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 D

Choice A reason: By around 12 months, infants typically triple their birth weight, but that milestone isn't expected at 6 months. Therefore, telling the mother three times birth weight at this age would be inaccurate and misleading.
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: Evidence-based pediatric growth milestones state that by 6 months, an infant’s weight typically doubles from birth weight. This aligns with widely accepted developmental guidelines and is the most accurate and reassuring response to the mother’s question.

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Correct Answer is C

Explanation

Choice A reason: A 7-year-old child may have some difficulty with separation but is typically able to understand the reason for hospitalization better than younger children.
Choice B reason: A 5-month-old infant may show signs of distress but does not have the same understanding of separation as an older child.
Choice C reason: This is the correct choice. A 4-year-old child is at a developmental stage where separation from family can cause significant distress and difficulty.
Choice D reason: A 15-month-old toddler may experience separation anxiety, but it is generally more intense in preschool-aged children.

A. Asking the mother to leave the room after obtaining the history. B. Reviewing health promotion and maintenance activities. C. Obtaining a comprehensive history, including sociodemographic data. D. Focusing exclusively on the reported illness.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. There is no need for the mother to leave the room unless the child requests privacy.

Choice B reason: This choice is incorrect. While reviewing health promotion is important, it should not be the focus during a sick visit.

Choice C reason: This choice is incorrect. A comprehensive history is not necessary if the child is regularly seen and was recently assessed.

Choice D reason: This is the correct choice. The nurse should focus on the current illness reported by the mother, as the child has been regularly seen and assessed.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In planning care, the nurse recognizes that which child should have the most difficulty with separation from family during hospitalization?

Correct Answer is C

Explanation

A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

Correct Answer is D

Explanation

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