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, CHAPTER 25: Children - Infancy through Adolescence
The nurse in the newborn nursery reports that she is concerned about Baby Boy Jones, who
was born full-term by cesarean section for failure to progress. The pregnancy was
complicated only by a maternal urinary tract infection in the first trimester. He had APGARs of
9 and 10 at 1 and 5 minutes, respectively, and had been doing well. However, now, on the
fourth day of life, the infant has developed a tremor. Which of the following factors would
cause the most concern about the tremor?
a. There is a history of benign tremor in elderly family members.
b. The infant also has asymmetric limb movements.
c. The infant's vital signs are normal.
d. The tremor is brief and only present when the infant is crying vigorously.
e. The infant lies in a symmetric position with limbs flexed when relaxed.
CHAPTER 27: Older Adult
An 80-year-old woman who lives alone at home presents with concerns about maintaining
her independent living status. She continues to drive and care for herself and her pet dog but
reports two falls over the past 4 months. During one fall, she struck her head, causing a bruise
over the right eye. She attributes these episodes to environmental factors: Once she tripped
over a rug, and once she misjudged the depth of the curb while crossing the street. Which of
the following would be the best approach to this patient?
a. Advise the patient to be more careful and attentive to her surroundings andprovide
reassurance that two episodes is not a cause for concern.
b. Advise her that she may require a walker or a cane to provide better balance.
c. Advise her that falls are associated with aging and that no preventive measureshave
proven effective.
d. Perform a comprehensive assessment of fall risk