Exhibits The nurse decides to use the FLACC scale to assess the infant's pain level. Give the client a total score using each element of the FLACC Scale. Each row must have one option selected.

Face: 1: The infant is grimacing occasionally, showing mild discomfort but not constant distress. Intermittent facial tension indicates mild pain after surgery. Legs: 1: Constant movement and restlessness suggest tension and uneasiness, which align with a score of 1 for mild discomfort rather than severe pain behaviors like kicking or drawing legs up. Activity: 1: The infant is moving constantly but can still be consoled with a pacifier. Squirming and shifting back and forth represent mild activity changes, not rigidity or arching. Cry: 1: The infant is crying but can be soothed, indicating mild pain. Continuous or inconsolable crying would correspond to a score of 2, which is not the case here. Consolability: 1: The infant responds positively to the pacifier, demonstrating that mild comforting measures reduce distress. If comfort attempts failed, the score would rise to 2.