Difficulty: Medium
Average Score: 87%
Simulated
Passage / Scenario
An infantA nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?
Correct answer
D
Rationale
The correct answer is D: Apex of the heart. The apex of the heart is the most accurate site to assess an infant's heart rate due to its proximity to the heart and its ability to detect subtle cardiac movements. The other choices (A: Radial artery, B: Carotid artery, C: Brachial artery) are commonly used sites in adults but may not provide accurate heart rate measurement in infants due to their small size and developing cardiovascular system. The apex of the heart allows for direct auscultation of the heartbeat, making it the most reliable site for assessing an infant's heart rate accurately.