Question

While assessing an infant, the nurse notes that the infant displays an occasional grimace and is withdrawn; legs are kicking, body is arched, and the infant is moaning during sleep. when awakened, the infant is inconsolable. what scale should the nurse use while assessing pain in this infant?

Answer 1

FLACC SCALE
he FLACC Scale (face, legs, activity, cry, and consolability) is used to measure pain for children between the ages of 2 months and 7 years. The Braden scale is used to predict pressure sore risk. The FACES Scale is used to assess pain in older children using a series of faces, ranging from a happy face to a crying face. APGAR score is done at birth to assess how well the baby tolerated the birthing process