Asked by Jessil Plenos on Jun 03, 2024
Verified
In the assessment of a 1-month-old infant, the nurse notices a lack of response to noise or stimulation. The mother reports that in the last week he has been sleeping all of the time, and when he is awake all he does is cry. The nurse hears that the infant's cries are very high pitched and shrill. What is the most appropriate response by the nurse?
A) Refer the infant for further testing.
B) Talk with the mother about eating habits.
C) Do nothing; these are expected findings for an infant this age.
D) Tell the mother to bring the baby back in 1 week for a recheck.
High Pitched
High pitched describes sounds that are at the upper end of the audible spectrum, characterized by a high frequency.
Lack of Response
The absence or failure of a reaction to stimuli or treatment, implying a non-responsive state or condition.
- Separate normal neurologic findings from pathological ones in different age demographics.
- Comprehend the importance of patient history and physical manifestations in determining neurological issues.
Verified Answer
VP
viviana portilloJun 04, 2024
Final Answer :
A
Explanation :
A high-pitched, shrill cry or cat-sounding screech occurs with central nervous system damage. Lethargy, hyporeactivity, and hyperirritability, as well as the parent's report of significant changes in behavior all warrant referral. The other options are not correct responses.
Learning Objectives
- Separate normal neurologic findings from pathological ones in different age demographics.
- Comprehend the importance of patient history and physical manifestations in determining neurological issues.