An infant can move his head from side to side while following a moving object, can lift his head from a prone position 45 degrees off the examining table, smiles when encouraged, and makes cooing sounds. He cannot maintain a seated position. The most likely age of the infant is:

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Question 1 of 5

An infant can move his head from side to side while following a moving object, can lift his head from a prone position 45 degrees off the examining table, smiles when encouraged, and makes cooing sounds. He cannot maintain a seated position. The most likely age of the infant is:

Correct Answer: B

Rationale: At 3 months, infants typically develop the ability to lift their heads 45 degrees in prone, follow objects with their eyes, smile responsively, and make cooing sounds. They are not yet able to sit independently.

Question 2 of 5

Sexual abuse should be considered in children who have behavioral problems, although no behavior is pathognomonic. Which of the following behavior should raise the suspicion of sexual abuse?

Correct Answer: D

Rationale: Hypersexuality in children is highly unusual and strongly indicative of possible sexual abuse, as it reflects exposure to inappropriate sexual content or experiences.

Question 3 of 5

When should the nurse expect breastfeeding-associated jaundice to first appear in a normal newborn?

Correct Answer: C

Rationale: Breastfeeding-associated jaundice typically first appears in a normal newborn between 2 to 4 days after birth. This type of jaundice is usually mild and is caused by insufficient milk intake, leading to decreased bilirubin elimination. It is important for healthcare providers to monitor the baby's weight and ensure adequate feeding to prevent or address breastfeeding-associated jaundice.

Question 4 of 5

An infant can move his head from side to side while following a moving object, can lift his head from a prone position 45 degrees off the examining table, smiles when encouraged, and makes cooing sounds. He cannot maintain a seated position. The most likely age of the infant is:

Correct Answer: B

Rationale: At 3 months, infants typically develop the ability to lift their heads 45 degrees in prone, follow objects with their eyes, smile responsively, and make cooing sounds. They are not yet able to sit independently.

Question 5 of 5

The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active?

Correct Answer: A

Rationale: The best way to determine whether an adolescent girl is sexually active is to ask her directly, "Are you sexually active?" This question is concise, clear, and non-judgmental, allowing the girl to provide a straightforward answer. It is important to create a safe and open environment for discussing sexual health, and using direct language helps ensure accurate communication. Asking about specific partners (options B and C) may lead to confusion or misinterpretation, and involving the parent (option D) without the girl's consent may violate her privacy and autonomy. Therefore, direct communication with the adolescent herself is the most appropriate approach to gather information about her sexual activity.

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