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HESI Practice — Flashcards

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A 4-month-old infant is admitted to the pediatric unit. How does the primary nurse expect the infant to behave when approached?

a. Smile socially in recognition of the nurse

b. Cry when the nurse approaches for the first time

c. Reach out to the nurse for the attention that is being offered

d. Cling to the mother when the nurse tries to establish contact
C!

The infant has not yet recognized boundaries between self and mother and is not particular about who meets and resolves needs. The infant is most likely reaching out for attention. A social smile does not indicate recognition of a specific person, only a human face. The infant does not yet differentiate familiar faces from those of strangers. The infant does not understand or fear separation from the mother yet.
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