A nurse is preparing to obtain the length and weight of a 6-month-old infant during a well-child visit. Which of the following actions should the nurse plan to take? (Select all that apply)
Explanation & Rationale
A. Place a stadiometer on the top of the infant's head to measure their length is incorrect. For infants, length is measured while they are lying down, not standing. A stadiometer is typically used for measuring standing height in older children and adults. B. Measure the infant's length from the crown of the head to the heel is correct. When measuring the length of an infant, the child should be lying down, and the measurement should be taken from the crown of the head to the heel using a length board or measuring tape. C. Cover the scale with a clean sheet of paper is not necessary for weighing an infant. Scales are typically clean, and covering them is unnecessary unless there is a specific concern for hygiene. D. Obtain the infant's weight with the diaper on is incorrect. For the most accurate weight measurement, the diaper should be removed before weighing the infant. A diaper can add extra weight and affect the measurement. E. Ensure the scale is balanced before weighing is correct. Before obtaining the weight, the nurse should verify that the scale is balanced and zeroed to ensure accurate measurements.