A mother brings her 2-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?

Focusing exclusively on the reported illness

Asking the mother to leave the room after obtaining their history

Obtaining a comprehensive history, including socio-economic data

Reviewing health promotion and maintenance activities

Answer and Explanation

The Correct Answer is C

a) Focusing exclusively on the reported illness: Given the regular visits and the gap since the last well-child visit, it's essential to consider a broader perspective beyond the reported illness.

b) Asking the mother to leave the room after obtaining their history: This situation doesn't suggest the need to exclude the mother from the discussion.

c) Obtaining a comprehensive history, including socio-economic data: This approach considers the child's health within a broader context, taking into account any changes or potential factors influencing the child's health.

d) Reviewing health promotion and maintenance activities: While important, this situation requires a broader assessment due to the gap between visits and a sick visit.

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Correct Answer is C

Explanation

a) Observing the child in the classroom to see interactions between the child and others: Useful for gathering information but not an initial assessment that might directly relate to the child's performance issues.

b) Determine if there is conflict between the child and the teacher: Conflict might contribute, but initial assessments should focus on other potential factors.

c) Conducting a vision and hearing screening: Sensory impairments can significantly impact a child's academic performance and are important to rule out initially.

d) Talking with the child to determine if there are family stressors such as divorce interfering with the child's performance: Valuable but might not be the first step in assessing academic performance issues.

A. Weight should triple by 6 months of age B. Weight should double by 4 months of age C. Weight should double by 1 year of age D. Weight should triple by 1 year of age

Correct Answer is D

Explanation

a) Weight should triple by 6 months of age: Typically, a newborn's birth weight should double by around 4 to 6 months of age and triple by approximately 12 months (1 year).

b) Weight should double by 4 months of age: Doubling the birth weight by 4 months is too rapid for healthy growth.

c) Weight should double by 1 year of age: Weight doubling usually occurs by 6 months of age. By 1 year of age, a baby's weight is expected to be about three times their birth weight.

d) Weight should triple by 1 year of age: By the end of the first year, a baby’s weight typically triples from their birth weight, which is a standard growth milestone.

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A mother brings her 2-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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

Correct Answer is C

Explanation

While teaching parents of a newborn about normal growth and development, which statement is most appropriate for the nurse to include in the session?

Correct Answer is D

Explanation

The parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse’s reply should include which of the following?

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