Author: Anonymous

Scenario: Developmentally, most 3-year-old infants can successfully copy a circle or a cross. However, they are typically unable to accurately copy a diamond shape until age 6 or 7 or even later. Researchers suggest this is not purely a lack of fine motor control, but rather a limitation in cognitive processing. Which of the following best explains why a diamond is significantly more difficult for a younger child to copy than a cross?  

A newborn demonstrates absent Moro reflex on the right arm and decreased movement. Which finding would further support brachial plexus injury?

A newborn’s bilirubin level rises rapidly within the first 24 hours. What is the nurse’s priority interpretation?

A nurse is assessing a newborn’s back and spine and notes a small sacral dimple with a visible base and no hair tuft or drainage. What is the nurse’s priority action?

A newborn has a bluish-gray patch over the sacral area. What is the nurse’s priority action?

A preterm infant receiving oxygen therapy develops worsening respiratory status and signs of chronic lung disease. What is the most likely contributing factor?

A nurse assesses a newborn with a fluctuant scalp mass that does not cross sutures and appears 48 hours after birth. What is the priority nursing implication?

A newborn has a murmur on day 1 of life and oxygen saturation of 88%. What is the nurse’s priority concern?

A nurse is caring for a toddler who interprets language literally. Which statement is most appropriate?

A newborn delivered via vacuum extraction develops a diffuse, boggy scalp swelling that crosses suture lines and increases in size over several hours. The infant becomes tachycardic and pale. Which action is the nurse’s priority?