A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:

"At 6 months, his weight should be approximately three times his birth weight."

"Each child gains weight at his or her own pace."

"At 6 months, a child should weigh about 10 lb more than his or her birth weight."

"At 6 months, his weight should be approximately twice his birth weight."

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. By 6 months, most infants have doubled their birth weight, and some may have tripled it.
Choice B reason: While it's true that each child grows at their own pace, there are general milestones for weight gain that can guide expectations.
Choice C reason: This choice is incorrect. A 10 lb increase is not a standard milestone for weight gain at 6 months.
Choice D reason: This choice is incorrect. Doubling the birth weight is expected by 6 months, but tripling may also be normal.

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Correct Answer is D

Explanation

Choice A reason: Asking the client to choose the medication is not appropriate as the nurse should use clinical judgment to select the medication based on effectiveness and onset of action.
Choice B reason: Documentation is important but should not precede the administration of pain relief.
Choice C reason: Comparing the pain scale rating with prescribed dosing is part of pain management, but the immediate concern is to relieve the pain as quickly as possible.
Choice D reason: This is the correct choice. The nurse should determine which medication will provide the quickest relief from pain, which is the client's immediate need.

A. Place the infant flat and prone. B. Wrap the infant in a warm blanket and allow the father to hold the infant briefly. C. Cover the defect with warm, moist gauze and plastic. D. Encourage breastfeeding to promote maternal bonding.

Correct Answer is C

Explanation

Choice A reason: Placing the infant flat and prone is not the first priority in the care of an infant with gastroschisis.
Choice B reason: While providing warmth and promoting bonding are important, they are not the immediate priority upon admission for an infant with gastroschisis.
Choice C reason: This is the correct choice. The exposed abdominal organs in gastroschisis must be protected immediately to prevent heat and fluid loss and to reduce the risk of infection.
Choice D reason: Breastfeeding is important for bonding and nutrition but is not the first intervention for an infant with gastroschisis.

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A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:

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Naxlex Comprehensive Predictor Exams

A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?

Correct Answer is D

Explanation

An infant has been admitted to the Neonatal Intensive Care Unit (NICU) with congenital gastroschisis. Which intervention should the nurse perform first upon admission to the unit?

Correct Answer is C

Explanation

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