QWO (4)

a b i r b . c o m /t e s t evoked otoacoustic emissions are appropriate hearing s c r e e n i n g methods for newborns through age 6 months. Visual reinforcement audiometry is appropriate for children ages 6 months to 2 years. Format: Multiple Choice Client Needs: Safe, Effective Care Environment: Management of Care Cognitive Level: Apply Integrated Process: Nursing Process Page and Header: 1089, Hearing Screening 12.A 2-week-old child responds to a bell during an initial health supervision examination. The child‘s records do not show that a newborn hearing screening was done. Which is the best action for the NR to take? A) Do nothing because responding to the bell proves he does not have a hearing deficit. B) Immediately schedule the infant for a newborn hearing screening. C) Ask the mother to observe for signs that the infant is not hearing well. D) Screen again with the bell at the 2-month-old health supervision visit. Ans: B Feedback: Guidelines for infant hearing screening recommend universal screening with an auditory brainstem response (ABR) or evoked otoacousti a c b i e r b m .c o i m s / s t e i s o t ns (EOAE) test by 1 month of age. All the other answers rely on behavioral observation. Studies have shown that behavioral observations are not a reliable method of screening for hearing loss. Format: Multiple Select Client Needs: Health Promotion and Maintenance Cognitive Level: Apply Integrated Process: Nursing Process Page and Header: 1085, Developmental Surveillance a n a d b i r b S . c c o r m e / t e e s n t ing Page 9

a b i r b. c o m / t e s t 13. The NR is performing developmental surveillance f o r c h i l d r en at a medical home. Which infants are most at risk for developmental delays? Select all that apply. A) A child whose birthweight was 1,600 g B) A child whose biological parents has a mental illness C) A child raised by a single biological parents D) A child with a lead level above 10 mg/dL E) A child with hypertonia or hypotonia F) A child with gestational age more than 33 weeks Ans: B, C, D, E Feedback: Risk factors for developmental delays include having a single biological parents, a biological parents with developmental disability or mental illness, hypertonia o r a b h i r b y . c p o o m t / t o e s n t ia, birthweight less than 1,500 g, lead level above 5 mg/dL, and gestational age less than 33 weeks. Format: Multiple Choice Client Needs: Safe, Effective Care Environment: Mana g a e b m i r b . e c o n m t / t o e s f t Care Cognitive Level: Apply Integrated Process: Nursing Process Page and Header: 1085, Developmental Surveillance and Screening 14. The NR is examining a 15-month-old child who was a b a ir b b . c l o e m t / t o es t walk at the last visit and now can no longer walk. What would be the NR ‘s best intervention in this case? A) Schedule a full evaluation since this may indic a a b t i r e b . c a o m n / t e e s u t rologic disorder. B) Note the regression in the child‘s chart and recheck in another month. C) Document the findings as a developmental de l a a b i y rb . s c o i n m / c t e e s t this is a normal occurrence. D) Ask the biological parentss if they have changed the child‘s schedule to a less active one. Ans: A Feedback: Page 10