Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
What is the normal heart rate range for a newborn infant?
✔✔ 120 to 160 beats per minute
When assessing a child’s respiratory rate, how should the nurse observe the breathing?
✔✔ Watch the abdomen rise and fall quietly without telling the child
What does a bulging fontanel in an infant usually indicate?
✔✔ Increased intracranial pressure
Which is the best site to measure temperature in an infant under 3 months old?
✔✔ Axillary temperature
When examining a toddler’s ears, how should the nurse position the pinna?
✔✔ Pull down and back
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, What developmental milestone is expected in a 9-month-old infant?
✔✔ Sitting unsupported
What is the significance of a positive Babinski reflex in a 2-year-old?
✔✔ It is abnormal and may indicate neurological problems
How should the nurse assess muscle tone in an infant?
✔✔ Observe spontaneous movements and resistance to passive movement
When auscultating the lungs of a preschooler, where should the nurse place the stethoscope?
✔✔ Over all lung fields, including anterior, posterior, and lateral areas
What is the normal respiratory rate for a 5-year-old child?
✔✔ 20 to 30 breaths per minute
What color and texture is normal for a child’s gums?
✔✔ Pink, moist, and smooth
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