bulb syringe to clear our baby's nose before
feeding."
c) "We will give our baby acetaminophen for fever and pain relief."
d) "We will use a cool-mist humidifier in our baby's room."*
Rationale: The correct answer is d. A cool-mist humidifier is not
recommended for infants with bronchiolitis because it may increase
airway inflammation and mucus production. A warm-mist humidifier
or vaporizer may be more beneficial. The other statements are
appropriate for the home care of an infant with bronchiolitis.
3. A 9-month-old infant is admitted to the hospital with dehydration
due to gastroenteritis. The nurse monitors the infant's fluid status
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