Practice Question
A nurse is assessing pain in a 6-month-old infant. Which of the following assessment tools should the nurse use?
Answer Choices:
Correct Answer:
Face, Legs, Activity, Cry Consolability (FLACC)
Rationale:
🟡 A 6-month-old cannot reliably self-report pain, so an observational behavioral scale is required.
🟡 FLACC evaluates pain using five observable categories: face, legs, activity, cry, and consolability.
🟡 It is appropriate for infants and young children because it translates behavior into a consistent score for trending pain response.
🟡 FLACC supports safe analgesic decisions by documenting changes before and after interventions.
🟡 Using a validated tool improves accuracy and reduces under-treatment of pain in nonverbal patients.
Pain word scale
🟡 Requires the child to use words to describe pain, which a 6-month-old cannot do.
🟡 It is appropriate for older children who can verbalize.
FACES Pain Scale
🟡 Requires the child to point to a face that matches their pain, which is not developmentally appropriate at 6 months.
🟡 Best for children who can understand and choose a face representation.
Premature infant pain scale (PIPP-R)
🟡 PIPP-R is designed for premature/neonatal populations, especially in NICU settings.
🟡 A 6-month-old infant is better assessed with FLACC.
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This question is from Custom Brachwite Pediatric Final exam Nurs223 Section II which contains 69 questions.
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From Exam
Custom Brachwite Pediatric Final exam Nurs223 Section II
69 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4