The nurse would assess respirations in a 9-month-old infant when the client is:
Playing in the playroom.
Crying.
Sleeping.
Laughing.
The Correct Answer is C
Choice A rationale
Playing might cause irregular breathing patterns due to excitement or activity, making it hard to get an accurate respiratory rate.
Choice B rationale
Crying can alter the normal breathing rate and pattern, resulting in an inaccurate assessment of respirations.
Choice C rationale
Sleeping provides the most accurate assessment of respirations, as the infant’s breathing will be at its natural, resting rate.
Choice D rationale
Laughing, similar to crying, causes irregular breathing patterns due to physical exertion and emotions, affecting accuracy.
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View Related questions
Correct Answer is A
Explanation
Choice A rationale
This choice offers the toddler control and options within boundaries. By allowing the child to choose between two cups, it reduces the power struggle inherent in negativism, where the child often says "no" to assert independence.
Choice B rationale
This choice presents a direct option of now or later, which may still lead to refusal due to the toddler's negativism. Toddlers often respond better to choices that are less direct.
Choice C rationale
Asking if the child can take the medicine is likely to result in a "no" due to the nature of negativism at this developmental stage. It does not give the toddler a sense of control or choice.
Choice D rationale
Asking the child to be "good" places a moral judgment on taking the medicine, which is not developmentally appropriate and may lead to resistance.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Measles, mumps, rubella (MMR) vaccine is recommended for a 1-year-old child as it protects against these three highly contagious viral diseases. This vaccine is typically given in two doses, with the first dose administered at 12-15 months.
Choice B rationale
Tetanus, diphtheria, and pertussis (TDaP) vaccine is not typically given at 1 year of age. The primary series is given in infancy, and the TDaP booster is given at 4-6 years of age.
Choice C rationale
Inactivated polio virus (IPV) vaccine is part of the routine vaccination schedule for children. It protects against polio, a serious disease that can cause paralysis. The IPV vaccine is given in multiple doses, starting at 2 months of age.
Choice D rationale
Varicella (VAR) vaccine protects against chickenpox, a highly contagious disease. It is recommended for children at 12-15 months of age and is usually given in two doses.
Choice E rationale
Human papillomavirus (HPV) vaccine is not recommended for a 1-year-old child. It is typically given to preteens and teens to protect against HPV infections that can lead to cervical cancer and other diseases.