A nurse is assessing a child who has failure to thrive. Which of the following findings should the nurse expect?
Slow heart rate
Low body weight
Hyperactive behavior
Repetitive movements
The Correct Answer is B
A. Slow heart rate: Failure to thrive (FTT) typically does not cause a slow heart rate. In fact, a child who is significantly underweight and malnourished due to failure to thrive might have a normal or even slightly elevated heart rate as their body tries to compensate for inadequate energy intake.
B. Low body weight: A hallmark of FTT is inadequate weight gain or significant weight loss, which manifests most commonly as a significantly low body weight for age, or a weight that falls below the 3rd or 5th percentile on growth charts, or a deceleration in growth velocity.
C. Hyperactive behavior: FTT is often associated with lethargy or decreased activity rather than hyperactivity due to their poor nutritional status and lack of energy. Hyperactivity is more commonly associated with other conditions such as ADHD.
D. Repetitive movements: Repetitive movements are not characteristic findings of FTT and may suggest other developmental or neurological issues. Failure to thrive is primarily a growth and nutritional disorder, and while it can coexist with other conditions, repetitive movements are not a core symptom.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 12 months: By 12 months, an infant’s weight typically triples, not just doubles, reflecting rapid growth in the first year.
B. 9 months: While growth rates vary, doubling birth weight by 9 months is slightly later than the average developmental milestone.
C. 3 months: At 3 months, most infants have gained weight but have not yet doubled their birth weight.
D. 6 months: Infants generally double their birth weight by around 5 to 6 months of age, which is a key indicator of healthy growth and nutrition.
Correct Answer is D
Explanation
A. Preoperational: During the preoperational stage (ages 2 to 7), children develop symbolic thinking and engage in imaginative play, but object permanence has already been established before this stage begins.
B. Concrete operational: This stage (ages 7 to 11) involves logical thinking about concrete events and understanding concepts like conservation, but object permanence develops much earlier in infancy.
C. Formal operational: The formal operational stage (ages 11 and up) is marked by abstract reasoning and hypothetical thinking. Object permanence is fully developed long before this stage.
D. Sensorimotor: Object permanence begins to emerge during the sensorimotor stage (birth to 2 years), as infants learn that objects continue to exist even when they are not visible—typically around 8 to 12 months of age.
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