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: Pneumonia could present with these symptoms, but it is less likely in this case due to the specific combination of symptoms described.
Choice B reason: Active pulmonary tuberculosis is less common in infants and does not typically present with these acute symptoms.
Choice C reason: This is the correct choice. The symptoms described are characteristic of Respiratory Syncytial Virus (RSV), especially in infants.
Choice D reason: Croup could cause some of these symptoms, but it is more commonly associated with a distinctive barking cough and stridor.

A. Had an upper respiratory infection with a sore throat about 3 weeks ago. B. Suffered chest trauma with a fractured rib after a bicycle accident 2 weeks ago. C. The child was born with a heart defect that was repaired at 6 months of age. D. Has had a decreasing appetite over the course of several months.

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Rheumatic fever is often preceded by an upper respiratory infection caused by group A Streptococcus, which can lead to a sore throat.
Choice B reason: Chest trauma and a fractured rib are not related to the development of rheumatic fever.
Choice C reason: Although a pre-existing heart defect can increase the risk of complications, it is not the cause of rheumatic fever.
Choice D reason: A decreasing appetite over several months is not specifically indicative of rheumatic fever.

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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

Correct Answer is C

Explanation

When obtaining a history from the father of a 9-year-old boy with rheumatic fever, the nurse recognizes that the most significant information related to the diagnosis is:

Correct Answer is A

Explanation

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