Exam 4 NUR 304 Comprehensive Q&A Study Guide

A 6-week-old infant grasps a rattle placed in the hand. The parent is impressed with this skill. What should the nurse teach the parent about this behavior? 1 This is the palmar grasp reflex and is expected at this age. 2 This is the pincer grasp, which disappears within several months. 3 Grasping is a voluntary behavior usually observed in older infants. 4 Grasping is an atypical behavior, and further evaluation is required. 1 This is the palmar grasp reflex and is expected at this age. The palmar grasp reflex is expected at 6 weeks of age, begins to fade at 2 months, and disappears by 4 months. The pincer grasp is a fine motor voluntary behavior that begins around 8 months of age. Grasping is involuntary behavior; it is a reflex response that is not expected in older infants. The palmar grasp reflex is typical, not atypical, for a 6-week-old infant. 2. Place the order of blood flow from right side of heart to pulse oximetry measurement. ORDER: a. O2 blood flow pumps from left side of heart to peripheral arteries b. Deoxygenated blood flows to pulmonary capillaries c. Hemoglobin saturated w/ O2 flows to pulmonary veins d. O2 diffuses from alveoli to blood b. Deoxygenated blood flows to pulmonary capillaries d. O2 diffuses from alveoli to blood c. Hemoglobin saturated w/ O2 flows to pulmonary veins a. O2 blood flow pumps from left side of heart to peripheral art The parents of a 6-month-old ask a nurse how to introduce their infant to pureed foods. How should the nurse respond? 1 "Introduce one food at a time every 4 to 7 days." 2 "Mix the pureed food with the formula two or three times a day." 3 "Try to maintain the formula intake regardless of solid food intake." 4 "Offer pureed foods by spoon after the bottle of formula is finished." 1 "Introduce one food at a time every 4 to 7 days."