A 5-month-old is admitted to the hospital. Which of the following assessment information would be concerning?

rounded abdomen

heart rate 115 beats/min

retractions of the sternum with breathing

lower legs appear bowed

Answer and Explanation

The Correct Answer is C

A. Rounded abdomen is normal in infants due to their developing musculature and posture.
B. Heart rate 115 beats/min is within the normal range for a 5-month-old infant (typically 90–160 beats/min).
C. Retractions of the sternum with breathing is concerning because it indicates increased work of breathing and possible respiratory distress.
D. Lower legs appear bowed is a common normal variation in infants and toddlers and typically resolves with growth.

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Correct Answer is B

Explanation

A. Hearing problems can occur but are less common immediately at birth compared to respiratory issues.
B. Respiratory distress is common in infants born at 26 weeks due to immature lungs and insufficient surfactant production.
C. Cystic fibrosis is a genetic disorder, unrelated to prematurity.
D. Hyperglycemia is less common in preterm infants; hypoglycemia is more typically a concern.

A. True B. False

Correct Answer is False

Explanation

To determine if the dose is within the safe range:

Convert the ordered dose to mg:
0.3 g = 300 mg
Calculate the safe dose range based on weight:

Low end: 20 mg/kg × 25 kg = 500 mg/day

High end: 40 mg/kg × 25 kg = 1000 mg/day

Compare the ordered dose:
The ordered dose is 300 mg, which is below the minimum safe daily dose of 500 mg.

Therefore, the ordered dose is too low and not within the safe and effective range.

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A 5-month-old is admitted to the hospital. Which of the following assessment information would be concerning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A baby is born prematurely at 26 weeks gestation. Which of the following complications is this infant likely to have?

Correct Answer is B

Explanation

A child has an order for amoxicillin 0.3 g. The child weighs 25 kg. The safe dose range for this medication is 20-40 mg/kg/day. The ordered dose is safe and effective (not too high or too low).

Correct Answer is False

Explanation

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