During a routine health assessment, the nurse notes that an 8-month-old infant has significant head lag. Which is the nurse's most appropriate action?

Correct Answer: C

Rationale: Significant head lag in an 8-month-old infant can be a concerning sign indicating potential developmental delays or muscle weakness. The most appropriate action for the nurse in this situation is to refer the child for further evaluation by a healthcare provider, such as a pediatrician or developmental specialist, to assess and address the underlying cause of the head lag. It is important to rule out any potential developmental issues early on to provide the necessary interventions and support for the infant's optimal growth and development.

Correct Answer: A

Rationale: At 12 months of age, children are generally starting to become more mobile and interested in exploring their surroundings. Large push-pull toys are a great option for encouraging physical activity and helping with gross motor skills development. These toys can help the child practice walking, crawling, and hand-eye coordination. Push-pull toys also provide kinetic stimulation which is important for the child's overall physical development at this age. Other play activities mentioned in the options, such as finger paints or cradle gym, may be suitable for older children as they require more fine motor skills and coordination. Stick horse, on the other hand, is more appropriate for older children who have better developed gross motor coordination.

Correct Answer: C

Rationale: According to the Centers for Disease Control and Prevention (CDC), motor vehicle–related fatalities are the leading cause of death from unintentional injuries for females aged 1 to 14. This is a significant risk factor for young girls in this age group, highlighting the importance of road safety measures and injury prevention strategies. Factors such as proper car seat usage, seat belt use, and safe driving practices are crucial in reducing the number of motor vehicle-related fatalities among young females aged 1 to 14.

Correct Answer: c

Rationale: In evidence-based practice, formulating a clear clinical question is crucial for effective decision-making. The correct order for clarifying the scope of the problem and clinical topic of interest is: C) Population. The first step in formulating a clinical question is identifying the specific population or patient group relevant to the issue being addressed. This step helps focus the question and tailor the search for evidence to that particular group. Understanding the population allows for a more precise and targeted approach to finding relevant information. The other options (A) Intervention, (B) Outcome, and (D) Time are important components of a clinical question but come after defining the population. Once the population is identified, the nurse can then consider the intervention, outcome, and timeframe related to the clinical question. These elements further refine the question and guide the search for evidence to inform decision-making in patient care. In an educational context, understanding the process of formulating a clinical question is essential for nurses to effectively apply evidence-based practice in their daily clinical practice. By following a structured approach, nurses can ensure that their questions are well-defined, leading to more successful searches for evidence and ultimately better patient outcomes.

Correct Answer: C

Rationale: Involving the child in decision-making and asking for their permission before performing a procedure promotes a sense of control and autonomy. By asking the child if it is OK to take the temperature in the ear, the nurse respects the child's preferences and helps them feel more empowered in the situation. This fosters a positive therapeutic relationship and can help reduce the child's anxiety during the medical assessment.