Difficulty: Medium
Average Score: 68%
Simulated
Passage / Scenario
An infant who is 2 months oldA nurse on the pediatric unit is assessing an infant who is 2 months old. Which of the following findings should the nurse report to the provider?
Correct answer
C
Rationale
The correct answer is C: Abdomen distended with visible mass noted in right upper quadrant. This finding could indicate a serious underlying condition such as a liver or gallbladder issue, which requires immediate medical attention in a 2-month-old infant. Reporting this to the provider promptly is crucial for further evaluation and intervention to prevent any complications. Choices A, B, and D are normal findings for a 2-month-old infant and do not indicate immediate concern. A being alert and responsive, B having appropriate skin condition, and D having full range of motion are all expected developmental milestones.