Difficulty: Medium
Average Score: 65%
Simulated
Passage / Scenario
A 6-month-old infantA nurse is caring for a 6-month-old infant. Which of the following findings indicates to the nurse that the infant may be experiencing pain?
Correct answer
A
Rationale
The correct answer is A: Furrowed brow. A furrowed brow in a 6-month-old infant is a common indicator of pain. Infants at this age are unable to verbally communicate their discomfort, so non-verbal cues like facial expressions are crucial in identifying pain. A furrowed brow signifies tension and distress, indicating the infant may be experiencing pain. Eyes wide open (B) are a general sign of alertness and curiosity, not necessarily pain. Decreased muscle tone (C) and dry palms and feet (D) are not specific indicators of pain in infants.