Maternal / Newborn Question #40

Question

The nurse is caring for a 4 –month-old infant who just had a surgical abdominal Nissen procedure. The mother calls the nurse and states the infant is in pain. The nurse finds which of the following indicators of pain? Select all that apply.

Answers

  1. Restlessness
    • Rationale:
  2. Clenched Fist
    • Rationale:
  3. Increased respiratory rate.
    • Rationale:
  4. Increased temperature
    • Rationale:

Overview

Explanation

Infants in pain may display restlessness, clench fists, and breathe more rapidly. Increased temperature does not infer pain.

Learning Outcomes

Test Taking Tip

Video Rationale