Nurse Lorna is assessing infantile reflexes in a 9-month-old baby; which of the following would she identify as normal?

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Question 1 of 5

Nurse Lorna is assessing infantile reflexes in a 9-month-old baby; which of the following would she identify as normal?

Correct Answer: B

Rationale: The parachute reflex typically emerges around 9 months of age and is considered a normal reflex in infants. This reflex is characterized by the infant extending their arms to protect themselves when they feel like they are falling. This is an important protective reflex that helps a child develop their sense of balance and coordination. Persistent rooting is not a normal reflex in a 9-month-old baby, as it typically disappears by 4 months of age. The Moro reflex is typically present in infants and involves an outstretched movement of the arms when startled, so its absence would not be considered normal at this age. A unilateral grasp is also not a normal reflex at 9 months, as infants should be able to show coordinated bilateral movements by this age.

Question 2 of 5

The physical abuse of children by parents affects children of all ages. It is estimated that 1% to 2% of children are physically abused during childhood and that significant number of them are fatally injured each year. Of the following, the second LEADING cause of mortality from physical abuse is

Correct Answer: B

Rationale: Head trauma is a leading cause of mortality in abused children, as it can result in severe brain damage or death.

Question 3 of 5

The nurse is teaching the client about risk factors for diabetes mellitus. Which of the following risk factors for diabetes mellitus is nonmodifiable?

Correct Answer: D

Rationale: Advanced age is a nonmodifiable risk factor for diabetes mellitus. Nonmodifiable risk factors are characteristics or traits that cannot be changed or controlled. In this case, a person's age is a factor that continuously increases as time passes and cannot be altered. Other nonmodifiable risk factors for diabetes mellitus include family history of diabetes and certain ethnic backgrounds. On the other hand, poor control of blood glucose levels, current or recent foot trauma, and inappropriate foot care are examples of modifiable risk factors that can be managed through lifestyle changes and proper medical care.

Question 4 of 5

Arthur, a 66-year old client for pneumonia has a temperature ranging from 39° to 40° C with periods of diaphoresis. Which of the following interventions by Nurse Carlos would be a priority?

Correct Answer: A

Rationale: Administering oxygen therapy would be the priority intervention in this case because Arthur is experiencing pneumonia with a high fever (39° to 40° C). High fever can lead to increased oxygen demand in the body, and providing supplemental oxygen can help ensure that Arthur is receiving adequate oxygenation to support his respiratory function. Oxygen therapy can also help improve oxygen saturation levels, which may be compromised due to the pneumonia. Therefore, addressing the potential respiratory distress caused by the pneumonia and fever should be the top priority to optimize Arthur's oxygenation levels and respiratory function.

Question 5 of 5

Undescended testis is a risk factor for the development of which of the following tumors?

Correct Answer: C

Rationale: Undescended testis is a well-documented risk factor for yolk sac tumors and other testicular cancers.

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